Dementia Care in St. Andrews, SC: In-Home Alzheimer's Care

Local figures

Dementia Care in St. Andrews, SC: the local picture

240

residents 85 or older (1.2% of all residents)

2,745

residents 65 or older (14% of St. Andrews)

37%

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

6+

Medicare-certified nursing homes within 25 miles

St. Andrews has about 240 residents aged 85 or older among 2,745 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.

37% of residents 65 and older report a disability (35% in Richland County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

34% of older St. Andrews 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.

St. Andrews compared with Richland County and South Carolina

Census figure	St. Andrews	Richland County	South Carolina
Residents 85 or older	1.2%	1.3%	1.8%
Residents 65 or older	14%	14%	19%
Residents 65+ with a disability	37%	35%	33%
Residents 65+ in households who live alone	34%	30%	27%
Residents 65+ below the poverty line (approx.)	13%	11%	11%
Residents 5+ who speak a language other than English at home	6.6%	8.7%	8.4%
Median income, households headed by someone 65+	$48,333	$55,737	—

Older residents in towns around St. Andrews

Town	Distance	Residents 65+	Residents 85+
Seven Oaks, SC	2.0 mi	3,237	304
West Columbia, SC	4.2 mi	3,928	926
Oak Grove, SC	5.4 mi	1,990	163
Irmo, SC	6.3 mi	1,834	132
Springdale, SC	6.3 mi	447	70
Forest Acres, SC	7.7 mi	2,384	455

Nursing homes near St. Andrews

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
St Andrews Operator, LLC	Columbia, SC	1.5 mi	1 of 5	108	(803) 798-9715
Presbyterian Home Of South Carolina-Columbia	Lexington, SC	2.5 mi	3 of 5	22	(803) 796-8700
Nhc Healthcare - Lexington	West Columbia, SC	3.2 mi	4 of 5	170	(803) 939-0026
Millennium Post Acute Rehabilitation	West Columbia, SC	3.3 mi	2 of 5	132	(803) 796-8024
Opus Post Acute Rehabilitation	West Columbia, SC	4.2 mi	3 of 5	98	(803) 739-5282
C M Tucker Jr Nursing Care Center Fewell And Stone	Columbia, SC	4.9 mi	2 of 5	252	(803) 737-5300

Hospices serving St. Andrews

Hospice	Office	Distance	Phone
Pruitthealth Hospice- Columbia	Columbia, SC	0.3 mi	(803) 771-0489
Caris Healthcare Columbia	Columbia, SC	0.3 mi	(803) 794-4141
Prisma Health Hospice Midlands	Columbia, SC	0.3 mi	(803) 296-3100
Crescent Hospice, Inc	Columbia, SC	0.3 mi	(803) 732-3274

Straight-line miles from the center of St. Andrews. 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 St. Andrews

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 31% of the $4,028 monthly median income of St. Andrews 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 St. Andrews: common questions

What nursing homes are near St. Andrews?

The closest Medicare-certified nursing homes are St Andrews Operator, LLC in Columbia (1.5 mi, 1 of 5 overall); Presbyterian Home Of South Carolina-Columbia in Lexington (2.5 mi, 3 of 5 overall); Nhc Healthcare - Lexington in West Columbia (3.2 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in St. Andrews?

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 31% of the $4,028 monthly median income of St. Andrews 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 near St. Andrews

More senior care near St. Andrews

Dementia Care in nearby cities

Other care in St. Andrews

More for St. Andrews 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.

In-Home Dementia and Alzheimer's Care in St. Andrews, SC