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Assisted Living in South Carolina: A Family Guide

Facts checked September 28, 2026 against official South Carolina sources

What assisted living is called in South Carolina, what it costs, how Medicaid can help, how to check a community’s license and inspections, and who to call if something goes wrong. Every fact links to the official source.

Licensed by
South Carolina Department of Public Health (DPH), Healthcare Quality (formerly under DHEC)1
Licensed communities on Lilisity
426 assisted living, 138 with memory care
Medicaid help
Limited: Community Choices (CC) Waiver (SC.0405): Residential Personal Care II2
Typical cost
$5,350 a month (state median, CareScout 2025)
Long-term care ombudsman
1-800-868-90953
File a complaint
1-800-922-67354

What assisted living is called in South Carolina

Memory care rules

A community residential care facility that offers an Alzheimer's special care unit or program must put in writing what makes its care suited to people with Alzheimer's, and share that with the responsible party seeking a placement in the unit.5

Questions to ask memory care about nights.

What assisted living costs in South Carolina

The median cost of assisted living in South Carolina is $5,350 a month, below the national median of $6,200 (CareScout Cost of Care Survey 2025, collected July to November 2025). Prices vary with the apartment, the level of care and the community, so ask each one for its current rate sheet, including care-level fees.

Plan with our free tools: how long will the money last? and home care or assisted living?

Paying for assisted living in South Carolina

Medicare does not pay for assisted living. Families pay from savings and income, long-term care insurance, or benefits such as VA Aid and Attendance (estimate it). Who actually pays for long-term care.

Medicaid. Yes, in a limited way. South Carolina's Community Choices waiver offers a service called Residential Personal Care II for waiver members who live in a CRCF and are assessed as needing an intermediate nursing facility level of care. Program: Community Choices (CC) Waiver (SC.0405): Residential Personal Care II.2 Medicaid does not pay rent or meals in assisted living in any state, and not every community accepts it, so ask each one.

Optional State Supplementation (OSS). A monthly state payment for people on SSI and other low-income people who meet the state's income limits and live in a licensed CRCF that takes part in the program. People who get OSS also qualify for Medicaid.6

How to check a community in South Carolina

Look up a license. DPH's Find a Facility map shows every licensed community residential care facility, with its address, phone, administrator, license number and expiration date, and number of licensed beds. You can export the list. Search South Carolina’s records.7

Always visit in person, at a mealtime or in the evening if you can. Bring the tour scorecard and the 8 tour questions.

If something goes wrong

Complaints about care or conditions. DPH takes complaints about the health facilities and services it regulates, including CRCFs, through an online form. If you cannot use the form, you can call. Call 1-800-922-6735 or file online.4

Abuse, neglect or exploitation. Call 1-800-868-9095. How to report.3 If someone is in danger, call 911.

The long-term care ombudsman is a free advocate for residents of assisted living and nursing homes: they help resolve problems with a community, including move-out notices. Call 1-800-868-9095 or find your local ombudsman.3

Find assisted living in South Carolina

Assisted living by city

Memory care by city

Every community and county in South Carolina · 8 with verified resident reviews

Common questions

Yes, in a limited way. South Carolina's Community Choices waiver offers a service called Residential Personal Care II for waiver members who live in a CRCF and are assessed as needing an intermediate nursing facility level of care. Medicaid does not pay rent or meals in assisted living.

The median is $5,350 a month (CareScout Cost of Care Survey 2025), compared with $6,200 nationally.

South Carolina Department of Public Health (DPH), Healthcare Quality (formerly under DHEC).

DPH takes complaints about the health facilities and services it regulates, including CRCFs, through an online form. If you cannot use the form, you can call. Phone: 1-800-922-6735.

DPH's Find a Facility map shows every licensed community residential care facility, with its address, phone, administrator, license number and expiration date, and number of licensed beds. You can export the list.

Sources

  1. Licensing agency, license types (dph.sc.gov)
  2. Medicaid (scdhhs.gov)
  3. Ombudsman, reporting abuse (aging.sc.gov)
  4. Complaints (dph.sc.gov)
  5. Memory care rules (scstatehouse.gov)
  6. Optional State Supplementation (OSS) (provider.scdhhs.gov)
  7. License lookup (dph.sc.gov)
  8. CareScout Cost of Care Survey 2025 (state medians)

Facts checked against these official sources on September 28, 2026. Rules and programs change; confirm with the agency before making a decision. General information, not legal or financial advice.

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