Columbia Senior AdvisorWest Columbia sits across the Congaree River from downtown in Lexington County, home to Lexington Medical Center, the Midlands' second-largest hospital, and about 18,489 residents in 2025 Census estimates.
Because Lexington Medical Center draws so many discharges, West Columbia has a strong cluster of nursing homes and rehab centers, an Episcopal continuing care campus, a Presbyterian community and a stand-alone Alzheimer's care center, plus several large adult day programs. Families from Cayce, Springdale and Pine Ridge usually compare here first.
How much licensed senior care does West Columbia, SC have?
West Columbia had about 18,489 residents in Census Bureau estimates for July 1, 2025, and DPH lists 6 senior-serving assisted living facilities and 5 nursing homes with West Columbia addresses.
| Found in West Columbia | Not found in West Columbia | |
|---|---|---|
| Licensed with a local address (DPH) | Assisted living (CRCFs): 6, Nursing homes: 5, Adult day care: 4, Home health agencies: 4, Hospice programs: 1, In-home care providers: 12 | — |
| No local license on file | — | Hospice houses |
| Secured Alzheimer's units | 2 buildings | — |
Which assisted living communities are licensed in West Columbia?
DPH's current data lists 6 senior-serving CRCFs in West Columbia, 2 with a secured Alzheimer's unit flag; Pines at Columbia is the largest at 90 licensed beds.
| Facility | Licensed beds | Alzheimer's unit / care (DPH) | DPH orders since Jan 2025 | License status |
|---|---|---|---|---|
| Pines at Columbia 190 Mcswain Dr, 29169 | 90 | No | 0 | Licensed through 06/30/2027 |
| Colonial Gardens Alzheimer's Special Care Center 3565 Sunset Blvd, 29169 | 66 | No | 0 | Licensed through 03/31/2027 |
| SC Episcopal Home at Still Hopes (CRCF) 1 Still Hopes Dr, 29169 | 48 | Unit + care | 0 | Licensed through 07/31/2027 |
| Laurel Crest 100 Joseph Walker Dr, 29169 | 26 | Unit + care | 0 | Licensed through 01/31/2027 |
| Lighthouse Residential Care Facility 4033 Delree St Lot # 31, 29170 | 10 | No | 0 | Licensed through 03/31/2027 |
| Southern Heritage 1713 Charleston Hwy, 29169 | 10 | No | 0 | Licensed through 03/31/2027 |
Which nursing homes are in West Columbia, and how does CMS rate them?
West Columbia has 5 licensed nursing homes with 482 licensed beds; of the 4 that CMS rates, 2 hold four or five stars.
| Facility | CMS overall rating | Licensed beds | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|
| Laurel Crest Retirement Community 100 Joseph Walker Dr, 29169 | Not rated by CMS | 12 | not reported | n/a |
| Millennium Post Acute Rehabilitation 2416 Sunset Blvd, 29169 | 2 of 5 | 132 | March 17, 2026 | 3 |
| NHC Healthcare Lexington 2993 Sunset Blvd, 29169 | 4 of 5 | 170 | April 2, 2026 | 1 |
| Opus Post Acute Rehabilitation 300 Agape Dr, 29169 | 3 of 5 | 98 | January 29, 2026 | 1 |
| South Carolina Episcopal Home at Still Hope 1 Still Hopes Dr, 29169 | 5 of 5 | 70 | July 15, 2026 | 0 |
Which home health, hospice and adult day providers have offices in West Columbia?
DPH's data shows 4 home health agencies, 1 hospice program or house and 4 adult day centers at West Columbia addresses; agencies typically serve clients far beyond their office.
- Active Day of Cayce: adult day care facility, license ADC-0506, up to 92 participants
- Hopebridge Hollies of Active Day: adult day care facility, license ADC-0508, up to 180 participants
- Hopebridge Oaks of Active Day: adult day care facility, license ADC-0507, up to 165 participants
- SC Episcopal Home at Still Hopes Adult Day Care: adult day care facility, license ADC-0063, up to 12 participants
- Integral Home Health LLC: home health agency, license HHA-0601
- Intramed: home health agency, license HHA-0575
- NHC Homecare-Midlands: home health agency, license HHA-0151
- Still Hopes Home Health: home health agency, license HHA-0199
- Amedisys Hospice of Columbia: hospice program, license HPC-0156
How many in-home care agencies are based in West Columbia?
12 licensed in-home care providers list a West Columbia 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 West Columbia to a hospital?
From the middle of the area, the nearest general hospitals on DPH's list are Lexington Medical Center (about 1.2 miles) and Prisma Health Baptist (about 3.7 miles).
Prisma Health Richland is about 4.7 miles away. All are straight-line distances, good for comparing places but not for estimating drive times.
Which agencies serve seniors in West Columbia, 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.
