Hilton Head Island, South Carolina

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.

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Local figures

Live-In Caregivers in Hilton Head Island, SC: the local picture

2,217
residents 85 or older (5.8% of all residents)
8,026
households headed by someone 65+ own their home (88%)
68%
of Hilton Head Island homes have 3 or more bedrooms (71% in Beaufort County)
$7.25
South Carolina minimum wage per hour

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 figureHilton Head IslandBeaufort CountySouth Carolina
Residents 85 or older5.8%2.6%1.8%
Residents 65+ in households who live alone22%20%27%
Residents 65+ with a disability27%25%33%
Residents 65+ below the poverty line (approx.)4.8%7.2%11%
Residents 65 or older39%28%19%
Residents 5+ who speak a language other than English at home16%12%8.4%
Median income, households headed by someone 65+$96,923$83,920—

Older residents in towns around Hilton Head Island

TownDistanceResidents 65+Residents 85+
Bluffton, SC11 mi8,154847
Port Royal, SC12 mi1,383145
Tybee Island, GA14 mi1,299294
Burton, SC16 mi1,13966
Beaufort, SC19 mi2,050104
Laurel Bay, SC19 mi2710

Emergency hospitals near Hilton Head Island

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Novant Health Hilton Head Medical CenterHilton Head Island, SC1.3 mi2 of 5(843) 681-6122
Beaufort County Memorial HospitalBeaufort, SC17 mi4 of 5(843) 522-5200
Coastal Carolina HospitalHardeeville, SC20 mi4 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 it covers

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
Cost

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.

Before you hire

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.

Questions

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 near Hilton Head Island

More senior care near Hilton Head Island

Live-In Caregivers in nearby cities

Other care in Hilton Head Island

More for Hilton Head Island 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.

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