Companion Care for Seniors in Charleston, SC
Conversation, outings, meals together and a steady, friendly presence for an older adult who lives alone or spends long days by themselves. Post what you need in Charleston for free and hire a caregiver directly, with no agency mark-up.

Companion Care in Charleston, SC: the local picture
About 8,056 residents of Charleston aged 65 or older live alone, 33% of older residents in households (29% in Charleston County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.
7.2% of Charleston households have no vehicle (5.9% in Charleston County). A companion who drives can turn a week at home into appointments, shopping and visits.
Of the 25,374 Charleston residents aged 65 or older, 3,001 are 85 or older (12%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.
11,796 Charleston households headed by someone 65 or older own their home and 4,689 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.
About 1,857 older Charleston residents (7.5%) live below the poverty line (8.9% in Charleston County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.
About 7.8% of Charleston residents aged 5 and over speak a language other than English at home. The most common are Spanish (6,038), other Indo-European languages (1,298), French, Haitian or Cajun (911). If the person you care for is more at ease in one of these languages, say so in your posting; many caregivers list the languages they speak.
Charleston compared with Charleston County and South Carolina
| Census figure | Charleston | Charleston County | South Carolina |
|---|---|---|---|
| Residents 65+ in households who live alone | 33% | 29% | 27% |
| Residents 65 or older | 16% | 18% | 19% |
| Residents 5+ who speak a language other than English at home | 7.8% | 9.0% | 8.4% |
| Households with no vehicle | 7.2% | 5.9% | 5.7% |
| Residents 65+ below the poverty line (approx.) | 7.5% | 8.9% | 11% |
| Residents 65+ with a disability | 28% | 27% | 33% |
| Median income, households headed by someone 65+ | $74,872 | $65,198 | — |
Older residents in towns around Charleston
| Town | Distance | Residents 65+ | Live alone (65+) |
|---|---|---|---|
| Mount Pleasant, SC | 6.4 mi | 17,275 | 25% |
| James Island, SC | 6.7 mi | 2,168 | 25% |
| Hanahan, SC | 7.3 mi | 2,750 | 27% |
| North Charleston, SC | 8.2 mi | 14,951 | 36% |
| Goose Creek, SC | 12 mi | 5,855 | 17% |
| Isle of Palms, SC | 13 mi | 1,514 | 18% |
Hospitals near Charleston (for rides to appointments)
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Musc Medical Center | Charleston, SC | 3.3 mi | 2 of 5 | (843) 792-2300 |
| Roper Hospital | Charleston, SC | 3.9 mi | 4 of 5 | (843) 724-2800 |
| Charleston Va Medical Center | Charleston, SC | 3.9 mi | 5 of 5 | (843) 577-5011 |
Straight-line miles from the center of Charleston. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a companion caregiver can help with
- Conversation, cards, puzzles and shared hobbies
- Walks and outings to the park, library or senior center
- Company at meals, and help preparing them
- Rides or escort to appointments, church and visits
What companion care costs in Charleston
At the South Carolina median aide wage of $14.48 an hour, 20 hours of help a week comes to about $1,255 a month in wages, which is 20% of the $6,239 monthly median income of Charleston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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.
What to know before hiring a companion caregiver
Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).
Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Companion Care in Charleston: common questions
How many seniors live alone in Charleston?
About 8,056 residents aged 65 or older, 33% of older residents in households (Census ACS 2020–2024) (29% in Charleston County).
How much does companion care cost in Charleston?
At the South Carolina median aide wage of $14.48 an hour, 20 hours of help a week comes to about $1,255 a month in wages, which is 20% of the $6,239 monthly median income of Charleston households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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).
What does a companion caregiver do in Charleston?
A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.
More senior care near Charleston
Companion Care in nearby cities
- Companion Care in Mount Pleasant, SC
- Companion Care in James Island, SC
- Companion Care in Hanahan, SC
- Companion Care in North Charleston, SC
- Companion Care in Goose Creek, SC
- Companion Care in Isle of Palms, SC
- Companion Care in Hollywood, SC
- Companion Care in Ladson, SC
- Companion Care in Ravenel, SC
- Companion Care in Sangaree, SC
- Companion Care in Summerville, SC
- Companion Care in Moncks Corner, SC
- Companion Care in Walterboro, SC
- Companion Care in Andrews, SC
- Companion Care in Beaufort, SC
- Companion Care in Burton, SC
Other care in Charleston
- Dementia Care in Charleston
- Respite Care in Charleston
- Live-In Caregivers in Charleston
- Post-Surgery Care in Charleston
- Senior Transportation in Charleston
- Home Health Aides in Charleston
- Nursing Assistants in Charleston
- Personal Care in Charleston
- Overnight Caregivers in Charleston
- 24-Hour Home Care in Charleston
- Mobility Assistance in Charleston
- Parkinson’s Care in Charleston
- Stroke Recovery Support in Charleston
- Disability Care for Adults in Charleston
- Hospice Support in Charleston
- Senior Meal Preparation in Charleston
- Senior Housekeeping in Charleston
- Medication Reminders in Charleston
- Veterans’ Home Care in Charleston
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.
Find companion care in Charleston
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