About Assisted Living in South Carolina

Residents of South Carolina say there’s more to the state than southern charm and beautiful landscapes. They’re referring to the low property taxes and zero state estate taxes, as well as cultural offerings and historical sites.

What Options are Available for Assisted Living?

In the state of South Carolina, a community residential care facility is designed to accommodate resident’s changing needs while maximizing dignity, autonomy, privacy, independence, and safety. The facility also offers a beneficial and protective environment for individuals with disabilities or mental illness.

Each facility must meet International Building Code requirements regarding the use of essential equipment and systems for fire safety.

What are the Alzheimer’s Requirements for Community Residential Care Facilities in South Carolina?

Community residential care facilities offering special care for Alzheimer’s and other cognitive impairments must disclose care and treatment to potential residents and their families and agents.

Senior Assisted Living Details and Costs for Cities in South Carolina

Listed below are some of the larger cities in South Carolina. Each city page provides details on senior assisted living options, independent living, senior group homes, and Alzheimer's care. Details may include costs, amenities, medical care, as well as other useful information.

What Training is Required for Community Residential Care Facility Staff?

All community residential care staff must complete in-service training, including basic first aid, procedures for checking vital signs, communicable diseases, medication management, care for physical and mental conditions, use of restraints, OSHA standard regarding bloodborne pathogens, CPR, confidentiality, and fire response and emergency procedures.

Additional training for all staff, direct care, and volunteers working with Alzheimer’s and other cognitively impaired residents, as well as ongoing in-service training annually. Training should be specific to the needs of the residents, including, communication, understanding and coping with behaviors, and resident safety.

Is an Assessment Required Before Move-In?

A resident assessment is required to determine the nature and extent of care needed by the potential resident. The evaluation includes reviewing physical, emotional, behavioral, social, spiritual, nutritional, recreational, vocational, educational, and legal status of the individual to consider their needs.

What Care is Available in an Assisted Living Establishment?about-assisted-living-(10)

A community residential care facility can only admit residents whose needs can be met by the facility, and they may not provide nursing services. However, individuals requiring short-term intermittent nursing care may utilize licensed home health nurses.

How is Medication Managed?

Unlicensed staff are permitted to administer medication as long as they have completed the proper training.

What are the Bathroom Requirements for an Assisted-Living Facility?

1 toilet is required for every 6 residents, and 1 bathtub or shower for every 8.

What are the Move-In or Move-Out Requirements?

Community residential care facilities may not admit nor retain individuals who:

  • Are a danger to themselves or others.
  • Require daily attention from a licensed nurse.
  • Require hospital or nursing care.

Is an Assisted Living Facility Covered by Medicaid in South Carolina?

No. Currently there is no Medicaid home and community-based services waiver.

Who can I contact for more information?

Department of Health and Environmental Control, Division of Health Licensing
Gwendolyn Thompson
(803) 545-4370