ElderCarePeek

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

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

South Carolina

$7,604/mo

Nursing home (private room)

Senior population: 18.2%

South Dakota

$8,304/mo

Nursing home (private room)

Senior population: 17.2%

Which State is More Affordable for Senior Care?

South Carolina has lower nursing home costs by $700/month ($8,400/year). Over 5 years, that's a difference of $42,000.

Detailed Cost Comparison

Care TypeSouth CarolinaSouth DakotaDifference
Nursing Home (Private)$7,604/mo$8,304/mo$700
Nursing Home (Semi-Private)$6,844/mo$7,452/mo$608
Assisted Living$3,750/mo$4,000/mo$250
Home Health Aide$22.00/hr$26.00/hr$4.00
Adult Day Care$1,383/mo$1,517/mo$134
Homemaker Services$20.00/hr$24.00/hr$4.00

Annual Cost Comparison

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

South Dakota Annual Costs

Nursing Home (Private)$99,648/yr
Assisted Living$48,000/yr
Home Health Aide (8hr/day)$54,912/yr
Adult Day Care$18,204/yr

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Frequently Asked Questions

Which state has cheaper nursing homes: South Carolina or South Dakota?
South Carolina has lower nursing home costs. South Carolina averages $7,604/month while South Dakota averages $8,304/month, a difference of $700/month.
How do assisted living costs compare between South Carolina and South Dakota?
Assisted living in South Carolina costs $3,750/month compared to $4,000/month in South Dakota.
What about home health aide costs?
Home health aides charge $22.00/hour in South Carolina and $26.00/hour in South Dakota.
Which state has better Medicaid coverage for senior care?
Both states offer Medicaid coverage for nursing home care. South Carolina: South Carolina Medicaid covers nursing home care. Community Choices waiver for home-based services.... South Dakota: South Dakota Medicaid covers nursing facilities. HOPE waiver for community-based alternatives....

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