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.

Dementia Care in James Island, SC: the local picture
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 figure | James Island | Charleston County | South Carolina |
|---|---|---|---|
| Residents 85 or older | 2.2% | 1.9% | 1.8% |
| Residents 65 or older | 18% | 18% | 19% |
| Residents 65+ with a disability | 25% | 27% | 33% |
| Residents 65+ in households who live alone | 25% | 29% | 27% |
| Residents 65+ below the poverty line (approx.) | 7.0% | 8.9% | 11% |
| Residents 5+ who speak a language other than English at home | 3.5% | 9.0% | 8.4% |
| Median income, households headed by someone 65+ | $64,766 | $65,198 | — |
Older residents in towns around James Island
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Mount Pleasant, SC | 6.5 mi | 17,275 | 1,961 |
| Charleston, SC | 6.7 mi | 25,374 | 3,001 |
| Isle of Palms, SC | 12 mi | 1,514 | 179 |
| Hanahan, SC | 14 mi | 2,750 | 222 |
| North Charleston, SC | 15 mi | 14,951 | 1,446 |
| Hollywood, SC | 15 mi | 1,582 | 117 |
Nursing homes near James Island
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Bishop Gadsden Episcopal Health Care Center | Charleston, SC | 2.3 mi | 5 of 5 | 41 | (843) 762-3300 |
| Kempton Of Charleston | Charleston, SC | 3.7 mi | 5 of 5 | 23 | (315) 576-5726 |
| Ashley River Healthcare | Charleston, SC | 6.2 mi | 5 of 5 | 125 | (843) 763-0233 |
| Sandpiper Post Acute | Mount Pleasant, SC | 6.5 mi | 1 of 5 | 176 | (843) 881-3210 |
| Oak Harbor Healthcare | Mt Pleasant, SC | 7.1 mi | 4 of 5 | 132 | (843) 884-8903 |
| Nhc Healthcare - Charleston | Charleston, SC | 8.0 mi | 4 of 5 | 88 | (843) 766-5228 |
Hospices serving James Island
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Promedica Hospice-Charleston | Charleston, SC | 5.9 mi | (843) 766-7646 |
| Interim Health Care Hospice Of Charleston | North Charleston, SC | 8.7 mi | (843) 554-1410 |
| Agape Hospice Of The Lowcountry | North Charleston, SC | 8.7 mi | (843) 598-4536 |
| Musc Health Hospice At Home By Bayada-Charleston | Charleston, SC | 8.7 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 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
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.
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.
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.
More senior care near James Island
Dementia Care in nearby cities
- Dementia Care in Mount Pleasant, SC
- Dementia Care in Charleston, SC
- Dementia Care in Isle of Palms, SC
- Dementia Care in Hanahan, SC
- Dementia Care in North Charleston, SC
- Dementia Care in Hollywood, SC
- Dementia Care in Ravenel, SC
- Dementia Care in Goose Creek, SC
- Dementia Care in Ladson, SC
- Dementia Care in Sangaree, SC
- Dementia Care in Summerville, SC
- Dementia Care in Moncks Corner, SC
- Dementia Care in Walterboro, SC
- Dementia Care in Beaufort, SC
- Dementia Care in Burton, SC
- Dementia Care in Port Royal, SC
Other care in James Island
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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