Charleston County is the coastal core of the region: the City of Charleston, most of North Charleston, Mount Pleasant, the sea islands from Kiawah to Isle of Palms, and the rural stretch from McClellanville to Hollywood, with about 436,200 residents in 2025 Census estimates. Most of the region's hospitals, including MUSC Medical Center, sit here.
Its share of residents 65 and older, 19.5%, is the highest of the three counties, with a median age of 39.7. It is also the one county of the three on Regulation 60-84's list of coastal counties whose care facilities must keep an inland sheltering option.
How many seniors and licensed care options are in Charleston County, SC?
Charleston County had about 85,144 residents aged 65 or older (19.5% of 436,200), including 8,799 aged 85 or older, on July 1, 2025, and DPH licenses 42 senior-serving CRCFs and 11 nursing homes there.
| Found in Charleston County | Not found in Charleston County | |
|---|---|---|
| Licensed with a local address (DPH) | Assisted living (CRCFs): 42, Nursing homes: 11, Adult day care: 8, Home health agencies: 13, Hospice programs: 8, In-home care providers: 91 | — |
| Missing locally | — | Hospice houses |
| Alzheimer's special care units | 15 buildings | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
Where in Charleston County is licensed senior care located?
Most of Charleston County's licensed assisted living and nursing beds are in North Charleston (22), Charleston (14), Mount Pleasant (13), counted by DPH's postal city for each license.
| Postal city | Senior CRCFs | Nursing homes |
|---|---|---|
| North Charleston | 19 | 3 |
| Charleston | 10 | 4 |
| Mount Pleasant | 10 | 3 |
| Johns Island | 1 | 1 |
| Hollywood | 1 | 0 |
| Kiawah Island | 1 | 0 |
Which care facilities hold a license in Charleston County?
Here is every community residential care facility and nursing home DPH lists in Charleston County (data as of November 6, 2026), with licensed beds, Alzheimer's flags and city.
| Facility | License type | Licensed beds | Alzheimer's unit / care (DPH) | City | DPH orders since Jan 2025 |
|---|---|---|---|---|---|
| Addison of West Ashley-Senior Living in Charleston SC 1445 Bluewater Way, 29414 | CRCF | 98 | Unit + care | Charleston | 0 |
| Artisan Mount Pleasant 601 Solana Way, 29464 | CRCF | 112 | No | Mount Pleasant | 0 |
| Ashley Gardens Alzheimer's Special Care Center 2290 Henry Tecklenburg Dr, 29414 | CRCF | 66 | Unit + care | Charleston | 0 |
| Bell's Professional Residential Home Care 1910 Dalton St, 29406 | CRCF | 20 | No | North Charleston | 0 |
| Bishop Gadsden Episcopal Retirement Community 1 Bishop Gadsden Way, 29412 | CRCF | 91 | Unit + care | Charleston | 0 |
| Bishop Gadsden Gadsden Glen Center for Health and Rehab- Arcadia 8000 Noble Oak Way, 29412 | CRCF | 32 | Unit + care | Charleston | 0 |
| Bridge Assisted Living at Life Care Center of Charleston 2590 Elms Plantation Blvd, 29406 | CRCF | 100 | No | North Charleston | 0 |
| Cabading Homes #1 3431 Rivers Ave, 29405 | CRCF | 18 | No | North Charleston | 0 |
| Cabading Homes #2 3435 Rivers Ave, 29405 | CRCF | 15 | No | North Charleston | 0 |
| Cabading Homes #3 2149 Dorchester Rd, 29405 | CRCF | 25 | No | North Charleston | 0 |
| Camp Community Residence 1251 Camp Rd, 29412 Disability / mental health residence | CRCF | 8 | No | James Island | 0 |
| Care With Love 3408 Lenape St, 29405 | CRCF | 5 | No | North Charleston | 0 |
| Care With Love II 2109 Commander Rd, 29405 | CRCF | 5 | No | North Charleston | 0 |
| Colonnade at West Ashley 2030 Charlie Hall Blvd, 29414 | CRCF | 100 | Unit + care | Charleston | 0 |
| Cooper Hall at the Palms of Mt Pleasant 937 Bowman Rd, 29464 | CRCF | 44 | No | Mount Pleasant | 0 |
| Cooper River Assisted Living 1047 Anna Knapp Blvd, 29464 | CRCF | 64 | No | Mount Pleasant | 0 |
| Cummings Community Residential Care Home 2606 Stark Ln, 29405 | CRCF | 8 | No | North Charleston | 0 |
| Dayspring Assisted Living 5146 Towles Rd, 29449 | CRCF | 16 | Care only | Hollywood | 0 |
| Dayspring of Johns Island 3455 Bohicket Rd, 29455 | CRCF | 24 | Care only | Johns Island | 0 |
| Farmington Community Residence 1269 Camp Rd, 29412 Disability / mental health residence | CRCF | 8 | No | James Island | 0 |
| Fellowship Carolina Park 3501 Lively Ln, 29466 | CRCF | 97 | No | Mount Pleasant | 0 |
| Franke Home 1885 Rifle Range Rd, 29464 | CRCF | 86 | Unit + care | Mount Pleasant | 0 |
| Guardian Angels Residential Care 2126 Success St, 29405 | CRCF | 18 | No | North Charleston | 0 |
| Harmony at West Ashley 1925 Essex Farms Dr, 29414 | CRCF | 105 | Unit + care | Charleston | 0 |
| Indigo Hall 509 Standard Way, 29412 | CRCF | 179 | Unit + care | Charleston | 1 |
| Ivory's Loving Care Residential Facility 2827 Spruill Ave, 29405 | CRCF | 7 | No | North Charleston | 0 |
| Ivorys Loving Care II 4018 S Rhett Ave, 29405 | CRCF | 10 | Care only | North Charleston | 0 |
| Kempton of Charleston 194 Spring St, 29403 | CRCF | 89 | Unit + care | Charleston | 0 |
| Langit's Assisted Living Facility 1273 Remount Rd, 29406 | CRCF | 70 | No | North Charleston | 0 |
| Lenevar Community Residence 1435 W Lenevar Dr, 29407 Disability / mental health residence | CRCF | 8 | No | Charleston | 0 |
| Maria's Priority Care Residential Home I 3117 Meeting Street Rd, 29405 | CRCF | 7 | No | North Charleston | 0 |
| Maria's Priority Care Residential Home II-B 4583 Durant Ave, 29405 | CRCF | 7 | No | North Charleston | 0 |
| Maria's Priority Care Residential Home II-F 4583 Durant Ave Ste F, 29405 | CRCF | 5 | No | North Charleston | 0 |
| Maria's Priority Care Residential Home III 3115 Meeting Street Rd, 29405 | CRCF | 7 | No | North Charleston | 0 |
| Marsh at North Charleston 4550 Great Oak Dr, 29418 | CRCF | 70 | No | North Charleston | 0 |
| Merrill Gardens at Carolina Park 3501 Merrill Pl, 29466 | CRCF | 193 | Unit + care | Mount Pleasant | 0 |
| Midland Park Residential Home Care 2712 Midland Park Rd, 29406 | CRCF | 52 | No | North Charleston | 0 |
| Mount Pleasant Gardens 1025 Hungryneck Blvd, 29464 | CRCF | 71 | Unit + care | Mount Pleasant | 0 |
| North Haven Residential Care Home 4326 Leslie St, 29418 | CRCF | 16 | Care only | North Charleston | 0 |
| Palmettos of Charleston 1900 Ashley Crossing Dr, 29414 | CRCF | 60 | Unit + care | Charleston | 0 |
| Revela at Daniel Island 320 Seven Farms Dr, 29492 | CRCF | 76 | No | Charleston | 0 |
| Savannah Hall Assisted Living 1010 Lake Hunter Cir, 29464 | CRCF | 16 | Unit + care | Mount Pleasant | 0 |
| Seafields by Bishop Gadsden 200 Farm Lake View, 29455 | CRCF | 28 | No | Kiawah Island | 0 |
| Secessionville Community Residence 1217 Secessionville Rd, 29412 Disability / mental health residence | CRCF | 8 | No | Charleston | 0 |
| Shem Creek at South Bay 1400 Liberty Midtown Dr Ste 420, 29464 | CRCF | 150 | Unit + care | Mount Pleasant | 0 |
| Somerby of Mount Pleasant 3100 Tradition Cir, 29466 | CRCF | 118 | Unit + care | Mount Pleasant | 0 |
| Ashley River Healthcare 1137 Sam Rittenburg Blvd, 29407 | NH | 125 | No | Charleston | 0 |
| Bishop Gadsden-Gadsden Glen Center for Health and Rehab 8000 Noble Oak Way, 29412 | NH | 100 | No | Charleston | 0 |
| Cooper River Post Acute 1049 Anna Knapp Blvd, 29464 | NH | 176 | No | Mount Pleasant | 0 |
| Franke Health Care Center 1885 Rifle Range Rd, 29464 | NH | 44 | No | Mount Pleasant | 0 |
| Johns Island Post Acute 3647 Maybank Hwy, 29455 | NH | 132 | No | Johns Island | 0 |
| Kempton of Charleston 194 Spring St, 29403 | NH | 23 | No | Charleston | 0 |
| Life Care Center of Charleston 2600 Elms Plantation Blvd, 29406 | NH | 148 | No | North Charleston | 0 |
| NHC Healthcare Charleston 2230 Ashley Crossing Dr, 29414 | NH | 132 | Care only | Charleston | 0 |
| Oak Harbor Healthcare 921 Bowman Rd, 29464 | NH | 132 | No | Mount Pleasant | 0 |
| Riverside Health and Rehab 2375 Baker Hospital Blvd, 29405 | NH | 160 | No | North Charleston | 0 |
| White Oak Manor Charleston 9285 Medical Plaza Dr, 29406 | NH | 176 | No | North Charleston | 0 |
Which home health, hospice and adult day providers are based in Charleston County?
DPH's data shows 13 home health agencies, 8 hospice programs and houses and 8 adult day centers with Charleston County addresses, plus 91 in-home care providers.
- Amedisys Home Health of Charleston, North Charleston — home health agency
- Amedisys Home Health of Charleston East, Charleston — home health agency
- Brightstar Care of Charleston, Mount Pleasant — home health agency
- Centerwell Home Health-Charleston, North Charleston — home health agency
- Continuum Pediatric Nursing, North Charleston — home health agency
- Interim Healthcare, North Charleston — home health agency
- Kabafusion SC, North Charleston — home health agency
- Kidscare Home Health of South Carolina, North Charleston — home health agency
- Lucky Dove Home Health Care LLC, Charleston — home health agency
- Musc Health at Home by Bayada-Charleston, North Charleston — home health agency
- NHC Homecare-Low Country, North Charleston — home health agency
- Phc Home Health, Charleston — home health agency
- Tsi South Dba Vital Care Charleston, Mount Pleasant — home health agency
- Agape Care South Carolina, North Charleston — hospice program
- Bristol Hospice Charleston LLC, North Charleston — hospice program
- Gentiva, North Charleston — hospice program
- Heart N Soul Hospice of South Carolina LLC, North Charleston — hospice program
- Heartland Hospice - Charleston, North Charleston — hospice program
- Interim Healthcare Hospice of Charleston, North Charleston — hospice program
- Musc Health Hospice at Home by Bayda- Charleston, North Charleston — hospice program
- Roper Hospice, Ladson — hospice program
- Active Day of Charleston, Charleston — adult day care facility
- Adult Daycare 41, Mount Pleasant — adult day care facility
- Alice's Clubhouse Mt P, Mount Pleasant — adult day care facility
- BoldAge PACE, North Charleston — adult day care facility
- Club Horizons of Charleston, North Charleston — adult day care facility
- Elite Day Center of Charleston, North Charleston — adult day care facility
- Sea Island Adult Day Center, Johns Island — adult day care facility
- Sunrise Community of South Carolina Adult Day Health Care, Charleston — adult day care facility
Which agencies serve older adults in Charleston County?
Older adults and caregivers in Charleston County are served by the Trident Area Agency on Aging on Remount Road in North Charleston (843-554-2275, toll-free 1-800-894-0415), the regional Aging and Disability Resource Center, which also houses the long-term care ombudsman and SHIP Medicare counseling.
Its services include information and referral as the region's Aging and Disability Resource Center (since 2007), the regional Long Term Care Ombudsman Program, the Family Caregiver Support Program, home-delivered and group meals through county providers, and SHIP (I-CARE) Medicare counseling and Senior Medicare Patrol. Licensing complaints go to DPH Healthcare Quality at 1-800-922-6735, and suspected abuse of an adult at home to DSS Adult Protective Services at 1-888-227-3487. BoldAge PACE serves Charleston County.
How far is Charleston from hospital care?
From Charleston, the county seat, the nearest general hospital on DPH's roster is MUSC Medical Center, roughly 1.0 miles off as the crow flies.
The next closest are Roper Hospital (about 1 miles) and East Cooper Medical Center (about 6 miles). These are straight-line figures, not drive times.