Pricing ranges from
    $4,522 – 5,878/month

    Foothills Assisted Living

    999 W Union Rd, West Union, SC, 29696
    2.6 · 8 reviews
    • Assisted living
    • Memory care
    AnonymousLoved one of resident
    3.0

    Good care, poor administrative communication

    I appreciate how well they cared for my dad-Kim was excellent with assessments, the private room was spacious with a nice bath, meals were pretty good, and the community felt lively with happy residents. However, administration was frustrating: Medicaid assessments were missed/delayed, calls went unanswered, staff seemed undertrained despite mandatory training (the secured Alzheimer's unit's treatment concerned me), and promised lunches/appointments and long waits went unfulfilled.

    Pricing

    $4,522+/moSemi-privateAssisted Living
    $5,426+/mo1 BedroomAssisted Living
    $5,878+/moStudioAssisted Living

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.63 · 8 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      1.7
    • Meals

      2.5
    • Amenities

      4.0
    • Value

      2.6

    Pros

    • Personal, effective care for some residents (e.g., "great job with dad")
    • Positive interactions with specific staff (named staff: Kim/assessments)
    • Private rooms that are spacious
    • Nice private bathrooms
    • Lively, open environment
    • Meals described as "pretty good"
    • Residents generally appeared happy in several reports
    • Secured Alzheimer's/dementia section
    • Dining room appeared clean and acceptable

    Cons

    • No-show for scheduled Medicaid assessment
    • Unresponsive phone calls and poor communication
    • Delays and problems with Medicaid processing
    • Administrative issues and general disappointment with management
    • Perceived poor or inconsistent staff treatment of residents
    • Long wait times for service or responses
    • Promises not consistently fulfilled (e.g., unfulfilled lunch promise)
    • Staff appear inadequately trained or untrained
    • Concerns about mandatory staff training and enforcement
    • Inconsistent service quality (contradictory reports about happiness vs. treatment)

    Summary review

    Overall sentiment across the reviews is mixed: multiple reviewers praise aspects of the facility environment and individualized care while a recurring set of operational and staffing problems undermine confidence for some families. Positive comments center on the physical accommodations, certain staff members, and the atmosphere; negative comments focus heavily on administrative failures, communication lapses, training deficits, and uneven staff behavior.

    Care quality appears to be variable. Several reviews emphasize that individual residents receive attentive, effective care (one reviewer explicitly said the staff did a "great job with dad"), and a named staff member (Kim) received positive mention for assessments. At the same time, other reviewers reported instances of poor staff treatment, long wait times, and broken promises (for example, an unfulfilled lunch promise). This indicates inconsistent day-to-day caregiving: some staff or shifts provide good direct care and generate resident satisfaction, while other times care delivery or bedside manner falls short.

    Staff and training are a central theme. While some staff are singled out for positive interactions, there are repeated concerns that staff are untrained or inadequately trained and that mandatory training may not be enforced or is insufficient. These training and competency concerns are paired with reports of poor responsiveness to phone calls and long wait times. Together these patterns suggest workforce reliability and competency issues that affect families’ trust and the perceived quality of care.

    Facilities and environment receive largely positive remarks. Multiple reviewers note that private rooms are spacious with nice bathrooms, the dining room looks fine, and the general atmosphere is described as lively and open. A clear positive is the secured Alzheimer's/dementia section, which provides needed safety measures for residents with cognitive impairment. These physical and environmental strengths seem to contribute to several reviewers’ impressions that residents are happy overall.

    Dining and daily services produce mixed feedback. Meals were characterized as "pretty good" in some reviews and the dining room was said to look acceptable. However, service reliability is a concern: at least one reviewer mentioned an unfulfilled lunch promise and other accounts reference long waits. This suggests that while food quality may be adequate, the consistency and timing of meal service need improvement.

    Management and administrative issues are a prominent negative pattern. Several reviewers describe administrative problems tied to Medicaid processes — including a no-show for a Medicaid assessment, delays in Medicaid handling, and unresponsiveness over the phone. These administrative breakdowns have practical consequences (delayed coverage, frustration, disappointment) and create the impression of poor organizational follow-through. Administrative lapses stand out as a distinct area requiring attention separate from clinical care.

    Notable contradictions emerge in the reviews: multiple accounts say residents were happy and the environment was pleasant, while other accounts cite poor treatment and untrained staff. This inconsistency points to variability by shift, by individual caregiver, or over time. It suggests the facility has strengths in physical environment and pockets of good care but lacks uniform policies, training, or oversight to ensure consistent experiences across residents and families.

    In summary, Foothills Assisted Living shows clear strengths in facility quality (private, spacious rooms; nice baths; a lively, open environment) and in the presence of staff who can and do provide good individualized care. However, recurring concerns about administrative responsiveness, Medicaid-related delays, staff training and consistency, unfulfilled service promises, and variable treatment of residents are significant and repeated across reviews. Families considering or interacting with this facility should be aware of these operational risks and may want to ask specific questions about staff training programs, shift consistency, Medicaid coordination procedures, and how the facility handles missed promises and communication follow-ups.

    Location

    Map showing location of Foothills Assisted Living

    About Foothills Assisted Living

    Foothills Assisted Living sits at 999 W. Union Rd., West Union, South Carolina, about 5.6 miles outside Seneca, and is associated with Foothills Manor, offering a large community setting with 76 assisted living units where people find many choices for living spaces, like studio, semi-private, companion, and one-bedroom apartments with big living rooms, private ADA-compliant bathrooms, furnished rooms, kitchenettes, and Wi-Fi, and folks get to keep their cats and dogs too if they like. The community supports people who need help with daily activities, like bathing, dressing, grooming, taking medicine, and using the bathroom, with services that include medication monitoring, continence care, and even feeding by spoon when needed, and the place welcomes people needing Alzheimer's care, dementia care, and Parkinson's care, with a secure memory unit and alert systems to help keep everyone safe. People find a home-style, community atmosphere with common areas, lounges, recreation rooms, outdoor patios, walking paths, big decks, gardens, TV rooms, and a game room, plus a movie theater, library, and exercise section where they can try fitness programs or join the resident musical group, or take part in activities and special celebrations from a full calendar of events, or attend live entertainment, and there's even a wellness/spa room, beauty salon, and barbershop on-site.

    The staff stay awake 24/7, help with any needs that pop up at odd hours, and watch residents' health through routine wellness checks and regular physician assessments, all with staff trained for memory care including treating Alzheimer's, plus they're friendly, with ongoing ethics training and multilingual support. Care plans get tailored for each person, so someone may have diabetic management, active fall prevention, or help if they can't move about easily, and the community covers everything needed, like all utilities, housekeeping, linens, laundry, and concierge help, along with daily meals served restaurant-style, special menus for dietary needs, snacks, and complimentary scheduled transportation for outings or appointments-plus, short-term respite care stays if someone just needs a little support for a short time. Every apartment has a 24-hour call system for emergencies, and there's a strong focus on safety, making sure medicine gets handled carefully and everyone has quick help if something goes wrong.

    Religious services take place in-house for anyone who wants them, and both staff and residents put together activities, game nights, arts programs, and offsite trips to keep things interesting and help folks build friendships, and family members stay updated through communication services. Other handy features include exercise sessions, physical, occupational, and speech therapies, parking, advocacy for veterans' benefits, and advice on finances, plus you can pay by credit card or check. Residents with memory challenges live in a secure part of the community, with outdoor areas designed so they can enjoy fresh air safely, and staff watch for any signs of wandering, always ready to help. The facility uses specialized terms and unique names for its amenities, tries to foster a tranquil and nurturing setting, and gets recognized for providing solid nutrition, a friendly environment, and programs that support both independence and daily care, with a 5.7 out of 10 average rating-the highest in the city. Licensed under South Carolina #CRC-1364, Foothills Assisted Living helps older adults live as independently as possible, while getting the support they need in a warm, comfortable setting.

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