2026 National Senior Care Cost Index • Updated with U.S. Census ACS & CMS Medicare Data Covering 51 States & DC • 29,639 Cities • 14,676 CMS Facilities

Senior Care & Assisted Living Costs in Charleston, SC

2026 monthly care rates for Charleston (Berkeley County), local Census affordability metrics, and 8 CMS-certified care facilities.

Assisted Living🏠
$6,570/mo
$78,840/yr
+6% vs U.S. avg
Memory Care🧠
$8,020/mo
$96,240/yr
+6% vs U.S. avg
In-Home Care🤝
$37.11/hr
$7,080/mo (44h/wk)
+6% vs U.S. avg
Nursing Home (Semi)🏥
$10,160/mo
Private: $11,450/mo
+6% vs U.S. avg

2026 Long-Term Care Financial & Runway Simulator

Models eldercare inflation, home equity liquidation fees (7%), income offsets & Medicaid spend-down rules.

1. Select Care Setting & Schedule
Assisted Living$6,570/mo
Memory Care$8,020/mo
Home Care$37.11/hr
Nursing Semi$10,160/mo
Nursing Priv$11,450/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/mo)
LTC Insurance / VA Benefit ($/mo)
VA Aid & Attendance up to $2,358/mo
3. Capital & Home Equity Reserves
Liquid Savings & IRA ($)
Home Value / Equity ($) Net: $261k
Auto-deducts 7% realtor & closing costs
Total Projected Care Cost
$0
Year 1 → Year 3
Net Out-of-Pocket Gap
$0
Initial monthly shortfall: $0/mo
Annual Care Cost vs. Remaining Capital End Balance: $0
Annual Care Cost (Inflation-Adjusted) Remaining Net Capital
2026 Cost Crossover Analysis

Home Care vs. Assisted Living Break-Even Point in Charleston, SC

40.9 hrs/wk Break-even threshold

At Charleston, SC's average caregiver rate of $37.11/hr, hiring in-home care equals the $6,570/mo cost of Assisted Living at exactly 40.9 hours per week (~5.8 hrs/day).

Part-Time Care (15 hrs/wk) Crossover: 40.9 hrs/wk 24/7 Shifts (168 hrs/wk)
Home Care Cheaper 20 hrs/wk at Home
$3,216/mo

Saves $3,354/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$7,075 vs. $6,570/mo

Full-time home care costs $505/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$12,864/mo

Assisted Living saves $6,294/mo; Memory Care averages $8,020/mo.

Charleston vs. South Carolina & U.S. Averages

Monthly Assisted Living cost comparison adjusted for Berkeley County economic indicators.

Charleston, SC$6,570/mo
South Carolina State Average$5,080/mo
U.S. National Median$6,200/mo

Berkeley County Economic Context (U.S. Census)

Official ACS 5-Year benchmarks used to model local care affordability (see methodology).

Median Household Income $82,327/yr ($6,861/mo)
Median Home Value $280,300
Median Gross Rent $1,518/mo
South Carolina Medicaid Limit (2026) $2,901/mo

CMS-Certified Senior Care & Nursing Facilities in Charleston, SC

Official Medicare provider registry showing certified bed capacity, ownership structure, and CMS 5-star quality ratings.

The Reserve Healthcare And Rehabilitation
1800 Eagle Landing Blvd, Charleston, SC 29410 • 8435530656
135 Certified Beds For profit - Limited Liability company CCN: 425289
5/5 CMS Rating
Bishop Gadsden Episcopal Health Care Center
1 Bishop Gadsden Way, Charleston, SC 29412 • 8437623300
41 Certified Beds Non profit - Corporation CCN: 425411
5/5 CMS Rating
Kempton Of Charleston
194 Spring St, Charleston, SC 29403 • 3155765726
23 Certified Beds For profit - Corporation CCN: 425418
5/5 CMS Rating
White Oak Manor - Charleston
9285 Medical Plaza Dr, Charleston, SC 29406 • 8437978282
176 Certified Beds For profit - Corporation CCN: 425128
4/5 CMS Rating
Nhc Healthcare - Charleston
2230 Ashley Crossing Drive, Charleston, SC 29414 • 8437665228
88 Certified Beds For profit - Limited Liability company CCN: 425381
4/5 CMS Rating
Ashley River Healthcare
1137 Sam Rittenburg Blvd., Charleston, SC 29407 • 8437630233
125 Certified Beds For profit - Limited Liability company CCN: 425362
3/5 CMS Rating
Retreat At Wellmore Of Daniel Island
580 Robert Daniel Drive, Charleston, SC 29492 • 8435661000
60 Certified Beds For profit - Limited Liability company CCN: 425414
3/5 CMS Rating
Riverside Health And Rehab
2375 Baker Hosp Blvd, Charleston, SC 29405 • 8437442750
160 Certified Beds For profit - Limited Liability company CCN: 425082
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Charleston

The estimated median cost of assisted living in Charleston, SC is $6,570 per month ($78,840 per year), adjusted for Berkeley County housing and income data.
A semi-private room in a skilled nursing facility in Charleston averages $10,160 per month, while a private room averages $11,450 per month.
In-home caregiver services in Charleston, SC average $37.11 per hour, or roughly $7,080 per month for 44 hours of weekly care.
For 2026, the standard monthly income cap for Medicaid nursing home and HCBS waiver eligibility in South Carolina is $2,901 per individual applicant.

Compare Senior Care Costs in Nearby South Carolina Cities