Columbia Senior AdvisorLexington is the county seat of Lexington County and one of the fastest-growing towns in the Midlands, with about 25,729 residents in 2025 Census estimates and a much larger surrounding area along U.S. 378, Sunset Boulevard and Lake Murray's south shore.
It has more purpose-built assisted living than any other Midlands town outside Columbia, several buildings with secured Alzheimer's units, a hospital-run extended care nursing home and the region's only inpatient hospice house. For most families on the west side of the lake, there is no need to look farther.
How much licensed senior care does Lexington, SC have?
Lexington had about 25,729 residents in Census Bureau estimates for July 1, 2025, and DPH lists 8 senior-serving assisted living facilities and 3 nursing homes with Lexington addresses.
| Found in Lexington | Not found in Lexington | |
|---|---|---|
| Licensed with a local address (DPH) | Assisted living (CRCFs): 8, Nursing homes: 3, Home health agencies: 1, Hospice programs: 1, Hospice houses: 1, In-home care providers: 14 | — |
| No local license on file | — | Adult day care |
| Secured Alzheimer's units | 5 buildings | — |
Which assisted living communities are licensed in Lexington?
DPH's current data lists 8 senior-serving CRCFs in Lexington, 4 with a secured Alzheimer's unit flag; Wellmore of Lexington is the largest at 174 licensed beds.
| Facility | Licensed beds | Alzheimer's unit / care (DPH) | DPH orders since Jan 2025 | License status |
|---|---|---|---|---|
| Wellmore of Lexington 200 Wellmore Dr, 29072 | 174 | Unit + care | 0 | Licensed through 06/30/2027 |
| Oakleaf Village of Lexington 800 N Lake Dr, 29072 | 100 | Care only | 0 | Licensed through 04/30/2027 |
| Presbyterian Communities of South Carolina-Columbia 700 Davega Dr, 29073 | 91 | Unit + care | 0 | Licensed through 06/30/2027 |
| Lakeside Place Senior Living 487 Hwy 378, 29072 | 90 | Unit + care | 0 | Licensed through 04/30/2027 |
| Spring Oak Lexington 5422 Augusta Rd, 29072 | 90 | Care only | 0 | Licensed through 02/28/2027 |
| Legacy of Lexington 218 Old Chapin Rd, 29072 | 49 | No | 0 | Licensed through 01/31/2027 |
| Lexington Memory Care 886 Park Rd, 29072 | 48 | Unit + care | 0 | Licensed through 12/31/2026 |
| New Light Community Care 120 Addy Ln, 29072 | 14 | No | 0 | Licensed through 03/31/2027 |
Which nursing homes are in Lexington, and how does CMS rate them?
Lexington has 3 licensed nursing homes with 492 licensed beds; of the 3 that CMS rates, 1 hold four or five stars.
| Facility | CMS overall rating | Licensed beds | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|
| Lexington Medical Center Extended Care 815 Old Cherokee Rd, 29072 | 2 of 5 | 388 | July 25, 2025 | 4 |
| Presbyterian Communities of South Carolina-Columbia 700 Davega Dr, 29073 | 5 of 5 | 44 | August 5, 2026 | 0 |
| Retreat at Wellmore of Lexington 200 Wellmore Dr Bldg #4, 29072 | 1 of 5 | 60 | August 13, 2026 | 3 |
Which home health, hospice and adult day providers have offices in Lexington?
DPH's data shows 1 home health agency, 2 hospice programs and houses and 0 adult day centers at Lexington addresses; agencies typically serve clients far beyond their office.
- Amedisys Home Health of Lexington: home health agency, license HHA-0190
- Compass Hospice: hospice program, license HPC-0292
- Lexington Community Hospice House: inpatient hospice facility, license HPF-0035, 30 beds
How many in-home care agencies are based in Lexington?
14 licensed in-home care providers list a Lexington office on DPH's data; these agencies send aides for bathing, dressing, meals and companionship rather than medical care.
All of them appear in the in-home care roster, filterable by city. The license shows DPH has approved the agency's screening and supervision of aides; ask each one about shift minimums and who covers when an aide is out sick.
How close is Lexington to a hospital?
From the middle of the area, the nearest general hospitals on DPH's list are Lexington Medical Center (about 6.3 miles) and Prisma Health Baptist Parkridge (about 7.3 miles).
Prisma Health Baptist is about 10.6 miles away. All are straight-line distances, good for comparing places but not for estimating drive times.
Which agencies serve seniors in Lexington, SC?
Older adults in Lexington County are served by the Central Midlands Council of Governments Area Agency on Aging in Columbia ((803) 376-5390), which handles information and referral, in-home services assessments, the regional long-term care ombudsman program and SHIP Medicare counseling.
Licensing complaints go to DPH Healthcare Quality at 1-800-922-6735; suspected abuse or neglect of an adult living at home goes to DSS Adult Protective Services at 1-888-227-3487. Prisma Health SeniorCare PACE-Midlands (formerly Palmetto SeniorCare) serves Lexington County.
