James Island, South Carolina

In-Home Dementia and Alzheimer's Care in James Island, SC

Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in James Island for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in James Island, SC: the local picture

274
residents 85 or older (2.2% of all residents)
2,168
residents 65 or older (18% of James Island)
25%
of residents 65+ report a disability (27% in Charleston County)
6+
Medicare-certified nursing homes within 25 miles

James Island has about 274 residents aged 85 or older among 2,168 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

25% of residents 65 and older report a disability (27% in Charleston County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

25% of older James Island residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

James Island compared with Charleston County and South Carolina

Census figureJames IslandCharleston CountySouth Carolina
Residents 85 or older2.2%1.9%1.8%
Residents 65 or older18%18%19%
Residents 65+ with a disability25%27%33%
Residents 65+ in households who live alone25%29%27%
Residents 65+ below the poverty line (approx.)7.0%8.9%11%
Residents 5+ who speak a language other than English at home3.5%9.0%8.4%
Median income, households headed by someone 65+$64,766$65,198—

Older residents in towns around James Island

TownDistanceResidents 65+Residents 85+
Mount Pleasant, SC6.5 mi17,2751,961
Charleston, SC6.7 mi25,3743,001
Isle of Palms, SC12 mi1,514179
Hanahan, SC14 mi2,750222
North Charleston, SC15 mi14,9511,446
Hollywood, SC15 mi1,582117

Nursing homes near James Island

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
Bishop Gadsden Episcopal Health Care CenterCharleston, SC2.3 mi5 of 541(843) 762-3300
Kempton Of CharlestonCharleston, SC3.7 mi5 of 523(315) 576-5726
Ashley River HealthcareCharleston, SC6.2 mi5 of 5125(843) 763-0233
Sandpiper Post AcuteMount Pleasant, SC6.5 mi1 of 5176(843) 881-3210
Oak Harbor HealthcareMt Pleasant, SC7.1 mi4 of 5132(843) 884-8903
Nhc Healthcare - CharlestonCharleston, SC8.0 mi4 of 588(843) 766-5228

Hospices serving James Island

HospiceOfficeDistancePhone
Promedica Hospice-CharlestonCharleston, SC5.9 mi(843) 766-7646
Interim Health Care Hospice Of CharlestonNorth Charleston, SC8.7 mi(843) 554-1410
Agape Hospice Of The LowcountryNorth Charleston, SC8.7 mi(843) 598-4536
Musc Health Hospice At Home By Bayada-CharlestonCharleston, SC8.7 mi(843) 416-4020

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

What it covers

What a dementia caregiver can help with

  • Keeping a predictable daily routine
  • Gentle help with bathing, dressing and toileting
  • Meals, hydration and medication reminders
  • Calming approaches for sundowning, agitation and repeated questions
Cost

What dementia care costs in James Island

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 23% of the $5,397 monthly median income of James Island 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.

Before you hire

What to know before hiring a dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

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

Questions

Dementia Care in James Island: common questions

What nursing homes are near James Island?

The closest Medicare-certified nursing homes are Bishop Gadsden Episcopal Health Care Center in Charleston (2.3 mi, 5 of 5 overall); Kempton Of Charleston in Charleston (3.7 mi, 5 of 5 overall); Ashley River Healthcare in Charleston (6.2 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in James Island?

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 23% of the $5,397 monthly median income of James Island 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).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

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.

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