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 Columbia, SC

2026 monthly care rates for Columbia (Lexington County), local Census affordability metrics, and 12 CMS-certified care facilities.

Assisted Living🏠
$5,270/mo
$63,240/yr
-15% vs U.S. avg
Memory Care🧠
$6,430/mo
$77,160/yr
-15% vs U.S. avg
In-Home Care🤝
$29.73/hr
$5,670/mo (44h/wk)
-15% vs U.S. avg
Nursing Home (Semi)🏥
$8,140/mo
Private: $9,170/mo
-15% 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$5,270/mo
Memory Care$6,430/mo
Home Care$29.73/hr
Nursing Semi$8,140/mo
Nursing Priv$9,170/mo
Planning Horizon 3 Years (36 mos)
Average U.S. assisted living stay: 28–36 mos
Annual Care Inflation 4.0% / yr
Historical eldercare inflation: 3.5%–4.5%/yr
2. Monthly Income & Insurance Offsets
Social Security & Pension ($/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: $202k
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 Columbia, SC

40.9 hrs/wk Break-even threshold

At Columbia, SC's average caregiver rate of $29.73/hr, hiring in-home care equals the $5,270/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
$2,576/mo

Saves $2,694/mo vs. Assisted Living (excludes home mortgage/utilities).

Full-Time Benchmark (44h/wk) 44 hrs/wk vs. Assisted Living
$5,668 vs. $5,270/mo

Full-time home care costs $398/mo more than Assisted Living (where meals & utilities are included).

Facility Cheaper 80+ hrs/wk (Day + Night)
$10,306/mo

Assisted Living saves $5,036/mo; Memory Care averages $6,430/mo.

Columbia vs. South Carolina & U.S. Averages

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

Columbia, SC$5,270/mo
South Carolina State Average$5,080/mo
U.S. National Median$6,200/mo

Lexington County Economic Context (U.S. Census)

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

Median Household Income $75,014/yr ($6,251/mo)
Median Home Value $217,700
Median Gross Rent $1,115/mo
South Carolina Medicaid Limit (2026) $2,901/mo

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

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

Nhc Healthcare - Parklane
7601 Parklane Road, Columbia, SC 29223 • 8037419090
106 Certified Beds For profit - Corporation CCN: 425352
5/5 CMS Rating
Wildewood Downs
1215 Wildewood Downs Circle, Columbia, SC 29223 • 8037885115
32 Certified Beds For profit - Limited Liability company CCN: 425385
5/5 CMS Rating
White Oak Manor - Columbia
3001 Beechaven Road, Columbia, SC 29204 • 8037824363
120 Certified Beds For profit - Corporation CCN: 425068
4/5 CMS Rating
Pruitthealth- Blythewood
1075 Heather Green Drive, Columbia, SC 29229 • 8034199863
120 Certified Beds For profit - Corporation CCN: 425400
4/5 CMS Rating
C M Tucker Jr Nursing Care Center Fewell And Stone
2200 Harden Street, Columbia, SC 29203 • 8037375300
252 Certified Beds Government - State CCN: 425074
3/5 CMS Rating
Rice Estate Rehabilitation And Healthcare
100 Finley Road, Columbia, SC 29203 • 8036915720
80 Certified Beds Non profit - Corporation CCN: 425387
3/5 CMS Rating
C M Tucker Jr Nursing Care Center Roddey Pavilio
2200 Harden Street, Columbia, SC 29203 • 8037375300
308 Certified Beds Government - State CCN: 425360
2/5 CMS Rating
Life Care Center Of Columbia
2514 Faraway Drive, Columbia, SC 29223 • 8038651999
179 Certified Beds For profit - Corporation CCN: 425337
2/5 CMS Rating
Midlands Health & Rehabilitation Center
1007 N King St, Columbia, SC 29223 • 8036994111
88 Certified Beds For profit - Corporation CCN: 425287
2/5 CMS Rating
Pruitthealth- Columbia
2451 Forest Drive, Columbia, SC 29204 • 9643416758
144 Certified Beds For profit - Corporation CCN: 425013
1/5 CMS Rating
Forest Acres Post Acute
2601 Forest Drive, Columbia, SC 29204 • 8032564983
132 Certified Beds For profit - Limited Liability company CCN: 425008
1/5 CMS Rating
St Andrews Operator, Llc
3514 Sidney Road, Columbia, SC 29210 • 8037989715
108 Certified Beds For profit - Individual CCN: 425129
1/5 CMS Rating

Frequently Asked Questions About Senior Care in Columbia

The estimated median cost of assisted living in Columbia, SC is $5,270 per month ($63,240 per year), adjusted for Lexington County housing and income data.
A semi-private room in a skilled nursing facility in Columbia averages $8,140 per month, while a private room averages $9,170 per month.
In-home caregiver services in Columbia, SC average $29.73 per hour, or roughly $5,670 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