According to the SC trails website the cave was used as a hideout for confederate deserters.
A month or so ago, someone left a campfire burning nearby and damn near burned the place down. Story
After reaching Hospital Rock, should you have a masochistic streak, you can continue on the Hospital Rock trail another 3.3 miles to Falls Creek Falls. The mile after the cave is worse than the first. Whoever built it was apparently not a huge fan of switchbacks. I guess if you're running from the Confederate army you'd want the shortest path. During this section you may spend a lot of time in existential introspection examining why you would choose to do this to yourself, realizing why your wife never hikes with you anymore and determining that if you ever make it out alive, you're starting a new hobby. Macramé perhaps. But then, right at the 2 mile mark the trail levels out as you begin to walk near the ridge. It stays that way 3/4 of a mile or so then starts getting a little hairy for another mile before descending sharply (very sharply) and then running along a beautiful stream before reaching the falls.
If you really hate life (or the people you brought with you) turn around and go back. Otherwise continue on the Falls Creek Falls trail (which is mostly down hill) to the Palmetto Bible Camp then walk three miles up the road back to your car. Or you could always just park at the Bible camp and walk the 1.4 miles to the falls and back.
Distance from downtown Greenville: 25 miles.
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