Live-In Caregivers in Columbia, SC
A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Columbia for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Columbia, SC: the local picture
About 1,426 Columbia residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.
A live-in caregiver needs a private room. 53% of homes in Columbia have three or more bedrooms (69% in Richland County), while 16% have one bedroom or none, where live-in care rarely works; the median home has 5.1 rooms.
Of Columbia households headed by someone 65 or older, 7,432 own their home and 3,201 rent; among householders 85 and older it is 767 owners and 119 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Columbia compared with Richland County and South Carolina
| Census figure | Columbia | Richland County | South Carolina |
|---|---|---|---|
| Residents 85 or older | 1.0% | 1.3% | 1.8% |
| Residents 65+ in households who live alone | 35% | 30% | 27% |
| Residents 65+ with a disability | 37% | 35% | 33% |
| Residents 65+ below the poverty line (approx.) | 16% | 11% | 11% |
| Residents 65 or older | 12% | 14% | 19% |
| Residents 5+ who speak a language other than English at home | 8.7% | 8.7% | 8.4% |
| Median income, households headed by someone 65+ | $53,724 | $55,737 | — |
Older residents in towns around Columbia
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Woodfield, SC | 1.9 mi | 1,595 | 342 |
| Dentsville, SC | 3.7 mi | 2,097 | 239 |
| Forest Acres, SC | 3.9 mi | 2,384 | 455 |
| Capitol View, SC | 5.2 mi | 659 | 49 |
| Arthurtown, SC | 7.5 mi | 117 | 0 |
| Cayce, SC | 9.9 mi | 2,419 | 259 |
Emergency hospitals near Columbia
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Columbia SC Va Medical Center | Columbia, SC | 5.4 mi | 5 of 5 | (803) 695-7980 |
| Musc Health Columbia Medical Center Downtown | Columbia, SC | 5.7 mi | 3 of 5 | (803) 256-5300 |
| Prisma Health Richland Hospital | Columbia, SC | 7.1 mi | 3 of 5 | (803) 296-2548 |
Straight-line miles from the center of Columbia. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a live-in caregiver can help with
- Help across the day: meals, housekeeping, personal care
- Someone in the home overnight if help is needed
- Medication reminders and appointment rides
- Companionship and a steady routine
What live-in care costs in Columbia
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.48 an hour (the South Carolina median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,137 a month (70% of the $4,477 monthly median income of Columbia households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,541 a month (235% of the $4,477 monthly median income of Columbia households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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 live-in caregiver
Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).
Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Live-In Caregivers in Columbia: common questions
Where is the nearest emergency hospital to Columbia?
Columbia SC Va Medical Center in Columbia, about 5.4 mi in a straight line from the center of Columbia (Medicare hospital file). Its listed phone number is (803) 695-7980. In an emergency, call 911.
How much does live-in care cost in Columbia?
Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $14.48 an hour (the South Carolina median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,137 a month (70% of the $4,477 monthly median income of Columbia households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $10,541 a month (235% of the $4,477 monthly median income of Columbia households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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).
Live-in or 24-hour care in Columbia?
A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in Columbia it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.
More senior care near Columbia
Live-In Caregivers in nearby cities
- Live-In Caregivers in Woodfield, SC
- Live-In Caregivers in Dentsville, SC
- Live-In Caregivers in Forest Acres, SC
- Live-In Caregivers in Capitol View, SC
- Live-In Caregivers in Arthurtown, SC
- Live-In Caregivers in Cayce, SC
- Live-In Caregivers in St. Andrews, SC
- Live-In Caregivers in West Columbia, SC
- Live-In Caregivers in Blythewood, SC
- Live-In Caregivers in Springdale, SC
- Live-In Caregivers in Seven Oaks, SC
- Live-In Caregivers in Pine Ridge, SC
- Live-In Caregivers in Oak Grove, SC
- Live-In Caregivers in Lugoff, SC
- Live-In Caregivers in Irmo, SC
- Live-In Caregivers in Lexington, SC
Other care in Columbia
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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