ElderCarePeek

California vs South Carolina: Senior Care Cost Comparison (2026)

Side-by-side comparison of nursing home, assisted living, and home care costs.

California

$11,502/mo

Nursing home (private room)

Senior population: 15.2%

South Carolina

$7,604/mo

Nursing home (private room)

Senior population: 18.2%

Which State is More Affordable for Senior Care?

South Carolina has lower nursing home costs by $3,898/month ($46,776/year). Over 5 years, that's a difference of $233,880.

Detailed Cost Comparison

Care TypeCaliforniaSouth CarolinaDifference
Nursing Home (Private)$11,502/mo$7,604/mo+$3,898
Nursing Home (Semi-Private)$10,220/mo$6,844/mo+$3,376
Assisted Living$5,750/mo$3,750/mo+$2,000
Home Health Aide$32.00/hr$22.00/hr+$10.00
Adult Day Care$2,017/mo$1,383/mo+$634
Homemaker Services$30.00/hr$20.00/hr+$10.00

Annual Cost Comparison

California Annual Costs

Nursing Home (Private)$138,024/yr
Assisted Living$69,000/yr
Home Health Aide (8hr/day)$67,584/yr
Adult Day Care$24,204/yr

South Carolina Annual Costs

Nursing Home (Private)$91,248/yr
Assisted Living$45,000/yr
Home Health Aide (8hr/day)$46,464/yr
Adult Day Care$16,596/yr

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Frequently Asked Questions

Which state has cheaper nursing homes: California or South Carolina?
South Carolina has lower nursing home costs. California averages $11,502/month while South Carolina averages $7,604/month, a difference of $3,898/month.
How do assisted living costs compare between California and South Carolina?
Assisted living in California costs $5,750/month compared to $3,750/month in South Carolina.
What about home health aide costs?
Home health aides charge $32.00/hour in California and $22.00/hour in South Carolina.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. California: Medi-Cal covers nursing facility care. Multipurpose Senior Services Program (MSSP) and other waivers for community care.... South Carolina: South Carolina Medicaid covers nursing home care. Community Choices waiver for home-based services....

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Data verified March 2026 · Source: Genworth Cost of Care Survey