As one of the oldest cities in South Carolina, Charleston offers an ideal combination of historic charm and vibrant activities. This mixture along with the state’s senior-friendly tax policies and year-round pleasant weather make Charleston a prime retirement spot for many seniors. In fact, out of the city’s over 400,000 residents, 17% are aged 65 and over. It’s also home to some of the state’s finest medical facilities, including Roper Hospital and MUSC University Medical Center.

Nursing homes offer a high level of around-the-clock medical supervision and are ideal for seniors who need constant monitoring and are unable to live on their own. This type of care is typically more expensive than alternative supportive services, such as assisted living and home health care. According to Genworth Financial’s 2020 Cost of Care Survey, the average cost for a semiprivate room in Charleston is $7,330 per month. Seniors who do not require 24/7 support may find that these alternative services better align with their needs and budget.

This guide compares the costs of different types of senior care available in Charleston and provides a list of local resources.

Directory of Nursing Homes in Charleston, SC

2014, 2016

Brookdale West Ashley

2030 Charlie Hall Blvd, Charleston, SC, 29414

Brookdale West Ashley is an assisted living and memory care facility situated near the Carolina Bay. The facility gets high marks for offering residents live musical performances, arts and crafts clas … (read more)
Brookdale West Ashley is an assisted living and memory care facility situated near the Carolina Bay. The facility gets high marks for offering residents live musical performances, arts and crafts clas … (read more)

Wellmore of Daniel Island

580 Robert Daniel Drive, Charleston, SC, 29492

I have been here for rehab (after orthopedic surgery) about 3 1/2 weeks. It doesn’t get any better than this! People, staff, occupational therapists, physical therapists, speech path and basically eve … (read more)
I have been here for rehab (after orthopedic surgery) about 3 1/2 weeks. It doesn’t get any better than this! People, staff, occupational therapists, physical therapists, speech path and basically eve … (read more)

Heartland of West Ashley Rehab and Nursing Center

1137 Sam Rittenburg Boulevard, Charleston, SC, 29407

My father died just as Heartland was being evacuated for Dorian. Of course there was some confusion, we understand that. However, they could not have been more disrespectful and careless in their hand … (read more)
My father died just as Heartland was being evacuated for Dorian. Of course there was some confusion, we understand that. However, they could not have been more disrespectful and careless in their hand … (read more)

White Oak Manor – Charleston

9319 MEDICAL PLAZA DR, Charleston, SC, 29418

Our aging parent resides at White Oak Manor and enjoys the meals there. The administrators and staff are cool toward family and patient. We have encountered resistance to whatever we attempt to find … (read more)
Our aging parent resides at White Oak Manor and enjoys the meals there. The administrators and staff are cool toward family and patient. We have encountered resistance to whatever we attempt to find … (read more)

NHC Healthcare, Charleston

2230 Ashley Crossing Drive , Charleston, SC, 29414

Where do I begin? If I could give zero stars I would. My Father spent 4 days here after a 1-week hospital stay for a scheduled 2-week period to work on regaining his strength before returning home. M … (read more)
Where do I begin? If I could give zero stars I would. My Father spent 4 days here after a 1-week hospital stay for a scheduled 2-week period to work on regaining his strength before returning home. M … (read more)

The Palms of Mt. Pleasant

1010 LAKE HUNTER CIRCLE, Mount Pleasant, SC, 29464

The Palms of Mt. Pleasant is a senior living facility located in South Carolina and close to two major highways, shopping venues and medical centers. The community offers residents a wealth of ameniti … (read more)
The Palms of Mt. Pleasant is a senior living facility located in South Carolina and close to two major highways, shopping venues and medical centers. The community offers residents a wealth of ameniti … (read more)

Franke Home at Seaside

1885 Rifle Range Road, Mount Pleasant, SC, 29464

My mother-in-law is in a long-term care facility at Franke Home at Seaside. They have different levels of care from independent living to assisted living. They also have a rehab wing and a skilled nur … (read more)
My mother-in-law is in a long-term care facility at Franke Home at Seaside. They have different levels of care from independent living to assisted living. They also have a rehab wing and a skilled nur … (read more)

Mount Pleasant Manor

921 BOWMAN ROAD, Mount Pleasant, SC, 29464

Choosing a long term nursing care facility for a family member is a task most people hope they never face. But after our family member suffered a severe brain injury, we knew she needed around the clo … (read more)
Choosing a long term nursing care facility for a family member is a task most people hope they never face. But after our family member suffered a severe brain injury, we knew she needed around the clo … (read more)

Riverside Health & Rehab

2375 Baker Hospital Boulevard,, North Charleston, SC, 29405

Great facility & staff!! Love the improvements & Renovations over the last year. Facility smells fresh! Friendly staff. It seems to me the patients are happy here. Fun activities and communi … (read more)
Great facility & staff!! Love the improvements & Renovations over the last year. Facility smells fresh! Friendly staff. It seems to me the patients are happy here. Fun activities and communi … (read more)

Sandpiper Rehab & Nursing

1049 Anna Knapp Boulevard, Mount Pleasant, SC, 29464

I’m currently in Sandpiper Rehab & Nursing for rehab. The therapy team is very professional, they’re the same ones that were here a year ago, so there’s not a high turnover. The food is good, the … (read more)
I’m currently in Sandpiper Rehab & Nursing for rehab. The therapy team is very professional, they’re the same ones that were here a year ago, so there’s not a high turnover. The food is good, the … (read more)

Johns Island Rehabilitation and Healthcare Center

3647 Maybank Hwy., Johns Island, SC, 29455

My mother is currently at this facility in the Angel Oak area. This place is dismal at best. No dining room, residents/patients eat in the common area. The food I saw looked terrible, very low quali … (read more)
My mother is currently at this facility in the Angel Oak area. This place is dismal at best. No dining room, residents/patients eat in the common area. The food I saw looked terrible, very low quali … (read more)

Vibra Hospital Of Charleston Tcu

1200 Hospital Dr, Mount Pleasant, SC, 29464


Nursing Home Costs in Charleston, SC

The average monthly cost at a nursing home in Charleston is $7,330 for a semiprivate room and $7,893 for a private room.

The Cost of Nursing Home Care in Nearby Cities

When comparing monthly costs for a semiprivate room at a nursing home, Charleston’s monthly rate of $7,730 is $426 dollars lower than the national average of $7,756 but only $2 more than the state average of $7,298. When comparing these costs to other nearby cities, Charleston falls right in the middle. For example, seniors living in Sumter pay, on average, $1,247, less per month for a semiprivate room, while seniors on Hilton Head Island will pay about $624 more per month.

$7330

Charleston

$7298

South Carolina

$7756

The United States

$6083

Sumter

$7148

Columbia

$6660

Myrtle Beach

$7954

Hilton Head Island

The Cost of Other Types of Senior Care

It’s equally important for seniors and their family members to compare the average costs for various types of senior care when determining which options are right for them. For example, it’s good to know that costs for nursing home (semiprivate) services of $7,330 are more than twice as expensive as assisted living costs of $3,600 per month. Additionally, assisted living costs ($3,600) in Charleston are, on average, less expensive than home care ($4,767) and home health care services ($4,767).

$4767

Home care

$4767

Home health care

$1343

Adult day health care

$3600

Assisted living

$7330

Nursing home (semiprivate room)

$7893

Nursing home (private room)

Financial Assistance for Nursing Home Care in Charleston, SC

Many seniors and their families use some form of financial assistance to help them pay for nursing care. The main options available are Medicare, Medicaid, and veterans benefits. These programs can be complicated, especially when it comes to benefit terms. Below, we give a brief overview of how these programs may be used towards paying for skilled nursing care.

  • Medicare: Medicare will typically cover all skilled nursing costs for the first 20 days of one’s stay in a nursing home and a portion of the costs until day 100. After 100 days in a skilled nursing facility, Medicare will not cover any part of the cost of the stay. While this is adequate when short-term care is needed, those in need of long-term care will need to either pay out-of-pocket or use another source of financial assistance.
  • Medicaid: Medicaid covers most of the costs of living in a skilled nursing facility for those who qualify. Care, room, and board are covered with no time limit, but residents may be charged for extras like specially prepared food or cosmetic services. Medicaid eligibility standards are strict and complex, so not all seniors are eligible for Medicaid benefits.
  • Veterans Benefits: Veterans receiving a VA pension may also be eligible for the Aid and Attendance benefit administered by the VA. Aid and Attendance is a monthly allowance that beneficiaries may use to pay for their long-term care, including skilled nursing care.

If these options aren’t available to you, check if your loved one has long-term care insurance or contact your Area Agency on Aging to ask about any local financial assistance programs for seniors.

Free Resources for Seniors in Charleston, SC

The following is a list of senior services available in the Charleston area. In some instances, these services may allow seniors to remain in their homes longer and delay the need to transition them into a nursing home setting.

ResourceContactService
Charleston Area Senior Citizens(843) 722-4127Charleston Area Senior Citizens is a local nonprofit organization that manages several local food pantries and the Charleston area Meals on Wheels program. The agency can also assist seniors with emergency food services and connect them to appropriate local resources.
Trident Area Agency on Aging(843) 554-2275The Trident Area Agency on Aging serves as an information and referral agency for seniors living in the Charleston area. It also handles senior screenings and assessments to help families determine their level of care needs. Additionally, the agency provides Medicare counseling services and caregiver support.
Lowcountry Senior Center(843) 990-5555The Lowcountry Senior Center is located on scenic James Island and is operated by Roper St. Francis Healthcare. In addition to its beautiful grounds that include walking trails and tennis courts, the center hosts a wide range of programs, special events, workshops and discussion groups that are designed to promote physical, social and mental well-being for seniors aged 50 and over.
Charleston Area Regional Transportation Authority (CARTA)(843) 724-7420CARTA operates numerous fixed routes throughout the Charleston area. It offers a significant discount to seniors aged 55 and over. Eligible seniors must provide government-issued I.D. cards or Medicare cards. CARTA also manages an Ambassador program to help seniors determine which routes to take.