Lower Richland is the rural south-eastern part of Richland County around Hopkins, Eastover and Gadsden, between Garners Ferry Road, Bluff Road and the Congaree National Park. Most of it is unincorporated, with Eastover the only town.
Licensed care here is mostly small residential homes, some run by the state behavioral health department, plus one small nursing home and an adult day center in Eastover. Families usually weigh these against options in south-east Columbia and Forest Acres.
How much licensed senior care does Lower Richland (Hopkins, Eastover & Gadsden), SC have?
Lower Richland (Hopkins, Eastover & Gadsden) is mostly unincorporated Richland County territory without a single population estimate, and DPH lists 4 senior-serving assisted living facilities and 1 nursing home with Lower Richland (Hopkins, Eastover & Gadsden) addresses.
| Found in Lower Richland (Hopkins, Eastover & Gadsden) | Not found in Lower Richland (Hopkins, Eastover & Gadsden) | |
|---|---|---|
| Licensed with a local address (DPH) | Assisted living (CRCFs): 4, Nursing homes: 1, Adult day care: 1, In-home care providers: 2 | — |
| No local license on file | — | Home health agencies, Hospice programs, Hospice houses |
| Secured Alzheimer's units | — | None flagged in Lower Richland (Hopkins, Eastover & Gadsden) |
Which assisted living communities are licensed in Lower Richland (Hopkins, Eastover & Gadsden)?
DPH's current data lists 4 senior-serving CRCFs in Lower Richland (Hopkins, Eastover & Gadsden), 0 with a secured Alzheimer's unit flag; Lemonaide House is the largest at 15 licensed beds.
| Facility | Licensed beds | Alzheimer's unit / care (DPH) | DPH orders since Jan 2025 | License status |
|---|---|---|---|---|
| Lemonaide House 1018 Crystal Clear Ln, 29061 | 15 | No | 0 | Licensed through 10/31/2026 |
| Giving Dignity and Support 117 Chalk St, 29044 | 10 | No | 0 | Licensed through 04/30/2027 |
| Paths of Hope Community Residential Care 1004 Rl Coward Rd, 29044 | 10 | No | 0 | Licensed through 12/31/2026 |
| CLS Care Home 1024 Tucker Town Rd, 29052 | 5 | No | 0 | Licensed through 06/30/2027 |
DPH also lists 2 community residences here for adults with disabilities or mental illness; they hold the same license but are not senior placements.
Which nursing homes are in Lower Richland (Hopkins, Eastover & Gadsden), and how does CMS rate them?
Lower Richland (Hopkins, Eastover & Gadsden) has 1 licensed nursing home with 38 licensed beds; of the 1 that CMS rates, 0 hold four or five stars.
| Facility | CMS overall rating | Licensed beds | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|
| Sedgewood Manor Health Care Center 1645 Ridge Rd, 29061 | 2 of 5 | 38 | July 23, 2026 | 4 |
Which home health, hospice and adult day providers have offices in Lower Richland (Hopkins, Eastover & Gadsden)?
DPH's data shows 0 home health agencies, 0 hospice programs and houses and 1 adult day center at Lower Richland (Hopkins, Eastover & Gadsden) addresses; agencies typically serve clients far beyond their office.
- Mother Deveaux Adult Day Care: adult day care facility, license ADC-0401, up to 40 participants
How many in-home care agencies are based in Lower Richland (Hopkins, Eastover & Gadsden)?
2 licensed in-home care providers list a Lower Richland (Hopkins, Eastover & Gadsden) 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 Lower Richland (Hopkins, Eastover & Gadsden) to a hospital?
From the middle of the area, the nearest general hospitals on DPH's list are MUSC Health Columbia Medical Center Downtown (about 15.5 miles) and Prisma Health Baptist (about 16.6 miles).
Prisma Health Richland is about 16.9 miles away. All are straight-line distances, good for comparing places but not for estimating drive times.
Where can Lower Richland (Hopkins, Eastover & Gadsden) families get free senior help?
Older adults in Richland 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 Richland County.