24-Hour Home Care in Cayce, SC: Round-the-Clock Care

Local figures

24-Hour Home Care in Cayce, SC: the local picture

6.4%

of residents 65+ have difficulty dressing or bathing (6.7% in Lexington County)

259

residents 85 or older (1.9% of all residents)

42%

of residents 65+ report a disability (35% in Lexington County)

$67,016

median yearly income of households headed by someone 65+

155 Cayce residents 65 or older have difficulty dressing or bathing (6.4%; 6.7% in Lexington County), and 898 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 259 residents are 85 or older (1.9% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Still Hopes Episcopal Retirement Community in West Columbia (2.6 mi) and Midlands Health & Rehabilitation Center in Columbia (4.1 mi).

Cayce compared with Lexington County and South Carolina

Census figure	Cayce	Lexington County	South Carolina
Residents 65+ with difficulty dressing or bathing	6.4%	6.7%	6.5%
Residents 65+ with serious difficulty walking	37%	23%	21%
Residents 65+ with serious difficulty remembering	5.5%	8.3%	7.8%
Residents 85 or older	1.9%	1.8%	1.8%
Residents 65+ in households who live alone	38%	27%	27%
Residents 65+ below the poverty line (approx.)	4.2%	8.4%	11%
Median income, households headed by someone 65+	$67,016	$60,432	—

Older residents in towns around Cayce

Town	Distance	Residents 65+	Self-care difficulty (65+)
Arthurtown, SC	2.4 mi	117	91%
Springdale, SC	4.2 mi	447	4.7%
West Columbia, SC	4.4 mi	3,928	9.3%
Pine Ridge, SC	4.5 mi	605	8.9%
Capitol View, SC	6.7 mi	659	12%
Oak Grove, SC	6.8 mi	1,990	4.3%

Home health agencies serving Cayce

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Amedisys Home Health Of Lexington	Lexington, SC	11 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(803) 359-2253
Prisma Health Homecare	Columbia, SC	3.5 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(803) 296-3100
Centerwell Home Health	Columbia, SC	7.8 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(803) 731-2365
Enhabit Home Health Aiken	Columbia, SC	7.8 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(803) 335-0977
Pruitthealth Home Health-Columbia	Columbia, SC	7.8 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(803) 626-0089

Nursing homes near Cayce (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Still Hopes Episcopal Retirement Community	West Columbia, SC	2.6 mi	5 of 5	22	(803) 796-6490
Midlands Health & Rehabilitation Center	Columbia, SC	4.1 mi	2 of 5	88	(803) 699-4111
Pruitthealth- Columbia	Columbia, SC	4.6 mi	1 of 5	144	(964) 341-6758
Forest Acres Post Acute	Columbia, SC	4.8 mi	1 of 5	132	(803) 256-4983

Straight-line miles from the center of Cayce. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Cayce

24-hour care is 168 paid hours a week. At $14.48 an hour (the South Carolina median aide wage) that is about $10,541 a month in wages before any overtime, 189% of the $5,585 monthly median income of Cayce households headed by someone 65+. Rates are agreed with each caregiver. South Carolina has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Cayce: common questions

How much does 24-hour home care cost in Cayce?

24-hour care is 168 paid hours a week. At $14.48 an hour (the South Carolina median aide wage) that is about $10,541 a month in wages before any overtime, 189% of the $5,585 monthly median income of Cayce households headed by someone 65+. Rates are agreed with each caregiver. South Carolina has no state minimum wage law, so the federal minimum of $7.25 an hour applies to employers covered by the Fair Labor Standards Act (U.S. Department of Labor).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Cayce

More senior care near Cayce

24-Hour Home Care in nearby cities

Other care in Cayce

More for Cayce families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in Cayce, SC