Live-In Caregivers in Hilton Head Island, 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 Hilton Head Island for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Hilton Head Island, SC: the local picture
About 2,217 Hilton Head Island 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. 68% of homes in Hilton Head Island have three or more bedrooms (71% in Beaufort County), while 7.8% have one bedroom or none, where live-in care rarely works; the median home has 5.3 rooms.
Of Hilton Head Island households headed by someone 65 or older, 8,026 own their home and 1,074 rent; among householders 85 and older it is 1,297 owners and 358 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Hilton Head Island compared with Beaufort County and South Carolina
| Census figure | Hilton Head Island | Beaufort County | South Carolina |
|---|---|---|---|
| Residents 85 or older | 5.8% | 2.6% | 1.8% |
| Residents 65+ in households who live alone | 22% | 20% | 27% |
| Residents 65+ with a disability | 27% | 25% | 33% |
| Residents 65+ below the poverty line (approx.) | 4.8% | 7.2% | 11% |
| Residents 65 or older | 39% | 28% | 19% |
| Residents 5+ who speak a language other than English at home | 16% | 12% | 8.4% |
| Median income, households headed by someone 65+ | $96,923 | $83,920 | — |
Older residents in towns around Hilton Head Island
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Bluffton, SC | 11 mi | 8,154 | 847 |
| Port Royal, SC | 12 mi | 1,383 | 145 |
| Tybee Island, GA | 14 mi | 1,299 | 294 |
| Burton, SC | 16 mi | 1,139 | 66 |
| Beaufort, SC | 19 mi | 2,050 | 104 |
| Laurel Bay, SC | 19 mi | 271 | 0 |
Emergency hospitals near Hilton Head Island
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Novant Health Hilton Head Medical Center | Hilton Head Island, SC | 1.3 mi | 2 of 5 | (843) 681-6122 |
| Beaufort County Memorial Hospital | Beaufort, SC | 17 mi | 4 of 5 | (843) 522-5200 |
| Coastal Carolina Hospital | Hardeeville, SC | 20 mi | 4 of 5 | (843) 784-8000 |
Straight-line miles from the center of Hilton Head Island. 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 Hilton Head Island
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 (39% of the $8,077 monthly median income of Hilton Head Island 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 (131% of the $8,077 monthly median income of Hilton Head Island 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 Hilton Head Island: common questions
Where is the nearest emergency hospital to Hilton Head Island?
Novant Health Hilton Head Medical Center in Hilton Head Island, about 1.3 mi in a straight line from the center of Hilton Head Island (Medicare hospital file). Its listed phone number is (843) 681-6122. In an emergency, call 911.
How much does live-in care cost in Hilton Head Island?
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 (39% of the $8,077 monthly median income of Hilton Head Island 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 (131% of the $8,077 monthly median income of Hilton Head Island 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 Hilton Head Island?
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 Hilton Head Island 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 Hilton Head Island
Live-In Caregivers in nearby cities
- Live-In Caregivers in Bluffton, SC
- Live-In Caregivers in Port Royal, SC
- Live-In Caregivers in Tybee Island, GA
- Live-In Caregivers in Burton, SC
- Live-In Caregivers in Beaufort, SC
- Live-In Caregivers in Laurel Bay, SC
- Live-In Caregivers in Hardeeville, SC
- Live-In Caregivers in Wilmington Island, GA
- Live-In Caregivers in Whitemarsh Island, GA
- Live-In Caregivers in Thunderbolt, GA
- Live-In Caregivers in Ridgeland, SC
- Live-In Caregivers in Skidaway Island, GA
- Live-In Caregivers in Garden City, GA
- Live-In Caregivers in Montgomery, GA
- Live-In Caregivers in Port Wentworth, GA
- Live-In Caregivers in Savannah, GA
Other care in Hilton Head Island
- Companion Care in Hilton Head Island
- Dementia Care in Hilton Head Island
- Respite Care in Hilton Head Island
- Post-Surgery Care in Hilton Head Island
- Senior Transportation in Hilton Head Island
- Home Health Aides in Hilton Head Island
- Nursing Assistants in Hilton Head Island
- Personal Care in Hilton Head Island
- Overnight Caregivers in Hilton Head Island
- 24-Hour Home Care in Hilton Head Island
- Mobility Assistance in Hilton Head Island
- Parkinson’s Care in Hilton Head Island
- Stroke Recovery Support in Hilton Head Island
- Disability Care for Adults in Hilton Head Island
- Hospice Support in Hilton Head Island
- Senior Meal Preparation in Hilton Head Island
- Senior Housekeeping in Hilton Head Island
- Medication Reminders in Hilton Head Island
- Veterans’ Home Care in Hilton Head 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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