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South Carolina Assisted Living Facilities

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Cost of South Carolina Assisted Living Facilities

According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in South Carolina is $3,125 per month.

The monthly base rate for South Carolina assisted living is typically higher when compared to neighboring states. South Carolina is also less expensive compared to the national average.

This cost is the base cost for a one-bedroom assisted living unit in South Carolina. Additional fees beyond the base rate may apply.

More info on Assisted Living Costs

Monthly Costs Compared to Neighboring States

North Carolina$3,000
South Carolina$3,125

Assisted Living Regulations

South Carolina defines an assisted living facility as a residential program for two or more people that offers meals, lodging, personal support activities for more than 24 hours. Community residential care programs may be for the elderly, the physically disabled, or those with mental illnesses.

South Carolina Assisted Living Facilities Scope of Care

South Carolina assisted living facilities are not permitted to offer nursing services, nor are they permitted to admit anyone who needs care beyond the scope of the facility.

South Carolina Assisted Living Admission Requirements

Only those residents who have a short-term need for nursing care due to an injury or illness can contract with a home health care agency to receive nursing care. Residents will not be admitted who need daily care from a nurse or who are a danger to themselves or others.

South Carolina Assisted Living Care Plan Requirements

All new residents must undergo a thorough assessment to determine if the needs and preferences of the resident can be effectively met through the facility. The assessment will be used to develop an individual care plan, which addresses the physical, emotional, behavioral, social, spiritual, nutritional, recreational, and, when appropriate, vocational, educational, and legal needs of the resident. A resident's strengths and weakness should also be incorporated in to the care plan.

South Carolina Assisted Living Medication Management Requirements

Unlicensed direct care staff who have been trained to do so may assist residents with their medications.

South Carolina Assisted Living Facility Requirements

Three residents are allowed per unit, though private resident units must be a minimum of 100 square feet and multiple-occupancy resident units must provide a minimum of 80 square feet of living space per resident. There must be one toilet for every six residents and one tub/shower for every eight residents.

South Carolina Assisted Living Staffing Requirements

Direct care staff must be sufficient in number to meet the needs of the residents. During times of peak resident activity, there must be one staff person for every eight residents. During the night, there must be one staff person for every 30 residents. The Department of Health and Environmental Control may determine that a facility may have additional staffing requirements. An administrator is in charge of the facility and must be reasonably accessible and local. Such administrators must have earned at least an associate's degree and must hold a license from the South Carolina Board of Long Term Care Administrators.

South Carolina Assisted Living Medicaid Policy

At this time, there is no available Medicaid home and community-based services waiver.

South Carolina Alzheimer's Unit Requirements

If an assisted living facility has an Alzheimer's unit, then staff who work in the unit must have specific training for working with that population. At least one specially trained staff person must be present in the unit at all times. Certain written disclosures are required for these units.

South Carolina Medicaid Coverage of Assisted Living and Related Services

The State of South Carolina does not have a Medicaid waiver that covers services or room and board costs for assisted living.

South Carolina Community Choices Waiver

The state offers a Medicaid program that is called the Elderly and Disabled Waiver. It allows participants needing nursing home care to receive care in their communities or homes instead of in nursing homes. The cost of the care at home cannot exceed a certain percentage of the cost for the same care in a nursing home.

It allows the participant to self-direct some of the services and to choose the care providers. They are able to hire personal assistance providers, respite care providers and companion services providers. The waiver allows select family members like the adult children to serve in these roles. They must pass background checks.

The South Carolina Community Choice Waiver Benefits

Here is a list of the potential benefits:

- Adult Day Health Care and Transportation

- Attendant Care

- Case Management

- Congregate and Home Respite Care

- Disposable Medical Supplies

- Durable Medical Equipment

- Home Delivered Meals

- Home Modifications to Increase Accessibility

- Nursing Home Transition Services

- Nutritional Supplements

- Personal Care

- Personal Emergency Response System / Telemonitoring

How to apply - the waiver program is available throughout South Carolina, but it does have a waiting list. Check the wait list status by contacting DHHS County Office.

What is the best number to call to get started? 1-888-549-0820

Is there a website?

Department of Health and Environmental Control, Division of Health Licensing

Phone (803) 545-4370

Contact: Gwendolyn Thompson Phone (803) 545-4670


Web Site:

South Carolina Contacts

South Carolina Department of Health and Environmental Control, Division of Health Licensing

Phone: (803) 545-4370

Shelton Elliott
Phone: (803) 545-4227

Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.

License information source: South Carolina Department of Health and Environmental Control

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