42
February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator License#/Expiration County/Ownership Type Mailing Address Licensee Facilities That Provide Alzheimer Care Department of Health Licensing Nursing Homes and Community Residential Care All South Carolina Counties Page 1 of 42 AMARA PLACE AT COLUMBIA ANDERSON OAKS ASSISTED LIVING ARBOR LANDING AT PAWLEYS ARBORETUM AT THE WOODLANDS AT FURMAN ASHLAN VILLAGE 651 POLO RD 997 HWY 90 7419 OCEAN HWY 50 ARBORETUM LN 415 BRENDA WAY COLUMBIA, SC 29223-2905 FACILITY #:803-788-9555 CONWAY, SC 29526-7520 FACILITY #:843-347-9280 PAWLEYS ISLAND, SC 29585 FACILITY #:843-314-3720 GREENVILLE, SC 29617-6228 FACILITY #:864-371-3100 LYMAN, SC 29365-9264 FACILITY #:864-949-7825 PH#: WISE WYATT E PH#: 843-347-9280 WILLIAMS ANITA PH#: 843-314-3720 LILLY DONALD R PH#: 864-371-3100 PH#: CRC-1944 / 12/31/2020 CRC-1506 / 07/31/2020 CRC-1937 / 10/31/2020 CRC-1492 / 05/31/2020 CRC-1483 / 10/31/2020 Richland / Limited Liability Horry / Corporation Georgetown / Limited Liability Greenville / Non-Profit Corporation Spartanburg / Limited Liability 651 POLO RD 997 HWY 90 853 OLD WINSTON RD STE 118 1500 TRAILHEAD CT 415 BRENDA WAY COLUMBIA, SC 29223 CONWAY, SC 29526-2750 KERNERSVILLE, NC 27284 GREENVILLE, SC 29617-6226 LYMAN, SC 29365-9264 TWG POLO ROAD LLC HERMAN L ANDERSON INC ARBOR LANDING AT PAWLEYS LLC UPSTATE SENIOR LIVING INC ASHLAN PROPERTIES LLC Alzheimer Care: Alzheimer Care: Alzheimer Care: Alzheimer Care: Alzheimer Care: Y Y Y Y Y Y N Y Y Y Total Number of Licensed Beds in Facility: Total Number of Licensed Beds in Facility: Total Number of Licensed Beds in Facility: Total Number of Licensed Beds in Facility: Total Number of Licensed Beds in Facility: 59 80 100 64 72 Alzheimer Unit: Alzheimer Unit: Alzheimer Unit: Alzheimer Unit: Alzheimer Unit: Facility Email: Facility Email: Facility Email: Facility Email: Facility Email: [email protected] [email protected] [email protected] [email protected] [email protected] No Facility Contact Email on Record [email protected] [email protected] [email protected] No Facility Contact Email on Record Fac. Contact Email: Fac. Contact Email: Fac. Contact Email: Fac. Contact Email: Fac. Contact Email: Max # Alzheimer Residents: Max # Alzheimer Residents: Max # Alzheimer Residents: Max # Alzheimer Residents: Max # Alzheimer Residents: Max # Unit Beds: Max # Unit Beds: Max # Unit Beds: Max # Unit Beds: Max # Unit Beds: 0 10 0 16 19 19 0 40 16 18

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Page 1: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 1 of 42

AMARA PLACE AT COLUMBIA

ANDERSON OAKS ASSISTED LIVING

ARBOR LANDING AT PAWLEYS

ARBORETUM AT THE WOODLANDS AT FURMAN

ASHLAN VILLAGE

651 POLO RD

997 HWY 90

7419 OCEAN HWY

50 ARBORETUM LN

415 BRENDA WAY

COLUMBIA, SC 29223-2905 FACILITY #:803-788-9555

CONWAY, SC 29526-7520 FACILITY #:843-347-9280

PAWLEYS ISLAND, SC 29585 FACILITY #:843-314-3720

GREENVILLE, SC 29617-6228 FACILITY #:864-371-3100

LYMAN, SC 29365-9264 FACILITY #:864-949-7825

PH#:

WISE WYATT E PH#: 843-347-9280

WILLIAMS ANITA PH#: 843-314-3720

LILLY DONALD R PH#: 864-371-3100

PH#:

CRC-1944 / 12/31/2020

CRC-1506 / 07/31/2020

CRC-1937 / 10/31/2020

CRC-1492 / 05/31/2020

CRC-1483 / 10/31/2020

Richland / Limited Liability

Horry / Corporation

Georgetown / Limited Liability

Greenville / Non-Profit Corporation

Spartanburg / Limited Liability

651 POLO RD

997 HWY 90

853 OLD WINSTON RD STE 118

1500 TRAILHEAD CT

415 BRENDA WAY

COLUMBIA, SC 29223

CONWAY, SC 29526-2750

KERNERSVILLE, NC 27284

GREENVILLE, SC 29617-6226

LYMAN, SC 29365-9264

TWG POLO ROAD LLC

HERMAN L ANDERSON INC

ARBOR LANDING AT PAWLEYS LLC

UPSTATE SENIOR LIVING INC

ASHLAN PROPERTIES LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

59

80

100

64

72

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

10

0

16

19

19

0

40

16

18

Page 2: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 2 of 42

ASHLEY GARDENS ALZHEIMER'S SPECIAL CARE CENTER

ASHLEY RIVER PLANTATION

ATRIA FOREST LAKE

AUTUMN LEAVES OF GREENVILLE

BAYVIEW MANOR

2290 HENRY TECKLENBURG DR

2333 ASHLEY RIVER RD

4405 FOREST DR

352 PELHAM RD

11 TODD DR

CHARLESTON, SC 29414 FACILITY #:843-556-4100

CHARLESTON, SC 29414-4755 FACILITY #:843-766-9898

COLUMBIA, SC 29206-3103 FACILITY #:803-790-9800

GREENVILLE, SC 29615-3110 FACILITY #:864-558-0383

BEAUFORT, SC 29902-6113 FACILITY #:843-524-8911

CARLETON KELLY JEAN PH#: 843-556-4100

PH#:

PH#:

JONES ROB PH#: 864-558-0383

DRINKARD CHRISTY PH#: 843-524-8911

CRC-1595 / 06/30/2020

CRC-1376 / 06/30/2020

CRC-1143 / 05/31/2020

CRC-1947 / 04/30/2020

NCF-0898 / 05/31/2020

Charleston / Limited Liability

Charleston / Limited Liability

Richland / Limited Liability

Greenville / Limited Liability

Beaufort / Ltd. Liability

PO BOX 820528

400 CENTRE ST, LICENSING DEPT

4405 FOREST DR

545 E JOHN CARPENTER FREEWAY STE 500

11 TODD DR

VANCOUVER, WA 98682-0011

NEWTON, MA 02458-2094

COLUMBIA, SC 29206-3103

IRVING, TX 75062

BEAUFORT, SC 29902-6113

CHARLESTON CARE GROUP LLC

SNH SE ASHLEY RIVER TENANT LLC

WG FOREST LAKE SH LLC

GREENVILLE MEMORY CARE LLC

BAYVIEW MANOR LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

66

123

60

54

170

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

66

0

16

35

30

66

30

16

54

40

Page 3: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 3 of 42

BELVEDERE COMMONS OF SENECA

BENTON HOUSE OF AIKEN

BENTON HOUSE OF BLUFFTON

BENTON HOUSE OF WEST ASHLEY

BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY

515 BENTON ST

530 BENTON HOUSE WY

8 HAMPTON LAKE DR

1445 BLUEWATER WAY

1 BISHOP GADSDEN WAY

SENECA, SC 29672-6883 FACILITY #:864-888-4114

AIKEN, SC 29803 FACILITY #:678-387-0388

BLUFFTON, SC 29910-9568 FACILITY #:843-757-3111

CHARLESTON, SC 29414 FACILITY #:843-576-9667

CHARLESTON, SC 29412-3577 FACILITY #:843-762-3300

MEDLIN ANTHONY PH#: 864-888-4114

PH#:

PH#:

LYON RICHARD E PH#: 843-576-9667

COOK JONNA PH#: 843-762-3300

CRC-1466 / 11/30/2020

CRC-2049 / 02/28/2020

CRC-1585 / 03/31/2020

CRC-1897 / 12/31/2020

CRC-0451 / 11/30/2020

Oconee / Ltd. Liability

Aiken / Limited Liability

Beaufort / Limited Liability

Charleston /

Charleston / Non-Profit Corporation

515 BENTON ST

1000 LEGION PL STE 1600

11175 CICERO DR STE 500

11175 CICERO DR STE 500

1 GADSDEN WAY

SENECA, SC 29672-6883

ORLANDO, FL 32801

ALPHARETTA, GA 30022-0004

ALPHARETTA, GA 30022-0004

CHARLESTON, SC 29412

FKP SENECA SENIOR LIVING TENANT LLC

BENTON SENIOR CARE LLC

BLUFFTON SLP LLC

WEST ASHLEY SLP LLC

BISHOP GADSDEN EPISCOPAL RETIREMENT COMMUNITY

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

62

100

104

80

112

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

30

0

24

0

20

12

29

28

22

20

Page 4: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 4 of 42

BLAKE AT BAXTER VILLAGE

BLAKE AT CARNES CROSSROADS

BLAKE AT EDGEWATER

BLAKE AT WOODCREEK FARMS

BLOOM AT BELFAIR

522 6TH BAXTER CROSSING

4015 2ND AVE

1099 EDGEWATER CORPORATE PKWY

385 SPEARS CREEK CHURCH RD

60 OAK FOREST RD

FORT MILL, SC 29708 FACILITY #:803-752-4700

SUMMERVILLE, SC 29486 FACILITY #:843-376-3996

INDIAN LAND, SC 29707 FACILITY #:803-310-4242

ELGIN, SC 29045-9312 FACILITY #:803-828-7370

BLUFFTON, SC 29910-5010 FACILITY #:843-815-2338

PH#:

PH#:

PH#:

PH#:

BECK MICHELLE A PH#: 843-521-2298

CRC-2111 / 11/30/2020

CRC-1896 / 07/31/2020

CRC-2112 / 11/30/2020

CRC-1570 / 02/28/2020

CRC-1510 / 12/31/2020

York / Limited Liability

Berkeley / Limited Liability

Lancaster / Limited Liability

Richland /

Beaufort / Limited Liability

4015 2ND AVE

4266 I-55N STE 108

60 OAK FOREST RD

SUMMERVILLE, SC 29486

JACKSON, MS 39211

BLUFFTON, SC 29910

BAXTER SENIOR CARE LLC

BLAKE AT CARNES CROSSROADS LLC

EDGEWATER SENIOR CARE LLC

BLAKE AT WOODCREEK FARMS LLC

BLOOMFIELD SENIOR LIVING OF BLUFFTON LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

114

114

105

100

68

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

No Facility Contact Email on Record

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

0

0

20

68

41

40

40

40

68

Page 5: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 5 of 42

BLOOM AT BLUFFTON

BLOOM AT HILTON HEAD

BLUE RIDGE OF SUMTER

BRIGHTWATER ASSISTED LIVING

BROAD CREEK CARE CENTER ASSISTED LIVING

800 FORDING ISLAND RD

35 BEACH CITY RD

1761 PINEWOOD RD

201 BRIGHTWATER DR

801 LEMON GRASS CT

BLUFFTON, SC 29910-4845 FACILITY #:843-815-2555

HILTON HEAD ISLAND, SC 29926-4725 FACILITY #:843-342-5599

SUMTER, SC 29154-9056 FACILITY #:803-481-8591

MYRTLE BEACH, SC 29579-8298 FACILITY #:843-903-8940

HILTON HEAD ISLAND, SC 29928-3022 FACILITY #:843-341-7300

THOMAS LAUREN PH#:

BAZEN TIFFANY R PH#: 843-342-5599

PRINCE BRADLEY B PH#:

FRYAR LESLIE PH#: 843-903-8940

JACKSON WILLIAM F PH#: 843-341-7300

CRC-1381 / 04/30/2020

CRC-1382 / 04/30/2020

NCF-0745 / 03/31/2020

CRC-1489 / 04/30/2020

CRC-1036 / 07/31/2020

Beaufort /

Beaufort / Limited Liability

Sumter / Limited Liability

Horry / Limited Liability

Beaufort / Corporation

260 E BROWN ST STE 315

260 E BROWN ST STE 315

1761 PINEWOOD RD

3530 TORINGDON WAY STE 204

71 S WACKER DR STE 900

BIRMINGHAM, MI 48009-6236

BIRMINGHAM, MI 48009-6236

SUMTER, SC 29154-9056

CHARLOTTE, NC 28277-3436

CHICAGO, IL 60606-4610

BLOOMFIELD SENIOR LIVING OF BLUFFTON II LLC

BLOOMFIELD SENIOR LIVING OF HILTON HEAD LLC

BLUE RIDGE OF SUMTER LLC

BRIGHTWATER RETIREMENT LLC

CC-HILTON HEAD INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

70

72

96

56

50

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

20

0

11

0

20

18

0

32

0

Page 6: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 6 of 42

BROAD CREEK CARE CENTER SKILLED NURSING

BROOKDALE BRUSHY CREEK

BROOKDALE CLEVELAND PARK

BROOKDALE COLUMBIA

BROOKDALE GREENVILLE

801 LEMON GRASS CT

2010 BRUSHY CREEK RD

12 BOYCE AVE

251 SPRINGTREE DR

1306 PELHAM RD

HILTON HEAD ISLAND, SC 29928-3022 FACILITY #:843-341-7300

GREER, SC 29650-2614 FACILITY #:864-244-9994

GREENVILLE, SC 29601-3110 FACILITY #:864-250-1188

COLUMBIA, SC 29223-7989 FACILITY #:803-741-2600

GREENVILLE, SC 29615-3600 FACILITY #:864-286-6600

JACKSON WILLIAM F PH#: 843-341-7300

PH#:

DAVIDSON MICHAEL S PH#: 864-250-1188

SHULL BRIAN PH#: 803-741-2600

HUNTER ANDREA M PH#: 864-286-6600

NCF-0753 / 07/31/2020

CRC-1306 / 12/31/2020

CRC-1398 / 07/31/2020

CRC-1310 / 12/31/2019 (Renewal Pending)

CRC-1140 / 10/31/2020

Beaufort / Corporation

Greenville / Corporation

Greenville / Ltd. Liability

Richland / Limited Liability

Greenville / Corporation

71 S WACKER DR STE 900

2010 BRUSHY CREEK RD

12 BOYCE AVE

251 SPRINGTREE DR

1306 PELHAM RD

CHICAGO, IL 60606-4610

GREER, SC 29650-2614

GREENVILLE, SC 29601-3110

COLUMBIA, SC 29223-7989

GREENVILLE, SC 29615-3600

CC-HILTON HEAD INC

BROOKDALE SENIOR LIVING COMMUNITIES INC

ARC CLEVELAND PARK LLC

BROOKDALE SENIOR LIVING COMMUNITIES INC

EMERITUS CORPORATION

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

25

52

115

52

119

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

52

17

42

27

0

0

17

0

26

Page 7: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 7 of 42

BROOKDALE GREENWOOD

BROOKDALE HARBISON

BROOKDALE SPRING ARBOR

BROOKDALE SUMTER

BROOKDALE WEST ASHLEY

1408 PKWY RD

51 WOODCROSS DR

1800 INDIA HOOK RD

1180 WILSON HALL RD OFC

2030 CHARLIE HALL BLVD

GREENWOOD, SC 29646-4043 FACILITY #:864-223-2281

COLUMBIA, SC 29212-2350 FACILITY #:803-732-0300

ROCK HILL, SC 29732-1933 FACILITY #:803-325-1144

SUMTER, SC 29150-1741 FACILITY #:803-469-4508

CHARLESTON, SC 29414-5830 FACILITY #:843-763-4055

ROWE PAULA PH#:

PH#:

FISHER JASON T PH#: 864-325-1144

SCOTT SHERRI R PH#: 803-469-4508

DAUGHERTY KATHRYN PH#: 843-763-4055

CRC-1309 / 11/30/2020

CRC-2053 / 12/31/2020

CRC-1392 / 08/31/2020

CRC-1312 / 12/31/2020

CRC-2018 / 03/31/2020

Greenwood / Limited Liability

Richland / Limited Liability

York / Corporation

Sumter / Corporation

Charleston / Limited Liability

1408 PKWY RD

111 WESTWOOD PL STE 400

1800 INDIA HOOK RD

1180 WILSON HALL RD OFC

6737 W WASHINGTON ST STE 2300

GREENWOOD, SC 29646-4043

BRENTWOOD, TN 37027-5057

ROCK HILL, SC 29732-1933

SUMTER, SC 29150-1741

MILWAUKEE, WI 53214-5650

BROOKDALE SENIOR LIVING COMMUNITIES INC

AHC STERLING HOUSE OF HARBISON LLC

EMERITUS CORPORATION

BROOKDALE SENIOR LIVING COMMUNITIES INC

BKD CHARLESTON SOUTH CAROLINA LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

52

52

92

52

100

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

52

0

30

52

29

0

12

20

12

33

Page 8: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 8 of 42

CANTERFIELD OF BLUFFTON

CAROLINA GARDENS AT CONWAY

CAROLINA GARDENS AT HARBISON

CAROLINA GARDENS AT LAURENS

CAROLINA GARDENS AT LEXINGTON

567 N OKATIE HWY

2310 HWY 378

990 COLUMBIA AVE

420 W FARLEY AVE

5422 AUGUSTA RD

RIDGELAND, SC 29936 FACILITY #:843-645-4000

CONWAY, SC 29527 FACILITY #:843-397-1010

IRMO, SC 29063-2854 FACILITY #:803-749-7889

LAURENS, SC 29360 FACILITY #:864-984-9844

LEXINGTON, SC 29072-3892 FACILITY #:803-520-5850

LATHAM K'LEE SUE PH#: 843-645-4000

FRANKS MIRANDA PH#: 843-397-1010

CALDWELL MATTHEW PH#: 803-749-7889

PH#:

BURNS JO BABS PH#:

CRC-1571 / 11/30/2020

CRC-2059 / 03/31/2020

CRC-2083 / 12/31/2019 (Renewal Pending)

CRC-2055 / 03/31/2020

CRC-2058 / 03/31/2020

Jasper / Limited Liability

Horry / Limited Liability

Lexington / Limited Liability

Laurens / Limited Liability

Lexington / Limited Liability

567 N OKATIE HWY

2310 HWY 378

990 COLUMBIA AVE

420 W FARLEY AVE

5422 AUGUSTA RD

RIDGELAND, SC 29936

CONWAY, SC 29527

IRMO, SC 29063

LAURENS, SC 29360

LEXINGTON, SC 29072-3892

CANTERFIELD OF BLUFFTON LLC

SGS CONWAY OPCO LLC

SGS HARBISON OPCO LLC

SGS LAURENS OPCO LLC

SGS LEXINGTON OPCO LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

93

100

82

100

90

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

22

0

0

0

0

22

28

40

0

25

Page 9: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 9 of 42

CAROLINA GARDENS AT ROCK HILL

CAROLINA GARDENS AT WEST COLUMBIA

CAROLINA GARDENS AT YORK

CAROLINIAN

CASCADES VERDAE ASSISTED LIVING

1785 LEXINGTON COMMONS DR

2705 LEAPHART RD

1020 N CONGRESS ST

718 S DARGAN ST

30 SPRINGCREST CT

ROCK HILL, SC 29732 FACILITY #:803-207-8000

WEST COLUMBIA, SC 29169-3335 FACILITY #:803-939-3000

YORK, SC 29745 FACILITY #:803-684-0183

FLORENCE, SC 29506-2559 FACILITY #:843-665-9314

GREENVILLE, SC 29607-4034 FACILITY #:864-528-5529

PH#:

UNTHANK RUSSELL A PH#: 803-939-3000

PH#:

HUMPHRIES DEBORAH KAY PH#: 843-665-9314

JONES GWENDOLYN PH#: 843-726-4818

CRC-2116 / 12/31/2020

CRC-2057 / 03/31/2020

CRC-2060 / 03/31/2020

CRC-0468 / 04/30/2020

CRC-1490 / 04/30/2020

York / Limited Liability

Lexington / Limited Liability

York / Limited Liability

Florence / Corporation

Greenville / Limited Liability

2705 LEAPHART RD

1020 N CONGRESS ST

911 N STUDEBAKER RD

3530 TORINGDON WAY STE 204

WEST COLUMBIA, SC 29169-3335

YORK, SC 29745

LONG BEACH, CA 90815-4900

CHARLOTTE, NC 28277-3436

VP GARDEN CITY OPCO LLC

SGS WEST COLUMBIA OPCO LLC

SGS YORK OPCO LLC

FLORENCE RHF HOUSING INC

CASCADES NURSING LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

90

184

143

38

92

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

0

0

11

19

27

64

49

0

24

Page 10: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 10 of 42

CHANDLER PLACE ASSISTED LIVING & MEMORY CARE

CHERAW HEALTHCARE

CLEMSON AREA RETIREMENT CENTER-HEALTH CARE CENTER

CLEMSON HERITAGE LLC

COLONIAL GARDENS ALZHEIMER'S SPECIAL CARE CENTER

1800 INDIA HOOK RD

400 MOFFAT RD

500 DOWNS LOOP

140 CAMBRIDGE DR

3565 SUNSET BLVD

ROCK HILL, SC 29732-1933 FACILITY #:803-325-1144

CHERAW, SC 29520-3048 FACILITY #:843-320-7500

CLEMSON, SC 29630 FACILITY #:864-654-1155

CLEMSON, SC 29631-1208 FACILITY #:864-315-0158

WEST COLUMBIA, SC 29169-3043 FACILITY #:803-796-2556

FISHER JASON T PH#: 864-325-1144

DYSON JOEL W PH#: 843-320-7500

HILL JAMES A PH#:

HOWARD AMY PH#: 864-430-6919

SURRETT DALE K PH#: 803-796-2556

CRC-2098 / 09/30/2020

NCF-0951 / 04/30/2020

NCF-0391 / 10/31/2020

CRC-1563 / 11/30/2020

CRC-1542 / 03/31/2020

York / Limited Liability

Chesterfield / Corporation

Pickens / Corporation

Pickens / Limited Liability

Lexington /

PO BOX 967

500 DOWNS LOOP

203 OAKWOOD CT

3565 SUNSET BLVD

CHERAW, SC 29520-0967

CLEMSON, SC 29631-2099

GREENVILLE, SC 29607-5831

WEST COLUMBIA, SC 29169-3043

NAVION BKE SPRING ARBOR LLC

CHERAW HEALTHCARE INC

CARC INC

CLEMSON HERITAGE LLC

COLUMBIA CARE GROUP LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

92

120

68

96

66

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

25

0

0

66

0

0

0

32

66

Page 11: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 11 of 42

COMMANDER NURSING CENTER

COTTONWOOD VILLAS

COVENANT PLACE

DAYSPRING ASSISTED LIVING

DAYSPRING OF JOHNS ISLAND

4438 PAMPLICO HWY

800 W CHURCH ST

2825 CARTER RD OFC

5146 TOWLES RD

3455 BOHICKET RD

FLORENCE, SC 29505-8502 FACILITY #:843-669-3502

BISHOPVILLE, SC 29010-1054 FACILITY #:803-484-5303

SUMTER, SC 29150-1736 FACILITY #:803-469-7007

HOLLYWOOD, SC 29449-6119 FACILITY #:843-889-9757

JOHNS ISLAND, SC 29455-7222 FACILITY #:843-768-5335

COMMANDER IV JOSEPH M PH#: 843-669-3502

GAINEY FELICIA PH#: 803-484-5303

LINDER SR RISLEY E PH#: 803-469-7007

PH#:

MARSHALL YASSAMIN B PH#: 843-768-5335

NCF-0233 / 07/31/2020

CRC-1186 / 06/30/2020

CRC-0758 / 03/31/2020

CRC-1385 / 04/30/2020

CRC-1915 / 03/31/2020

Florence / Corporation

Lee / Limited Liability

Sumter / Non-Profit Corporation

Charleston / Ltd. Liability

Charleston / Corporation

4438 PAMPLICO HWY

800 W CHURCH ST

2825 CARTER RD OFC

5146 TOWLES RD

3455 BOHICKET RD

FLORENCE, SC 29505-8502

BISHOPVILLE, SC 29010-1054

SUMTER, SC 29150-1736

HOLLYWOOD, SC 29449-6119

JOHNS ISLAND, SC 29455-7222

COMMANDER HEALTH CARE FACILITIES INC

LAKEFIELD PROPERTIES LLC

COVENANT PLACE OF SUMTER INC

DAYSPRING ASSISTED LIVING LLC

DAYSPRING OF JOHNS ISLAND INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

163

85

70

16

24

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

81

0

45

3

3

0

14

17

0

0

Page 12: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 12 of 42

DIVINE MANOR ASSISTED LIVING CENTER

DOMINION SENIOR LIVING AT PATRICK SQUARE

DOMINION SENIOR LIVING OF ANDERSON

EDEN TERRACE OF SPARTANBURG

ELMCROFT OF FLORENCE

2210 OAK POND RD

100 PERSHING AVE

3461 N HWY 81

2780 E MAIN ST

3006 HOFFMEYER RD

ROCK HILL, SC 29730-7958 FACILITY #:803-329-4494

CLEMSON, SC 29631 FACILITY #:864-722-2811

ANDERSON, SC 29621 FACILITY #:864-332-4511

SPARTANBURG, SC 29307-1248 FACILITY #:864-579-7387

FLORENCE, SC 29501-7551 FACILITY #:843-292-0012

AFAM DORIS O PH#: 803-329-4494

DAUGHERTY LINDSEY R PH#: 864-722-2811

PH#:

HUGHES CINDY B PH#: 864-579-7387

PH#:

CRC-1361 / 07/31/2020

CRC-1966 / 03/31/2020

CRC-1955 / 12/31/2020

CRC-1213 / 05/31/2020

CRC-2026 / 01/31/2020 (Renewal Pending)

York / Limited Liability

Pickens /

Anderson / Limited Liability Company (multiple member)

Spartanburg / Ltd. Liability

Florence / Limited Liability

2210 OAK POND RD

145 THOMAS GREEN BLVD STE 210

145 THOMAS GREEN BLVD STE 210

2780 E MAIN ST

5885 MEADOWS RD STE 500, ECLIPSE SENIOR LIVING

ROCK HILL, SC 29730-7958

CLEMSON, SC 29631

CLEMSON, SC 29631

SPARTANBURG, SC 29307

LAKE OSWEGO, OR 97035

DIVINE NURSE CONSULTANT LLC

DOMINION CLEMSON LLC

DOMINION ANDERSON LLC

BRISTOL SPARTANBURG LLC

EC OPCO FLORENCE SC LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

32

78

70

140

82

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

0

0

29

38

0

20

19

48

38

Page 13: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 13 of 42

EMERALD GARDENS OF GREENWOOD

FAIRVIEW PARK ASSISTED LIVING

FLORENCE PLACE

FLOWERS RESIDENTIAL CARE FACILITY

FOOTHILLS ASSISTED LIVING

201 OVERLAND DR

544 HARRISON BRIDGE RD

1938 MOUNTAIN LAUREL CT

855 WATTS HILL RD

999 W UNION RD

GREENWOOD, SC 29646-4097 FACILITY #:864-953-2174

SIMPSONVILLE, SC 29860 FACILITY #:864-757-8812

FLORENCE, SC 29505-6084 FACILITY #:312-725-7000

LUGOFF, SC 29078-9234 FACILITY #:803-438-2654

WEST UNION, SC 29696-2642 FACILITY #:864-638-4370

PATTERSON MICHAEL L PH#: 864-953-2174

ADEIMY STEPHEN PH#: 864-757-8812

FLICK JO ANN PH#:

FLOWERS MARY C PH#: 803-438-2654

NICHOLS KYMBERLY PH#: 864-638-4370

CRC-1378 / 10/31/2020

CRC-2050 / 02/28/2020

CRC-1990 / 10/31/2020

CRC-0297 / 11/30/2020

CRC-1364 / 08/31/2020

Greenwood / Ltd. Liability

Greenville / Limited Liability

Florence / Limited Liability

Kershaw / Sole Proprietorship

Oconee / Corporation

201 OVERLAND DR

2700 HWY 280 STE 460E

330 N WABASH AVE STE 3700

855 WATTS HILL RD

106 MARLEE CT

GREENWOOD, SC 29646-4097

BIRMINGHAM, AL 35223

CHICAGO, IL 60611-7605

LUGOFF, SC 29078-9234

LEXINGTON, SC 29072-8492

EMERALD GARDENS OF GREENWOOD LLC

AFF18 FAIRVIEW PARL ALF LLC

FLORENCE BG OPCO LLC

FLOWERS MARY C

CITE HEALTH MANAGEMENT SERVICES INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

66

90

90

7

76

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

MPATTERSON@EMERALDGARDENSASSISTEDLIVING.

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

15

0

11

0

18

16

18

14

0

20

Page 14: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 14 of 42

FOREST VIEW MANOR RETIREMENT CENTER

FRANKE HOME

GARDEN HOUSE LLC

GARDENS AT EASTSIDE

GARDENS AT SUMTER

141 CALLISON HWY

1885 RIFLE RANGE RD

201 EDGEBROOK DR

275 COMMONWEALTH DR

2065 MCCRAYS MILL RD

MCCORMICK, SC 29835-3524 FACILITY #:864-443-5857

MOUNT PLEASANT, SC 29464-9440 FACILITY #:843-856-4705

ANDERSON, SC 29621-2573 FACILITY #:864-964-5668

GREENVILLE, SC 29615-4814 FACILITY #:864-329-1200

SUMTER, SC 29154-6111 FACILITY #:803-778-9690

NIXON KENNETH M PH#: 864-443-5857

STOLL SANDRA A PH#: 843-856-4700

PH#:

FORD JANE A PH#: 864-329-1200

PH#:

CRC-0500 / 11/30/2020

CRC-1082 / 09/30/2020

CRC-1437 / 07/31/2020

CRC-1222 / 08/31/2020

CRC-0988 / 06/30/2020

Edgefield / Corporation

Charleston / Non-Profit Corporation

Anderson / Ltd. Liability

Greenville / Ltd. Liability

Sumter / Corporation

141 CALLISON HWY

1885 RIFLE RANGE RD

11175 CICERO DR STE 500

275 COMMONWEALTH DR

PO BOX 2568

MCCORMICK, SC 29835-3524

MOUNT PLEASANT, SC 29464-9440

ALPHARETTA, GA 30022-0004

GREENVILLE, SC 29615-4814

HICKORY, NC 28603-2568

HILLSIDE INC

LUTHERAN HOMES OF SOUTH CAROLINA INC

ARHC GHANDSC01 TRS LLC

EASTSIDE ASSISTED LIVING LLC

SUMTER AL HOLDINGS LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

40

86

75

83

140

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

3

22

18

14

43

0

22

18

14

80

Page 15: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 15 of 42

GENERATIONS OF IRMO

GOD'S HAVEN OF REST

GOLDEN AGE OPERATIONS

GRACE RESIDENTIAL CARE FACILITY

GREENVILLE GLEN ASSISTED LIVING

7142 WOODROW ST

516 BELVEDERE CLEARWATER RD

82 N MAIN ST

6534 CAROLINA HWY

1101 GARLINGTON RD

IRMO, SC 29063-2832 FACILITY #:803-227-8991

NORTH AUGUSTA, SC 29841-2583 FACILITY #:803-279-1129

INMAN, SC 29349-1416 FACILITY #:864-472-6636

DENMARK, SC 29042-2366 FACILITY #:803-793-3423

GREENVILLE, SC 29615-5446 FACILITY #:864-627-8700

EDWARDS CHARLES DAVID PH#: 803-227-8991

AYERS HAZEL L PH#: 803-279-1129

JOHNSON TIMOTHY A PH#: 864-472-6636

DAVIS BERNESTINE C PH#: 803-793-3423

JONES GWENDOLYN PH#: 843-726-4818

CRC-1477 / 05/31/2020

CRC-1237 / 12/31/2020

NCF-1032 / 03/31/2020

CRC-0584 / 08/31/2020

CRC-2069 / 08/31/2020

Lexington / Limited Liability

Aiken / Sole Proprietorship

Spartanburg / Limited Liability

Bamberg / Corporation

Greenville / Limited Liability

7142 WOODROW ST

516 BELVEDERE CLEARWATER RD

82 N MAIN ST

PO BOX 326

PO BOX 6384

IRMO, SC 29063-2832

BELVEDERE, SC 29841-2583

INMAN, SC 29349-1416

DENMARK, SC 29042-0326

SPARTANBURG, SC 29304-6384

GENERATIONS OF IRMO LLC

AYERS HAZEL LEIGH

GOLDEN AGE OPERATIONS LLC

GRACE RESIDENTIAL CARE FACILITY INC

ML GREENVILLE GLEN LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

78

9

44

22

51

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

5

0

5

0

15

5

0

0

16

Page 16: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 16 of 42

GREENVILLE PLACE

HARBOR COVE MEMORY CARE

HARBORCHASE OF AIKEN

HARBORCHASE OF COLUMBIA

HARBORCHASE OF RIVERWALK

2006 PELHAM RD

48 MAIN ST

1385 SILVER BLUFF RD

120 FAIRFOREST RD

749 DUNKINS FERRY RD

GREENVILLE, SC 29615-4005 FACILITY #:864-288-3331

HILTON HEAD ISLAND, SC 29926-1647 FACILITY #:843-342-7122

AIKEN, SC 29803-8860 FACILITY #:803-642-8444

COLUMBIA, SC 29212-2308 FACILITY #:803-781-2243

ROCK HILL, SC 29730 FACILITY #:803-393-2983

PH#:

ORAGE DARYL PH#: 843-342-7122

GILLIAM KATHERINE N PH#: 803-642-8444

PH#:

PH#:

CRC-1402 / 11/30/2020

CRC-2099 / 09/30/2020

CRC-1316 / 11/30/2020

CRC-1315 / 11/30/2020

CRC-2033 / 01/31/2021

Greenville / Corporation

Beaufort / Limited Liability

Aiken / Corporation

Richland / Corporation

York / Limited Liability

2006 PELHAM RD

1385 SILVER BLUFF RD

120 FAIRFOREST RD

GREENVILLE, SC 29615-4005

AIKEN, SC 29803-8860

COLUMBIA, SC 29212-2343

CSL LEASECO INC

NAVION BKE HILTON HEAD COURT LLC

TWENTY TWO PACK MANAGEMENT CORPORATION

TWENTY TWO PACK MANAGEMENT CORPORATION

RB ROCKHILL PROPERTY LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

153

36

110

66

97

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

53

0

29

36

0

53

0

29

29

0

Page 17: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 17 of 42

HARBORCHASE OF ROCK HILL

HARMONY AT FIVE FORKS

HARMONY AT WESCOTT PLANTATION

HARMONY AT WEST ASHLEY

HARMONY COLLECTION AT COLUMBIA (AL/MC)

1611 CONSTITUTION BLVD

345 FIVE FORKS RD

5130 WESCOTT BLVD

1925 ESSEX FARMS DR

2300 CLEMSON RD

ROCK HILL, SC 29732-3047 FACILITY #:803-981-6855

SIMPSONVILLE, SC 29681 FACILITY #:864-412-4700

SUMMERVILLE, SC 29485 FACILITY #:843-486-2712

CHARLESTON, SC 29414 FACILITY #:843-804-8850

COLUMBIA, SC 29229-8029 FACILITY #:803-223-9560

PH#:

CAIN ANNA S PH#: 864-412-4700

PH#:

CURE CANDY PH#: 843-804-8850

PH#:

CRC-1290 / 11/30/2020

CRC-1960 / 08/31/2020

CRC-1596 / 06/30/2020

CRC-1899 / 10/31/2020

CRC-1544 / 03/31/2020

York / Corporation

Greenville / Limited Liability

Dorchester / Limited Liability

Charleston /

Richland / Limited Liability

1611 CONSTITUTION BLVD

345 FIVE FORKS RD

5130 WESCOTT BLVD

1925 ESSEX FARMS DR

2300 CLEMSON RD

ROCK HILL, SC 29732-3047

SIMPSONVILLE, SC 29681

SUMMERVILLE, SC 29485

CHARLESTON, SC 29414

COLUMBIA, SC 29229-8029

TWENTY TWO PACK MANAGEMENT CORPORATION

GREENVILLE OPERATIONS LLC

CHARLESTON OPERATIONS LLC

WEST ASHLEY OPERATIONS LLC

COLUMBIA AL OPERATIONS LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

110

92

105

105

110

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

No Facility Contact Email on Record

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

28

28

0

0

24

28

24

36

33

24

Page 18: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 18 of 42

HARMONY COLLECTION AT COLUMBIA (IL)

HAVEN IN THE SUMMIT

HAVEN IN THE VILLAGE AT CHANTICLEER

HERITAGE AT LOWMAN RESIDENTIAL CARE

HONORAGE NURSING CENTER

2304 CLEMSON RD

3 SUMMIT TERRACE

355 BERKMANS LN

2101 DUTCH FORK RD

1207 N CASHUA RD

COLUMBIA, SC 29229 FACILITY #:803-451-0653

COLUMBIA, SC 29229-7639 FACILITY #:803-788-4633

GREENVILLE, SC 29605-5606 FACILITY #:864-467-0031

CHAPIN, SC 29036 FACILITY #:803-732-8800

FLORENCE, SC 29501-6969 FACILITY #:843-665-6172

PH#:

LILLY TAMMY D PH#: 803-788-4633

PH#:

HYMAN ASHLEY PH#: 803-732-8800

TAYLOR PAMELA M PH#: 843-665-6172

CRC-1980 / 07/31/2020

CRC-2124 / 01/31/2021

CRC-2125 / 01/31/2021

CRC-0840 / 09/30/2020

NCF-0329 / 12/31/2019 (Renewal Pending)

Richland / Limited Liability

Richland / Limited Liability

Greenville / Limited Liability

Richland / Non-Profit Corporation

Florence / Corporation

2304 CLEMSON RD

PO BOX 444

1207 N CASHUA RD

COLUMBIA, SC 29229

WHITE ROCK, SC 29177-0444

FLORENCE, SC 29501-6969

COLUMBIA IL INVESTORS LLC

SNH SC TENANT LLC

SNH SC TENANT LLC

LUTHERAN HOMES OF SOUTH CAROLINA INC

HONORAGE NURSING HOME OF FLORENCE SC INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

25

60

60

132

88

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

11

0

0

48

88

11

60

60

48

0

Page 19: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 19 of 42

INDIGO HALL

INLET COASTAL RESORT

INMAN OPERATIONS

INVERNESS AT SPARTANBURG

IVORYS LOVING CARE II

509 STANDARD WAY

5087 HWY 17 N BP

51 N MAIN ST

2720 COUNTRY CLUB RD

4108 S RHETT AVE

CHARLESTON, SC 29412 FACILITY #:843-406-4747

MURRELLS INLET, SC 29576 FACILITY #:843-405-2005

INMAN, SC 29349-1437 FACILITY #:864-472-9370

SPARTANBURG, SC 29302-4473 FACILITY #:864-591-1116

N CHARLESTON, SC 29405 FACILITY #:843-554-0733

SEEDS ASHLEY E PH#:

PH#:

PH#:

GROTE EMILY K PH#: 864-591-1116

SANDERS JUANITA PH#: 843-654-0733

CRC-1922 / 11/30/2020

CRC-1549 / 08/31/2020

NCF-1030 / 03/31/2020

CRC-1351 / 07/31/2020

CRC-2092 / 07/31/2020

Charleston / Limited Liability

Georgetown / Limited Liability

Spartanburg /

Spartanburg / Limited Liability

Charleston / Sole Proprietorship

5087 OCEAN HWY 17 N BYPASS

82 N MAIN ST

PO BOX 2568

2827 SPRUILL AVE

MURRELL'S INLET, SC 29576

INMAN, SC 29349-1416

HICKORY, NC 28603-2568

NORTH CHARLESTON, SC 29405-8050

INDIGO HALL OPERATING CO LLC

INLET COASTAL RESORT LLC

INMAN OPERATIONS LLC

DSJ AL HOLDINGS LLC

SANDERS JUANITA

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

179

62

40

100

10

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

21

0

16

0

56

21

0

20

0

Page 20: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 20 of 42

IVY GROVE RESIDENTIAL CARE CENTER

J & T RESIDENTIAL CARE FACILITY

J F HAWKINS NURSING HOME

LAKES AT LITCHFIELD ASSISTED LIVING

LAKESIDE PLACE SENIOR LIVING

483 LOCKHART LN

604 WAGON WHEEL RD

1330 KINARD ST

120 LAKES AT LITCHFIELD DR

487 HWY 378

GAFFNEY, SC 29341-2841 FACILITY #:864-487-0869

HAMPTON, SC 29924-5346 FACILITY #:803-943-7177

NEWBERRY, SC 29108-3096 FACILITY #:803-276-2601

PAWLEYS ISLAND, SC 29585-5515 FACILITY #:843-235-9393

LEXINGTON, SC 29072 FACILITY #:803-520-0985

MELEKWE OBIAJULU E PH#: 864-487-0869

HAMILTON DA'ASIA S PH#: 803-943-7177

RANSDELL TY L PH#: 803-276-2601

BARBER JEFF PH#: 843-235-9393

SHEALY DEBBIE PH#: 803-520-0985

CRC-1458 / 10/31/2020

CRC-1094 / 05/31/2020

NCF-0234 / 02/28/2020

CRC-1116 / 08/31/2020

CRC-2011 / 03/31/2020

Cherokee / Ltd. Liability

Hampton / Sole Proprietorship

Newberry / Limited Liability

Georgetown / Ltd. Liability

Lexington / Limited Liability

483 LOCKHART LN

604 WAGON WHEEL RD

1330 KINARD ST

3530 TORINGDON WAY STE 204

487 HWY 378

GAFFNEY, SC 29341-2841

HAMPTON, SC 29924-5346

NEWBERRY, SC 29108-3096

CHARLOTTE, NC 28277-3436

LEXINGTON, SC 29072

HARMONY RESIDENTIAL CARE CENTER LLC

MYERS THELMA S

NEWBERRY OPERATOR LLC

LITCHFIELD RETIREMENT LLC

CR LAKESIDE PLACE SENIOR LIVING LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

62

10

118

79

90

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

10

0

6

0

0

0

20

27

25

Page 21: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 21 of 42

LAKEVIEW ASSISTED LIVING

LAKEWOOD SENIOR LIVING

LAUREL CREST

LAURENS MEMORIAL HOME FOR AGED

LEGACY AT HAWTHORNE PARK

320 CAMP RD

3709 CLARK RD

100 JOSEPH WALKER DR

3744 TORRINGTON RD

20 HAWTHORNE PARK CT

WALHALLA, SC 29691-4811 FACILITY #:864-638-5212

BOILING SPRINGS, SC 29316 FACILITY #:864-586-1457

WEST COLUMBIA, SC 29169-6939 FACILITY #:803-796-0370

LAURENS, SC 29360-0638 FACILITY #:864-682-2322

GREENVILLE, SC 29615-3194 FACILITY #:864-288-6775

WRIGHT DOUGLAS A PH#: 864-225-3370

BOWMAN KAREN S PH#: 864-586-1457

ROWLETTE-CARTER CASSANDRA N PH#: 803-796-0370

PENLAND CAROLYN B PH#: 864-682-2322

HESS HEATHER PH#:

CRC-0086 / 04/30/2020

CRC-1924 / 10/31/2020

CRC-1999 / 01/31/2021

CRC-0316 / 12/31/2020

CRC-2094 / 09/30/2020

Oconee / Non-Profit Corporation

Spartanburg / Limited Liability

Lexington / Non-Profit Corporation

Laurens / Non-Profit Corporation

Greenville / Limited Liability

3420 CLEMSON BLVD STE 17

PO BOX 6384

100 JOSEPH WALKER DR

PO BOX 638

ANDERSON, SC 29621-1324

SPARTANBURG, SC 29304-6384

WEST COLUMBIA, SC 29169-6939

LAURENS, SC 29360-0638

LAKEVIEW ASSISTED LIVING INC

CR LAKEWOOD LLC

LAUREL CREST RETIREMENT COMMUNITY (NPC)

LAURENS MEMORIAL HOME FOR AGED INC

NAVION BKE HAWTHORNE PARK LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

19

90

26

50

68

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

1

0

6

2

17

0

20

6

0

17

Page 22: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 22 of 42

LEGACY AT SOUTHPOINTE DRIVE

LEXINGTON MEDICAL CENTER EXTENDED CARE

LONG'S RESIDENTIAL CARE CENTER

LONGWOOD PLANTATION

MAGNOLIAS OF GAFFNEY ASSISTED LIVING COMMUNITY

23 SOUTHPOINTE DR

815 OLD CHEROKEE RD

1280 DENNY HWY

1687 LONGWOOD DR

101 PARK CT

GREENVILLE, SC 29607-5956 FACILITY #:846-675-0220

LEXINGTON, SC 29072-8115 FACILITY #:803-359-5181

SALUDA, SC 29138-8972 FACILITY #:864-445-7901

ORANGEBURG, SC 29118-2307 FACILITY #:803-535-0250

GAFFNEY, SC 29341 FACILITY #:864-206-0006

RAST LARRY PH#: 864-675-0220

GILL KATHRYN PH#: 803-359-5181

LONG MARY J PH#: 864-445-7901

PH#:

JOLLY KIMBERLY D PH#: 864-206-0006

CRC-2108 / 11/30/2020

NCF-0730 / 12/31/2020

CRC-0592 / 05/31/2020

CRC-0797 / 10/31/2020

CRC-1281 / 01/31/2020 (Renewal Pending)

Greenville / Limited Liability

Lexington / Corporation

Saluda / Corporation

Orangeburg / Limited Liability

Cherokee / Limited Liability Limited Partnership

815 OLD CHEROKEE RD

1280 DENNY HWY

1687 LONGWOOD DR

101 PARK CT

LEXINGTON, SC 29072-8115

SALUDA, SC 29138-8972

ORANGEBURG, SC 29118-2307

GAFFNEY, SC 29341

NAVION SOUTHPOINTE OPERATIONS LLC

LEXMED INC

LONG'S RESIDENTIAL CARE CENTER INC

LONGWOOD PLANTATION-FHE LLC

CARE RSL GAFFNEY OPCO LP

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

110

388

32

42

90

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

CLAY.FOWLERHEALTHCAREENTERPRISE@GMAIL.

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

11

0

0

16

16

0

80

0

16

24

Page 23: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 23 of 42

MAGNOLIAS OF SANTEE

MARCHBANKS ASSISTED LIVING AND MEMORY CARE

MARTHA FRANKS BAPTIST RETIREMENT COMMUNITY

MEMORY CARE OF SIMPSONVILLE

MERRILL GARDENS AT CAROLINA PARK

118 BRITAIN ST

2203 MARCHBANKS AVE

1 MARTHA FRANKS DR

645 SCUFFLETOWN RD

3501 MERRILL PL

SANTEE, SC 29142-8922 FACILITY #:803-854-2020

ANDERSON, SC 29621-2247 FACILITY #:864-231-7786

LAURENS, SC 29360-1799 FACILITY #:864-984-4541

SIMPSONVILLE, SC 29681 FACILITY #:864-962-3038

MOUNT PLEASANT, SC 29466 FACILITY #:864-606-5705

HARRELL KIMBERLY FAYE PH#:

COLEMAN KAYLA J PH#: 864-231-7786

PH#:

GARRISON ANDREW H PH#: 864-962-3038

JONES ROBERT PH#:

CRC-1987 / 09/30/2020

CRC-1413 / 05/31/2020

NCF-0435 / 03/31/2020

CRC-1886 / 08/31/2020

CRC-1917 / 11/30/2020

Orangeburg / Limited Liability

Anderson / Ltd. Liability

Laurens / Non-Profit Corporation

Greenville / Limited Liability

Charleston / Limited Liability

118 BRITAIN ST

2203 MARCHBANKS AVE

1 MARTHA FRANKS DR

645 SCUFFLETOWN RD

1938 FAIRVIEW AVE E STE 300

SANTEE, SC 29142-8922

ANDERSON, SC 29621-2247

LAURENS, SC 29360-1799

SIMPSONVILLE, SC 29681

SEATTLE, WA 98102

CEDAR COMMUNITIES AT SANTEE LLC

CAROLINA RETIREMENT SERVICES OF ANDERSON LLC

SOUTH CAROLINA BAPTIST MINISTRIES FOR THE AGING INC

MCA SIMPSONVILLE OPERATING COMPANY

NEW MERRILL GARDENS AT CAROLINA PARK LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

52

60

88

64

193

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

10

26

20

64

0

16

30

20

64

12

Page 24: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 24 of 42

MORNINGSIDE OF ANDERSON

MORNINGSIDE OF GEORGETOWN

MORNINGSIDE OF HARTSVILLE

MORNINGSIDE OF LANCASTER

MOUNT PLEASANT GARDENS

1304 MCLEES RD

2628 N FRASER ST

1901 W CAROLINA AVE

1004 HARDIN ST

1025 HUNGRYNECK BLVD

ANDERSON, SC 29621-3345 FACILITY #:864-964-9088

GEORGETOWN, SC 29440-6946 FACILITY #:843-520-0319

HARTSVILLE, SC 29550-4701 FACILITY #:843-857-0159

LANCASTER, SC 29720-1609 FACILITY #:803-285-8152

MOUNT PLEASANT, SC 29464 FACILITY #:843-216-1001

SPEER RICHARD W PH#: 864-964-9088

HARE KATHLEEN E PH#: 843-520-0319

PH#:

HEMPHILL TREVONDA PH#: 803-283-8152

PH#:

CRC-2132 / 01/31/2021

CRC-1102 / 05/31/2020

CRC-2128 / 01/31/2021

CRC-1146 / 03/31/2020

CRC-1984 / 06/30/2020

Anderson / Limited Liability

Georgetown / Limited Liability Limited Partnership

Darlington / Limited Liability

Lancaster / Limited Liability Limited Partnership

Charleston / Limited Liability

400 CENTRE ST, LICENSING DEPT

400 CENTRE ST, LICENSING DEPT

1025 HUNGRYNECK BLVD

NEWTON, MA 02458-2094

NEWTON, MA 02458-2094

MOUNT PLEASANT, SC 29464

SNH SC TENANT LLC

MORNINGSIDE OF SOUTH CAROLINA LP

SNH SC TENANT LLC

MORNINGSIDE OF SOUTH CAROLINA LP

MOUNT PLEASANT MANAGEMENT LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

88

59

54

65

71

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

30

0

14

71

0

14

10

14

71

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February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 25 of 42

MYRTLE BEACH ESTATES

MYRTLE BEACH MANOR RETIREMENT COMMUNITY

NHC HEALTHCARE BLUFFTON

NHC HEALTHCARE CHARLESTON

NHC HEALTHCARE GREENVILLE

3620 HAPPY WOODS CT

9547 HWY 17 N

3039 OKATIE HWY

2230 ASHLEY CROSSING DR

1305 BOILING SPRINGS RD

MYRTLE BEACH, SC 29588-2925 FACILITY #:843-293-8888

MYRTLE BEACH, SC 29572-0000 FACILITY #:843-449-5283

BLUFFTON, SC 29909-5101 FACILITY #:843-705-8220

CHARLESTON, SC 29414-5700 FACILITY #:843-766-5228

GREER, SC 29650-4139 FACILITY #:864-458-7566

CRAWFORD BRYAN PH#: 843-293-8888

PH#:

YOKLEY STEVEN T PH#: 843-705-8220

BARTLETT GREGORY T PH#: 843-766-5228

MOORHOUSE BRYAN M PH#: 864-458-7566

CRC-1403 / 11/30/2020

CRC-2123 / 01/31/2021

NCF-0958 / 01/31/2020 (Renewal Pending)

NCF-0871 / 09/30/2020

NCF-0807 / 06/30/2020

Horry / Corporation

Horry / Limited Liability

Beaufort / Limited Liability

Charleston / Limited Liability

Greenville / Ltd. Liability

3620 HAPPY WOODS CT

3039 OKATIE HWY

2230 ASHLEY CROSSING DR

1305 BOILING SPRINGS RD

MYRTLE BEACH, SC 29588-2925

BLUFFTON, SC 29909-5101

CHARLESTON, SC 29414-5700

GREER, SC 29650-4139

CSL LEASECO INC

SNH SC TENANT LLC

NHC HEALTHCARE/BLUFFTON LLC

NHC HEALTHCARE-CHARLESTON LLC

NHC HEALTHCARE/GREENVILLE LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

142

111

120

132

176

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

0

0

0

22

42

30

40

0

0

Page 26: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 26 of 42

NHC HEALTHCARE LAURENS

NHC HEALTHCARE MAULDIN

NHC HEALTHCARE PARKLANE

NORTH HAVEN RESIDENTIAL CARE HOME

NORTH POINTE ASSISTED LIVING

379 PINEHAVEN ST EXT

850 E BUTLER RD

7601 PARKLANE RD

4326 LESLIE ST

701 SIMPSON RD

LAURENS, SC 29360-2672 FACILITY #:864-984-6584

GREENVILLE, SC 29607-5842 FACILITY #:864-675-6421

COLUMBIA, SC 29223-6122 FACILITY #:803-741-9090

NORTH CHARLESTON, SC 29418-5441 FACILITY #:843-767-2541

ANDERSON, SC 29621-3077 FACILITY #:864-226-5505

SHEARER RICKIE L PH#: 864-984-6584

SELLARS GIDEON A PH#: 864-675-6421

ARGO MELISSA B PH#: 803-741-9090

LANGIT LEONORA D PH#: 843-767-2541

MORRILL MARY S PH#: 864-288-3331

NCF-0326 / 06/30/2020

NCF-0796 / 06/30/2020

NCF-0797 / 06/30/2020

CRC-0877 / 08/31/2020

CRC-1454 / 10/31/2020

Laurens / Ltd. Liability

Greenville / Ltd. Liability

Richland / Ltd. Liability

Charleston / Corporation

Anderson / Limited Liability

379 PINEHAVEN ST EXT

850 E BUTLER RD

7601 PARKLANE RD

4326 LESLIE ST

701 SIMPSON RD

LAURENS, SC 29360-2672

GREENVILLE, SC 29607-5842

COLUMBIA, SC 29223-6122

NORTH CHARLESTON, SC 29418-5441

ANDERSON, SC 29621-3077

NHC HEALTHCARE/LAURENS LLC

NHC HEALTHCARE/MAULDIN LLC

NHC HEALTHCARE/PARKLANE LLC

NORTH HAVEN RESIDENTIAL CARE HOME INC

CSL NORTH POINTE SC LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

176

180

180

16

70

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

40

90

38

0

28

0

30

30

0

28

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February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 27 of 42

OAKBRIDGE TERRACE AT PARK POINTE VILLAGE

OAKLEAF VILLAGE OF GREENVILLE

OAKLEAF VILLAGE OF LEXINGTON

OAKS OF LORIS

OAKVIEW PARK ASSISTED LIVING

3025 CHESBROUGH BLVD

1560 THORNBLADE BLVD

800 N LAKE DR

260 WATSON HERITAGE RD

110 HOOD RD

ROCK HILL, SC 29732-8078 FACILITY #:803-327-4723

GREER, SC 29650-4520 FACILITY #:864-968-1277

LEXINGTON, SC 29072-2903 FACILITY #:803-808-3477

LORIS, SC 29569 FACILITY #:843-716-4673

GREENVILLE, SC 29611 FACILITY #:864-412-8990

LUNOW MARIE PH#: 803-980-8634

FREEMAN LEIGHA M PH#: 864-601-1440

ELLIOTT ASHLEY PH#: 803-808-3477

PH#:

SURLS ANGELA PH#: 864-653-4676

CRC-2030 / 09/30/2020

CRC-2021 / 09/30/2020

CRC-2014 / 09/30/2019 (Renewal Pending)

CRC-1547 / 06/30/2020

CRC-2064 / 02/28/2020

York / Corporation

Greenville / Limited Liability

Lexington / Limited Liability

Horry / Corporation

Anderson / Limited Liability

3025 CHESBROUGH BLVD

ONE TOWN CENTER RD STE 300

800 N LAKE DR

260 WATSON HERITAGE RD

2700 HWY 280 STE 460E

ROCK HILL, SC 29732-8078

BOCA RATON, FL 33486

LEXINGTON, SC 29072-2903

LORIS, SC 29569

BIRMINGHAM, AL 35223

ACTS RETIREMENT-LIFE COMMUNITIES INC

GREENVILLE SENIOR HOUSING I OPCO LLC

LEXINGTON SENIOR HOUSING I OPCO LLC

PARNERS IN HOPE INC

AFF18 OAKVIEW PARK ALF LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

20

100

100

60

90

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

20

25

0

0

0

24

24

0

18

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February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 28 of 42

PACIFICA SENIOR LIVING SKYLYN

PAGELAND CARE FACILITY

PALMETTO RIDGE ASSISTED LIVING & MEMORY CARE

PALMETTOS OF BLUFFTON

PALMETTOS OF CHARLESTON

1705 SKYLN DR

206 S GUM ST

840 MANOR RD

3035 OAKATIE HWY

1900 ASHLEY CROSSING DR

SPARTANBURG, SC 29307 FACILITY #:864-582-6838

PAGELAND, SC 29728-2304 FACILITY #:843-672-5930

CHERAW, SC 29520-4035 FACILITY #:843-537-4197

OKATIE, SC 29909-5101 FACILITY #:843-707-9400

CHARLESTON, SC 29414-5751 FACILITY #:843-852-0505

CLEMENTS JAMES A PH#: 000-000-0000

FUNDERBURK DENNIS R PH#: 843-672-5930

SMITH REGINA PH#: 843-537-4197

FLOYD STACY M PH#: 843-707-9400

MARTIN MEGAN W PH#: 843-852-0505

CRC-1950 / 12/31/2020

CRC-0999 / 04/30/2020

CRC-1393 / 03/31/2020

CRC-1648 / 03/31/2020

CRC-1263 / 07/31/2020

Spartanburg / Limited Liability

Chesterfield / Corporation

Chesterfield / Limited Liability

Beaufort / Limited Liability Company (multiple member)

Charleston / Limited Liability

1775 HANCOCK ST STE 200

206 S GUM ST

840 MANOR RD

3035 OKATIE HWY

1900 ASHLEY CROSSING DR

SAN DIEGO, CA 92110

PAGELAND, SC 29728-2304

CHERAW, SC 29520-4035

BLUFFTON, SC 29909

CHARLESTON, SC 29414-5751

PACIFICA SKYLYN LLC

FUNDERBURK ASSOCIATES INC

PALMETTO RIDGE ASSISTED LIVING AND MEMORY CARE LLC

PALMETTOS OF BLUFFTON LLC

NHC PLACE-CHARLESTON LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

169

58

106

88

60

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

0

15

11

15

20

6

26

20

15

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February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 29 of 42

PALMETTOS OF GARDEN CITY

PALMETTOS OF MAULDIN

PALMETTOS OF PARKLANE

PEAR AT FORT MILL

PEARL AT FIVE FORKS

9415 HWY 17 BYPASS

810 E BUTLER RD

7811 PARKLANE RD

1061 GOLD HILL RD

15 FIVE FORKS RD

MURRELLS INLET, SC 29576 FACILITY #:843-668-2500

GREENVILLE, SC 29607-5842 FACILITY #:864-627-0803

COLUMBIA, SC 29223-5620 FACILITY #:803-741-7233

FORT MILL, SC 29708 FACILITY #:803-548-3825

SIMPSONVILLE, SC 29681 FACILITY #:864-568-3833

CRONIN TERIANN PH#: 843-668-2500

DAVIS KATHRYN H PH#: 864-627-0803

DAVILA KIMBERLY P PH#: 803-741-7233

PH#:

RHODES AMY PH#:

CRC-1649 / 06/30/2020

CRC-1503 / 03/31/2020

CRC-1513 / 04/30/2020

CRC-1948 / 04/30/2020

CRC-2003 / 01/31/2020 (Renewal Pending)

Horry / Limited Liability Company (multiple member)

Greenville / Ltd. Liability

Richland / Limited Liability

York /

Greenville / Limited Liability

9415 HWY 17 BYPASS

810 E BUTLER RD

7811 PARKLANE RD

545 E JOHN CARPENTER FWY STE 500

10933 CRABAPPLE RD

MURRELLS INLET, SC 29576

GREENVILLE, SC 29607-5842

COLUMBIA, SC 29223-5620

IRVING, TX 75062-8144

ROSWELL, GA 30075

PALMETTOS OF GARDEN CITY LLC

NHC HEALTHCARE/MAULDIN LLC

PALMETTOS OF PARKLANE LLC

FORT MILL MEMORY CARE LLC

PSL SIMPSONVILLEE SUBTENANT LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

90

60

85

54

64

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

15

24

35

49

20

18

18

54

50

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Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 30 of 42

PEE DEE GARDENS

PENDLETON MANOR

PLACE AT PEPPER HILL

PORTSIDE AT GRANDE DUNES

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-CLINTON

3117 W PALMETTO ST

414 SUMMIT DR

3525 AUGUSTUS RD

901 PORTSIDE DR

801 MUSGROVE ST

FLORENCE, SC 29501 FACILITY #:843-667-6699

GREENVILLE, SC 29609-4821 FACILITY #:864-271-7562

AIKEN, SC 29801-2701 FACILITY #:803-642-8376

MYRTLE BEACH, SC 29572 FACILITY #:503-443-1818

CLINTON, SC 29325-1796 FACILITY #:864-833-5190

ADAMS MELODY PH#: 843-667-6699

PH#:

BURTON CARMELLA PH#: 803-642-8376

CAMMARATA BRITTA PH#: 503-443-1818

PRIDMORE ROBERT P PH#: 864-833-5190

CRC-1391 / 05/31/2020

CRC-1455 / 08/31/2020

NCF-1009 / 10/31/2020

CRC-1995 / 02/28/2020

CRC-0014 / 04/30/2020

Florence /

Greenville / Ltd. Liability

Aiken / Limited Liability

Horry / Limited Liability

Laurens / Non-Profit Corporation

3117 W PALMETTO ST

414 SUMMIT DR

3525 AUGUSTUS RD

7420 BRIDGEPORT RD STE 105

801 MUSGROVE ST

FLORENCE, SC 29501

GREENVILLE, SC 29609-4821

AIKEN, SC 29801-2701

PORTLAND, OR 97224

CLINTON, SC 29325-1796

DEPAUL ADULT CARE COMMUNITIES INC

GREENVILLE RETIREMENT PROPERTIES LLC

PLACE AT PEPPER HILL LLC

PORTSIDE RESIDENCES LLC

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

80

65

125

120

55

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

0

0

0

0

22

24

0

32

14

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February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 31 of 42

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-COLUMBIA

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-FLORENCE

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA-FOOTHILLS

PRESTON HEALTH CENTER

PRUITTHEALTH-AIKEN

700 DAVEGA DR

2350 W LUCAS ST

205 BUD NALLEY DR

87 BIRDSONG WAY

830 LAURENS ST

LEXINGTON, SC 29073-9698 FACILITY #:803-796-8700

FLORENCE, SC 29501-1201 FACILITY #:843-665-2222

EASLEY, SC 29642 FACILITY #:864-859-3367

HILTON HEAD ISLAND, SC 29926-1365 FACILITY #:843-689-7077

AIKEN, SC 29801-3416 FACILITY #:803-649-6264

BASILE JASON PH#: 803-796-8700

PRINCE BENJAMIN A PH#: 864-685-2222

NICHOLS KAREN H PH#: 864-859-3367

PH#:

PORTER NANCY PH#: 803-649-6264

CRC-0387 / 06/30/2020

CRC-0242 / 09/30/2020

CRC-1030 / 07/31/2020

NCF-0576 / 04/30/2020

NCF-0942 / 06/30/2020

Lexington / Non-Profit Corporation

Florence / Corporation

Pickens / Corporation

Beaufort / Limited Liability Limited Partnership

Aiken / Limited Liability

700 DAVEGA DR

2350 W LUCAS ST

87 BIRDSONG WAY

1626 JEURGENS CT

LEXINGTON, SC 29073-9698

FLORENCE, SC 29501-1201

HILTON HEAD ISLAND, SC 29926-1365

NORCROSS, GA 30093-2219

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA

PRESBYTERIAN COMMUNITIES OF SOUTH CAROLINA

CYPRESS OF HILTON HEAD ISLAND ASSOCIATES LP

PRUITTHEALTH-AIKEN LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

91

47

52

77

176

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

20

6

20

0

8

20

13

20

11

8

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February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 32 of 42

QUILLEN MANOR

REFLECTIONS AT CAROLINA FOREST

RESIDENCES AT PARK PLACE

RETREAT AT CAROLINA BAY

RETREAT AT LADYS ISLAND

709 QUILLEN AVE

219 MIDDLEBURG DR

115 GILLESPIE RD

1340 CAROLINA BAY BLVD

9 SUNSET BLVD

FOUNTAIN INN, SC 29644-9444 FACILITY #:864-601-1440

MYRTLE BEACH, SC 29579-3409 FACILITY #:843-903-0700

SENECA, SC 29678-1126 FACILITY #:864-882-0783

HARTSVILLE, SC 29550 FACILITY #:843-639-4101

BEAUFORT, SC 29907 FACILITY #:843-379-9502

FREEMAN LEIGHA M PH#: 864-601-1440

PH#:

HICKS KYLE L PH#: 864-882-0783

COOKE-EVANS TONI PH#: 843-845-1563

HOWE VALERIE M PH#: 843-379-9502

CRC-1321 / 06/30/2020

CRC-1456 / 11/30/2020

CRC-1493 / 08/31/2020

CRC-2043 / 02/28/2020

CRC-1898 / 05/31/2020

Greenville / Limited Liability

Horry / Corporation

Oconee / Corporation

Darlington / Limited Liability

Beaufort /

709 QUILLEN AVE

219 MIDDLEBURG DR

PO BOX 609

10933 CRABAPPLE RD

10933 CRABAPPLE RD

FOUNTAIN INN, SC 29644-9462

MYRTLE BEACH, SC 29579-3409

LEXINGTON, SC 29071-0609

ROSWELL, GA 30075

ROSWELL, GA 30075

QUILLEN MANOR LLC

REFLECTIONS AT CAROLINA FOREST INC

AMERICAN SENIOR LIVING COMMUNITIES INC

PINE TREE HILL AL LLC

FACTORY CREEK AL LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

78

42

100

60

83

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

12

0

13

0

0

12

11

18

24

24

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February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 33 of 42

RIVER OAKS

RIVER PARK SENIOR LIVING

ROLLING GREEN VILLAGE ASSISTED LIVING FACILITY

ROLLING GREEN VILLAGE HEALTH CARE FACILITY

ROSECREST COMMUNITY RESIDENTIAL CARE

1251 LADYS ISLAND DR

190 RIVER PARK DR

1 HOKE SMITH BLVD OFC

1 HOKE SMITH BLVD

200 FORTRESS DR

PORT ROYAL, SC 29935-1106 FACILITY #:843-521-2298

LITTLE RIVER, SC 29566 FACILITY #:843-741-0082

GREENVILLE, SC 29615-5399 FACILITY #:864-987-9800

GREENVILLE, SC 29615-5308 FACILITY #:864-987-9800

INMAN, SC 29349-9160 FACILITY #:864-599-8600

BECK MICHELLE A PH#: 843-521-2298

JACKSON TOMMY PH#: 843-741-0082

TOERNER RYAN PH#: 864-987-9800

TOERNER RYAN PH#: 864-987-9800

YETTER MELISSA PH#: 864-599-8600

CRC-0733 / 01/31/2020 (Renewal Pending)

CRC-1962 / 02/28/2020

CRC-0573 / 03/31/2020

NCF-0456 / 10/31/2020

CRC-1208 / 07/31/2020

Beaufort /

Horry / Limited Liability

Greenville / Non-Profit Corporation

Greenville / Non-Profit Corporation

Spartanburg / Non-Profit Corporation

1251 LADYS ISLAND DR

PO BOX 6384

1 HOKE SMITH BLVD OFC

1 HOKE SMITH BLVD

200 FORTRESS DR

PORT ROYAL, SC 29935-1106

SPARTANBURG, SC 29304-6384

GREENVILLE, SC 29615-5399

GREENVILLE, SC 29615-5308

INMAN, SC 29349-9160

CARE RSL PORT ROYAL OPCO LLC

CR RIVER PARK LLC

ROLLING GREEN VILLAGE

ROLLING GREEN VILLAGE

LUTHERAN HOMES OF SOUTH CAROLINA INC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

62

90

52

74

45

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

5

0

22

0

11

0

25

22

0

11

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February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 34 of 42

ROYAL OAKS

SAVANNAH HALL ASSISTED LIVING

SC EPISCOPAL HOME AT STILL HOPES (CRCF)

SEDGEWOOD MANOR HEALTH CARE CENTER

SHADOW OAKS ASSISTED LIVING COMMUNITY

950 TRAVELERS BLVD

1010 LAKE HUNTER CIR

1 STILL HOPES DR

1645 RIDGE RD

108 GREGG AVE

SUMMERVILLE, SC 29485-8213 FACILITY #:843-832-8481

MOUNT PLEASANT, SC 29464-5417 FACILITY #:843-388-2030

WEST COLUMBIA, SC 29169-7164 FACILITY #:803-796-6490

HOPKINS, SC 29061-8432 FACILITY #:803-776-3873

AIKEN, SC 29801-6816 FACILITY #:803-643-0300

MAGNES JACQUELINE PH#: 843-832-8481

CARR JOSEPH J PH#: 843-388-2030

ROBERTSON NIKKI W PH#: 803-796-6490

PH#:

PH#:

CRC-0859 / 01/31/2020 (Renewal Pending)

CRC-1431 / 06/30/2020

CRC-0144 / 07/31/2020

NCF-1035 / 07/31/2020

CRC-1425 / 10/31/2020

Dorchester /

Charleston / Limited Liability

Lexington / Corporation

Richland / Limited Liability

Aiken / Ltd. Liability

950 TRAVELERS BLVD

400 CENTRE ST, LICENSING DEPT

1 STILL HOPES DR

1645 RIDGE RD

108 GREGG AVE

SUMMERVILLE, SC 29485-8213

NEWTON, MA 02458-2094

WEST COLUMBIA, SC 29169-7164

HOPKINS, SC 29061-8432

AIKEN, SC 29801-6816

CARE RSL SUMMERVILLE OPCO LLC

SNH SE SG TENANT LLC

SOUTH CAROLINA EPISCOPAL HOME AT STILL HOPES INC

SEDGEWOOD MANOR HEALTH CARE CENTER LLC

SHADOW OAKS ASSISTED LIVING COMMUNITY LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

N

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

53

16

46

38

56

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

22

16

8

0

10

24

16

24

0

12

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February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 35 of 42

SHEM CREEK HEALTH CENTER

SHEM CREEK NURSING AND REHAB

SHEPHERD'S CARE CENTER

SOMERBY OF MOUNT PLEASANT

SPRING PARK ASSISTED LIVING

1400 LIBERTY MIDTOWN DR

1400 LIBERTY MIDTOWN DR

2100 N PLEASANTBURG DR

3100 TRADITION CIR

925 N MAIN ST

MOUNT PLEASANT, SC 29464 FACILITY #:843-852-4986

MOUNT PLEASANT, SC 29464 FACILITY #:843-352-4986

GREENVILLE, SC 29609-3156 FACILITY #:864-322-6212

MOUNT PLEASANT, SC 29466-7153 FACILITY #:843-849-3096

TRAVELERS REST, SC 29690-1553 FACILITY #:864-610-2435

FURLOUGH CYNTHIA L PH#: 843-352-4986

FURLOUGH CYNTHIA L PH#: 843-352-4986

THOMPSON ERIC M PH#: 864-322-6212

THARP CHRISTOPHER PH#: 843-849-3096

LEE-POTTER KEARA PH#: 864-610-2435

CRC-1952 / 07/31/2020

NCF-0994 / 07/31/2020

CRC-1326 / 10/31/2020

CRC-2048 / 02/28/2020

CRC-2063 / 02/28/2020

Charleston / Limited Liability

Charleston / Limited Liability

Greenville / Ltd. Liability

Charleston / Limited Liability

Greenville / Limited Liability

1400 LIBERTY MIDTOWN DR

2334 S 41ST ST

2100 N PLEASANTBURG DR

1000 LEGION PL STE 1600

2700 HWY 280 STE 460E

MOUNT PLEASANT, SC 29464

WILMINGTON, NC 28403-5502

GREENVILLE, SC 29609-3156

ORLANDO, FL 32801

BIRMINGHAM, AL 35223

SOUTH BAY AT MT PLEASANT LLC

SOUTH BAY AT MT PLEASANT LLC

SHEPHERD'S CARE CENTER LLC

TRADITION SENIOR CARE LLC

AFF18 SPRING PARK ALF LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

110

40

90

118

80

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

0

9

0

0

24

24

19

38

18

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February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 36 of 42

SPRINGFIELD PLACE RESIDENTIAL CARE

SPRINGS AT SIMPSONVILLE

ST GABRIEL OF MURRELLS INLET

SUMMIT HILLS ASSISTED LIVING COMMUNITY

SUMMIT PLACE OF ANDERSON

2006 SPRINGFIELD CIR

214 E CURTIS ST

699 PRINCE CREEK PKWY

100 SUMMIT HILLS DR

107 PERPETUAL SQUARE DR

NEWBERRY, SC 29108-3084 FACILITY #:803-405-1585

SIMPSONVILLE, SC 29681-2622 FACILITY #:864-962-8570

MURRELLS INLET, SC 29576 FACILITY #:843-353-1525

SPARTANBURG, SC 29307-1532 FACILITY #:864-591-2222

ANDERSON, SC 29621-1713 FACILITY #:864-222-9880

KESLER-COUNTS ABBY PH#: 803-405-1585

MASTERSON MARGARET J PH#: 864-962-8570

RICHARDSON JACQUE W PH#: 843-353-1525

FARGIS REGINA PH#: 864-528-5511

COOLEY LARINDA PH#: 864-222-9880

CRC-1250 / 02/28/2020

CRC-1198 / 05/31/2020

CRC-2110 / 07/31/2020

CRC-1113 / 09/30/2020

CRC-1151 / 10/31/2020

Newberry / Limited Liability

Greenville / Ltd. Liability

Horry / Limited Liability

Spartanburg / Ltd. Liability

Anderson / Limited Liability

2006 SPRINGFIELD CIR

104 S MAIN ST STE 3

3530 TORINGDON WAY STE 204

107 PERPETUAL SQUARE DR

NEWBERRY, SC 29108-3084

SIMPSONVILLE, SC 29681-2707

CHARLOTTE, NC 28277-3436

ANDERSON, SC 29621-1713

NEWBERRY OPERATOR LLC

CURTIS GROUP LLC

VERITAS SENIOR LIVING LLC

SUMMIT HILLS LLC

CSL SUMMIT PLACE SC LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

50

89

110

79

89

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

JACQUE.RICHARDSON@THRIVEATPRINCECREEK.

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

16

0

23

28

0

16

25

13

28

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February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 37 of 42

SUMMIT PLACE OF BEAUFORT

SUMMIT PLACE OF NORTH MYRTLE BEACH

SUMTER EAST HEALTH AND REHABILITATION CENTER

THRIVE ASSISTED LIVING & MEMORY CARE

TWILITE MANOR ADULT RESIDENTIAL CARE

1119 PICKPOCKET PLANTATION DR

491 HWY 17

880 CAROLINA AVE

715 S BUNCOMBE RD

2306 FORREST ST

BEAUFORT, SC 29902-3771 FACILITY #:843-770-0105

LITTLE RIVER, SC 29566-8082 FACILITY #:843-399-5662

SUMTER, SC 29150-2815 FACILITY #:803-775-5394

GREER, SC 29650-2208 FACILITY #:864-469-0409

CAYCE, SC 29033-2124 FACILITY #:803-794-7561

MIKELL TYLER PH#:

PH#:

MORLEY MILLICENT PH#: 803-775-5394

PH#:

KENDRICK-MATTISON JANICE MARIE PH#:

CRC-1375 / 06/30/2020

CRC-1360 / 06/30/2020

NCF-0919 / 09/30/2020

CRC-1894 / 01/31/2020 (Renewal Pending)

CRC-1210 / 05/31/2020

Beaufort / Corporation

Horry / Corporation

Sumter / Ltd. Liability

Greenville /

Lexington / Limited Liability

400 CENTRE ST, LICENSING DEPT

400 CENTRE ST, LICENSING DEPT

880 CAROLINA AVE

215 S BUNCOMBE RD

1515 12TH ST

NEWTON, MA 02458-2094

NEWTON, MA 02458-2094

SUMTER, SC 29150-2815

GREER, SC 29650

CAYCE, SC 29033-3101

SNH SE TENANT TRS INC

SNH SE N MYRTLE BEACH TENANT LLC

SSC SUMTER EAST OPERATING COMPANY LLC

PULLIAM/THRIVE GREER LLC

SEASHAR LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

N

Y

N

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

87

80

176

110

28

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

44

23

0

17

5

44

24

0

46

0

Page 38: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 38 of 42

WALTERS BROTHERS RESIDENTIAL CARE FACILITY INC

WATERCREST COLUMBIA ASSISTED LIVING AND MEMORY CARE

WATERFORD AT DILLION POINTE ASSISTED LIVING & MEMORY CARE

WATERSTONE ON AUGUSTA SENIOR LIVING

WELLMORE OF DANIEL ISLAND

110 GEDDINGS RD

1951 CLEMSON RD

104 DILLON DR

1004 AUGUSTA ST

580 ROBERT DANIEL DR

SUMTER, SC 29150-8812 FACILITY #:803-506-2743

COLUMBIA, SC 29229 FACILITY #:803-771-7500

SPARTANBURG, SC 29307-1018 FACILITY #:864-948-9300

GREENVILLE, SC 29605-3906 FACILITY #:864-605-7235

CHARLESTON, SC 29492 FACILITY #:843-566-1000

WALTERS SR JOHNNIE L PH#: 803-506-2743

PH#:

COLEMAN ALLYE PH#: 864-948-9300

MORRISON KENNETH SCOTT PH#: 864-675-0220

PH#:

CRC-1080 / 04/30/2020

CRC-1985 / 10/31/2020

CRC-0893 / 06/30/2020

CRC-1945 / 03/31/2020

CRC-1569 / 04/30/2020

Sumter / Sole Proprietorship

Richland /

Spartanburg / Limited Liability

Greenville /

Berkeley / Limited Liability

3300 OLD MANNING RD

1951 CLEMSON RD

104 DILLON DR

1240 E INDEPENDENCE ST STE 200

3530 TORINGDON WAY STE 204

SUMTER, SC 29150-9701

COLUMBIA, SC 29229

SPARTANBURG, SC 29307-1018

SPRINGFIELD, MO 65804

CHARLOTTE, NC 28277-3431

JOHNNIE L WALTERS

TSL WATERCREST OPCO LLC

CSL DILLON POINTE SC LLC

CHP GREENVILLE SC TENANT CORP

WELLMORE OF DANIEL ISLAND LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

20

118

55

126

174

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

[email protected]

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

6

0

0

17

0

0

32

22

36

60

Page 39: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 39 of 42

WELLMORE OF LEXINGTON

WELLMORE OF TEGA CAY

WESLEY COMMONS ASSISTED LIVING FACILITY & SPECIAL CARE HOUSE

WESLEYAN SUITES

WESTMINSTER MEMORY CARE - AIKEN

200 WELLMORE DR

111 WELLMORE DR

1110 MARSHALL RD

2100 TWIN CHURCH RD

2288 S CENTENNIAL AVE

LEXINGTON, SC 29072 FACILITY #:803-520-1200

TEGA CAY, SC 29708-0039 FACILITY #:803-835-7000

GREENWOOD, SC 29646-4299 FACILITY #:864-227-7480

FLORENCE, SC 29501-8200 FACILITY #:843-664-0700

AIKEN, SC 29803 FACILITY #:803-502-5599

FERRERE GLENN W PH#: 803-520-1200

DUNN DAVID M PH#: 803-835-7000

DAVIS DORIS E PH#: 864-227-7480

TABOR TERESSA L PH#: 843-664-0700

SELLARS RICHARD PH#:

CRC-1557 / 06/30/2020

CRC-1935 / 08/31/2020

CRC-1218 / 08/31/2020

CRC-0662 / 12/31/2019 (Renewal Pending)

CRC-1997 / 04/30/2020

Lexington / Limited Liability

York /

Greenwood / Non-Profit Corporation

Florence / Non-Profit Corporation

Aiken /

3530 TORINGDON WAY STE 204

111 WELLMORE DR

1110 MARSHALL RD

2100 TWIN CHURCH RD

PO BOX 1398

CHARLOTTE, NC 28277-3436

FORT MILL, SC 29708

GREENWOOD, SC 29646-4299

FLORENCE, SC 29501-8200

MURFREESBORO, TN 37133-1398

WELLMORE OF LEXINGTON LLC

WELLMORE OF TEGA CAY LLC

WESLEY COMMONS

UNITED METHODIST MANOR OF THE PEE DEE

AIKEN MEMORY CARE LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

174

150

70

95

48

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

23

11

31

48

60

30

14

19

48

Page 40: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 40 of 42

WHITE OAK AT NORTH GROVE

WHITE OAK ESTATES

WHITE OAK ESTATES ASSISTED LIVING

WILDEWOOD DOWNS ASSISTED LIVING COMMUNITY

WILDEWOOD DOWNS NURSING AND REHABILITATION CENTER

290 N GROVE MEDICAL PARK DR

400 WEBBER RD

400 WEBBER RD

731 POLO RD

731 POLO RD

SPARTANBURG, SC 29303-4222 FACILITY #:864-345-1700

SPARTANBURG, SC 29307-2400 FACILITY #:864-579-7004

SPARTANBURG, SC 29307-2400 FACILITY #:864-579-7004

COLUMBIA, SC 29223-4462 FACILITY #:803-788-5115

COLUMBIA, SC 29223-4462 FACILITY #:803-788-5115

NELSON ANDREW R PH#: 864-345-1700

CRISP SONIA A PH#: 864-579-7004

FOWLER JENNIFER M PH#: 864-579-7004

PH#:

CHAVIS DIANA L PH#: 803-788-5115

NCF-0971 / 05/31/2020

NCF-0888 / 12/31/2020

CRC-1334 / 09/30/2020

CRC-2091 / 06/30/2020

NCF-1036 / 06/30/2020

Spartanburg / Corporation

Spartanburg / Corporation

Spartanburg / Corporation

Richland / Limited Liability

Richland / Limited Liability

290 N GROVE MEDICAL PARK DR

400 WEBBER RD

400 WEBBER RD

3530 TORINGDON WAY STE 204

3530 TORINGDON WAY STE 204

SPARTANBURG, SC 29303-4222

SPARTANBURG, SC 29307-2400

SPARTANBURG, SC 29307-2400

CHARLOTTE, NC 28277-3436

CHARLOTTE, NC 28277-3436

WHITE OAK AT NORTH GROVE INC

WHITE OAK ESTATES INC

WHITE OAK ESTATES ASSISTED LIVING INC

WILDEWOOD RETIREMENT LLC

WILDEWOOD RETIREMENT LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

Y

N

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

132

88

45

57

80

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

[email protected]

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

33

0

0

0

0

22

0

0

8

8

Page 41: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 41 of 42

WILLOWBROOKE COURT AT PARK POINTE VILLAGE

WILLOWS OF EASLEY

WOODBRIDGE CLINTON

WOODBRIDGE SENIOR LIVING

WOODLAND PLACE

2993 VAN VALIN DR

105 WILLOW PL

300 JACOBS HWY

2902 E MAIN ST

850 JOHN B WHITE BLVD

ROCK HILL, SC 29732-8079 FACILITY #:803-980-8621

EASLEY, SC 29640-1385 FACILITY #:864-855-9800

CLINTON, SC 29325 FACILITY #:864-833-3425

SPARTANBURG, SC 29307-1252 FACILITY #:864-579-0086

SPARTANBURG, SC 29306 FACILITY #:864-576-8910

LUNOW MARIE PH#: 803-980-8634

SPEARMAN LAURA G PH#: 864-855-9800

WRIGHT MALEIKA N PH#:

PH#:

PH#:

NCF-1006 / 09/30/2020

CRC-2015 / 03/31/2020

CRC-2073 / 11/30/2020

CRC-1991 / 10/31/2020

CRC-2038 / 08/31/2020

York / Corporation

Pickens / Limited Liability

Laurens / Limited Liability

Spartanburg / Limited Liability

Spartanburg / Limited Liability

3025 CHESBROUGH BLVD

105 WILLOW PL

300 JACOBS HWY

2902 E MAIN ST

850 JOHN B WHITE SR BLVD

ROCK HILL, SC 29732-8078

EASLEY, SC 29640-1385

CLINTON, SC 29325

SPARTANBURG, SC 29307-1252

SPARTANBURG, SC 29306-4034

ACTS RETIREMENT-LIFE COMMUNITIES INC

CPF SENIOR LIVING - WILLOWS LLC

ML WOODBRIDGE CLINTON LLC

CR WOODBRIDGE LLC

MI WOODLAND PLACE LLC

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Alzheimer Care:

Y

Y

Y

Y

Y

N

N

N

Y

Y

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

Total Number of Licensed Beds in Facility:

40

50

60

113

108

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Alzheimer Unit:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

Facility Email:

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

[email protected]

No Facility Contact Email on Record

No Facility Contact Email on Record

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Fac. Contact Email:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Alzheimer Residents:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

Max # Unit Beds:

0

7

0

0

0

0

0

0

18

45

Page 42: Department of Health Licensing February 3, 2020 Facilities ......February 3, 2020 hlalzrpt.rdf February 3, 2020 Name of Facility Location Street Location City, State Administrator

February 3, 2020

hlalzrpt.rdf

February 3, 2020

Name of FacilityLocation StreetLocation City, StateAdministrator

License#/ExpirationCounty/Ownership TypeMailing AddressLicensee

Facilities That Provide Alzheimer CareDepartment of Health Licensing

Nursing Homes and Community Residential CareAll South Carolina Counties

Page 42 of 42

Total Number of Facilities: 205 Total Number of Facilities with

Alzheimer Care: 205

Total Number of Facilities with

Alzheimer Units: 157

Total Number of Licensed Beds in Facilities (Alzheimer + Non-Alzheimer): 17,270

Total Number of Alzheimer Residents: 2,825

Total Number of Alzheimer Unit Beds: 4,259