Highlands Senior Living Gaston at 3959 Fish Hatchery Rd, Gaston (Lexington County) is a community residential care facility, the license South Carolina uses for assisted living, with 92 licensed beds under DPH license CRC-2266 (current through July 31, 2027); its record carries no Alzheimer's special care unit flag.
What does the DPH license show for Highlands Senior Living Gaston in Gaston?
The state's record lists Highlands Senior Living Gaston under license CRC-2266 with 92 beds and an expiration of July 31, 2027, larger than the Midlands midpoint of 39 beds per senior CRCF.
| Field | From the DPH record |
|---|---|
| DPH license number | CRC-2266 |
| License term on file | August 1, 2026 through July 31, 2027 |
| Licensed beds | 92 |
| Secured Alzheimer's unit flag | No |
| Alzheimer's care flag | No |
| Legal licensee | Kayram Atlanta LLC (home state GA) |
| Business form on the license | Limited Liability |
| Administrator named by DPH | Elizabeth Alexander |
| DPH penalty orders (January 2025 to September 2026) | 0 |
| Phone on the DPH record | (803) 755-6541 |
Each CRCF license covers twelve months, and this term started August 1, 2026. DPH bills the operator $10 for every licensed bed (never less than $75), so the bed figure above doubles as the building's paid-for capacity.
Sorted by license number, CRC-2266 falls at position 47 of 64 senior CRCFs in our six counties. Lower numbers generally mean an older license line, though not necessarily an older building.
Can Highlands Senior Living Gaston care for someone with dementia?
DPH's record for Highlands Senior Living Gaston has no Alzheimer's special care unit flag, so it has no secured dementia area; someone who begins to wander would usually need to move to a facility that has one.
Regulation 60-84 bars a CRCF from keeping a resident whom a physician considers a danger to self or others, and unsafe wandering is the usual reason that line is crossed. The closest senior CRCFs flagged for a secured unit are SC Episcopal Home at Still Hopes (CRCF) (11.1 mi), Wellmore of Lexington (11.3 mi), Laurel Crest (12.2 mi).
Has DPH issued an enforcement order against Highlands Senior Living Gaston?
We found no administrative or consent order for Highlands Senior Living Gaston in DPH's monthly enforcement reports covering January 2025 to September 2026.
Keep that in proportion. Penalty orders are the exception; most problems DPH finds on a visit are closed out with a plan of correction that never appears in the monthly report.
How do I get the latest state inspection of Highlands Senior Living Gaston?
Write to DPH Healthcare Quality and ask: South Carolina keeps CRCF inspection reports off the internet, but Section 202.E of Regulation 60-84 makes them, and the facility's response, available to anyone who requests them in writing.
Ask Highlands Senior Living Gaston directly for the date of its latest DPH visit. If deficiencies were cited, a plan of correction exists and you can ask to read it alongside the report.
What other assisted living is near Highlands Senior Living Gaston?
The nearest other senior CRCF is Lighthouse Residential Care Facility in West Columbia, about 8.9 miles away as the crow flies, licensed for 10 beds and not flagged for an Alzheimer's special care unit.
| Facility | Miles away | Licensed beds | Alzheimer's unit / care (DPH) | DPH orders since Jan 2025 |
|---|---|---|---|---|
| Lighthouse Residential Care Facility 4033 Delree St Lot # 31, 29170 | 8.9 | 10 | No | 0 |
| Southern Heritage 1713 Charleston Hwy, 29169 | 9.6 | 10 | No | 0 |
| Spring Oak Lexington 5422 Augusta Rd, 29072 | 10.2 | 90 | Care only | 0 |
| New Light Community Care 120 Addy Ln, 29072 | 10.7 | 14 | No | 0 |
| SC Episcopal Home at Still Hopes (CRCF) 1 Still Hopes Dr, 29169 | 11.1 | 48 | Unit + care | 0 |
What health care is near Highlands Senior Living Gaston in Gaston?
Highlands Senior Living Gaston is located in Gaston, Lexington County, and Lexington Medical Center is the closest general hospital on DPH's list, about 11.5 miles away by straight line.
Prisma Health Baptist is next, roughly 13.0 miles off. All distances are straight-line measurements between mapped points, not driving times.
Should nursing care become necessary, the two nearest CMS-certified nursing homes are Opus Post Acute Rehabilitation (10.5 mi; CMS rating 3 of 5) and South Carolina Episcopal Home at Still Hope (11.1 mi; CMS rating 5 of 5).
Which questions matter most at Highlands Senior Living Gaston?
Use the public record as your checklist: ask the date of the last DPH visit and whether you can read the report and the facility's response.
- Ask for a sample week of staff schedules: the legal floor for 92 residents is 12 staff at peak and 4 at night.
- Before counting on public help, ask whether OSS or the Community Choices waiver's Residential Personal Care is accepted here.
- Ask which charges rise as care needs rise, and check that the agreement promises 30 days' notice of any increase.
- The licensee's home state is GA; ask who runs the building locally and who answers above the administrator.