Home to over 24,000 residents, Lexington, South Carolina, has a senior community that makes up about 13% of the population — lower than the national average of 16.8%. With a reasonable cost of living, mostly sunny weather with little snowfall and lower than average violent crime rates, the city appeals to older adults looking to settle down. As a suburb of Columbia, Lexington offers parks, botanical gardens and a senior center that holds special events, activities and programs. Ranked as one of the best regional hospitals, Lexington Medical Center offers comprehensive medical care for all ages.

On average, seniors in Lexington pay similarly to Columbia residents for home care services, at about $4,385 per month, according to the Genworth 2021 Cost of Care Survey. Home care is a bit different from home health care because it doesn’t offer skilled nursing services. 

Below we’ve compiled a comprehensive directory of every home care provider in Lexington– complete with services offered and reviews from families who’ve actually used the service. In addition to our in-depth provider listings, we’ve compiled resources to help seniors and their families to access all the tools they need to age in place safely and gracefully.

Directory of Home Care Services in Lexington, SC

2017, 2020, 2021, 2023

Right at Home Columbia

My mom enjoys the lady that is there. She really is upbeat and happy. I like that the lady I schedule on a regular basis is great. She was born to do what she is doing.
My mom enjoys the lady that is there. She really is upbeat and happy. I like that the lady I schedule on a regular basis is great. She was born to do what she is doing.
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2017, 2020, 2021, 2023

Always Best Care of The Midlands

From a caretakers/daughters point of view: This service is a savior for me personally. It relieves me from having to miss a lot of work time to travel to my mothers appt, now I can meet her at the ap … (read more)
From a caretakers/daughters point of view: This service is a savior for me personally. It relieves me from having to miss a lot of work time to travel to my mothers appt, now I can meet her at the ap … (read more)

2020

Home Instead – Columbia, SC

Good job. Need to more understanding when unexpected things happen with caregiver and has to call out for emergency.
Good job. Need to more understanding when unexpected things happen with caregiver and has to call out for emergency.

Carolina Health Care

In-Home Care Overview: Carolina Health Care – Columbia, SC For over 30 years, Carolina Health Care has been working to ensure that you are able to abide at home during a time of need. Experienced car … (read more)
In-Home Care Overview: Carolina Health Care – Columbia, SC For over 30 years, Carolina Health Care has been working to ensure that you are able to abide at home during a time of need. Experienced car … (read more)

CHARRM Home Care

Our Commitment Mission Statement Our mission is to be a company you can depend on to deliver high-quality and impactful care that far exceeds the expectations of our clients. The goal is to assist e … (read more)
Our Commitment Mission Statement Our mission is to be a company you can depend on to deliver high-quality and impactful care that far exceeds the expectations of our clients. The goal is to assist e … (read more)

Senior Helpers

Senior Helpers is taking care of my family member with Dementia. The caregivers are patient,reliable,caring and professional. The owners take great measures to ensure a good match for the client and … (read more)
Senior Helpers is taking care of my family member with Dementia. The caregivers are patient,reliable,caring and professional. The owners take great measures to ensure a good match for the client and … (read more)

Avodah Home Care, LLC

Avodah Home Care is founded on servant leadership principles. The term "Avodah" is derived from the Hebrew words for Work, Worship, and Service. These are the qualities and characteristics that each o … (read more)
Avodah Home Care is founded on servant leadership principles. The term "Avodah" is derived from the Hebrew words for Work, Worship, and Service. These are the qualities and characteristics that each o … (read more)


Cornerstone Caregiving – Columbia, SC

HELPING YOU FIND GREAT HOME CARE Welcome to Cornerstone Caregiving. We are a senior in-home care service that allows your loved ones to stay where they feel most comfortable: home. We are experienced … (read more)
HELPING YOU FIND GREAT HOME CARE Welcome to Cornerstone Caregiving. We are a senior in-home care service that allows your loved ones to stay where they feel most comfortable: home. We are experienced … (read more)

BrightStar Care Lexington / West Columbia

It’s helpful, but we have a lot of issues with the company. They need to improve scheduling and the quality of the caregivers.
It’s helpful, but we have a lot of issues with the company. They need to improve scheduling and the quality of the caregivers.

2021

McLeod Home Care

The people were good, the services were helpful. Getting call backs with information was terrible.
The people were good, the services were helpful. Getting call backs with information was terrible.

Kimbell Home Care Services, LLC

Ms Kim and her team is amazing. They is on time. I have no worries. she answers when ever I call. They will love and care for your family members like they are her own. They will go above and beyond f … (read more)
Ms Kim and her team is amazing. They is on time. I have no worries. she answers when ever I call. They will love and care for your family members like they are her own. They will go above and beyond f … (read more)

Key Choice Home Care

A friend recommended Key Choice Home Care. They were good and I wish they would continue working with me. They helped with cooking, bathing, light housekeeping, transportation, and laundry. But they t … (read more)
A friend recommended Key Choice Home Care. They were good and I wish they would continue working with me. They helped with cooking, bathing, light housekeeping, transportation, and laundry. But they t … (read more)

Alternatives In Home Care

We are quite pleased with the caregiving services we have received. They were careful to match the providers who would work well with my mother-in-law. They are attentive, flexible, and always pleasan … (read more)
We are quite pleased with the caregiving services we have received. They were careful to match the providers who would work well with my mother-in-law. They are attentive, flexible, and always pleasan … (read more)

Homecare Solutions SC LLC – Columbia, SC

Homecare Solutions took care of me after a knee replacement. Their staff took excellent care of me and I would highly recommended them. It was a huge relief to have the help I needed.
Homecare Solutions took care of me after a knee replacement. Their staff took excellent care of me and I would highly recommended them. It was a huge relief to have the help I needed.

DayBreak Adult Care Services

Coker and his staff took great care of my mother in law for several years. They were very accommodating on making sure that they had great caregivers that matched the personality that best fits that … (read more)
Coker and his staff took great care of my mother in law for several years. They were very accommodating on making sure that they had great caregivers that matched the personality that best fits that … (read more)

Carepro Health Services

Fabulous office staff. Caring caregiver. My dad has been pleased and he is not easily pleased with his caregivers. Thank you Addis Columbia!!
Fabulous office staff. Caring caregiver. My dad has been pleased and he is not easily pleased with his caregivers. Thank you Addis Columbia!!




Paying for Home Care in Lexington, SC

The Cost of Home Care in Lexington, SC

Seniors have access to more affordable home care services in Lexington compared to the state monthly average, which is $48 more, and the national median at over $500 more. The northwestern city of Greenville and the eastern city, Conway, offer monthly care costs slightly more than Lexington. Aiken shares similar costs to Conway, while Charleston, located along the southern coast of South Carolina, has some of the highest rates in the state.

$4385

Lexington

$4433

South Carolina

$4957

The United States

$4671

Greenville

$4576

Conway

$4528

Aiken

$5005

Charleston

The Cost of Home Care vs. Other Senior Care Options in Lexington, SC

Monthly costs of home care services in Lexington are the same as home health care — even though the services differ. Home health care provides skilled nursing care, such as occupational or physical therapy, catheter maintenance, and wound care. An assisted living facility costs over $1,000 less. Adult day programs offer some of the most affordable monthly rates in the area, while a nursing home with a shared room has some of the highest costs. 

$4385

Home Care

$4385

Home Health Care

$1376

Adult Day Health Care

$3270

Assisted Living

$7300

Nursing Home Care (semiprivate room)

Note: Data for Lexington was unavailable, so data for the nearest city, Columbia, was used instead. 

Financial Assistance for Home Care in Lexington, SC

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

  • Long-Term Care Insurance: Long-term care insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
  • Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
  • Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
  • Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living. Contact the Department of Veterans Affairs to learn more.
  • Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.

Lexington Home Care Resources 

Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in Lexington:

Aging and Disability Resource Center (ADRC)

Address: 236 Stoneridge Dr, Columbia, SC 29210
Phone Number: (803) 376-5390

The ADRC offers a range of short-term and long-term services to individuals in the central midlands area. Priority is given to seniors over the age of 60, adults over the age of 18 with a disability, veterans with disabilities and family members and caregivers. Services include a Long Term Care Ombudsman Program, an assisted rides program and an information service to provide information such as insurance counseling and medicare advice. 

South Carolina Weatherization Assistance Program (WAP)

Address: 291 Beaufort Street, NE, Aiken, SC 29801
Phone Number: (803) 648-6836

This program provides low-income households with weatherization services to reduce energy costs. Special priority is given to the elderly, individuals with disabilities, and households with children age 17 and under. To be eligible, households must be at or below 200% of the federal poverty level. The services are provided by trained professionals and include testing energy efficiency and installing insulation.

Meals on Wheels

Address: 108 Park Road, Lexington, SC 29072
Phone Number: (803) 957-7979 

The Meals on Wheels program is provided by the Lexington County Recreation and Aging Commission. It is for elderly individuals age 60 or older and individuals who are housebound and unable to prepare meals. Friendly volunteers deliver the meals during the week at lunchtime and there is also a five-day frozen meal option for individuals who can heat their meals. 

Low Income Home Energy Assistance Program (LIHEAP)

Address: 291 Beaufort Street, NE, Aiken, SC 29801
Phone Number: (803) 648-6836

The LIHEAP is a federally funded program that provides low-income households with energy bill assistance. The program is available to families with high energy bills and families who are unable to pay their bills. Eligible households receive assistance with heating and cooling energy costs, bill payment assistance and energy counseling to help reduce energy costs in the future.

Lexington County Recreation & Aging Commission 

Address: 563 S Lake Dr, Lexington, SC 29072
Phone Number: (803) 359-4048

Lexington County Recreation and Aging Commission offers a variety of services to individuals in Lexington County. Services include home care services, medical escorts and a variety of senior fitness classes such as Zumba and weights classes. Seniors can also receive legal aid and advice on non-criminal matters such as wills. The services are available for elderly and vulnerable individuals in Lexington County.

Determining Your Loved One’s Need for In-Home Care

Aging can be a difficult process, and loved ones may not always ask for help – oftentimes it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.

Checklist for determining the need for home care


Guidelines for Talking About In-Home Care

If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.

Talking with Family and Others about a loved one's needs