What is memory care in South Carolina?
Memory care in South Carolina is an Alzheimer's special care unit or program: a secure area or program inside a licensed CRCF or nursing home for residents with probable Alzheimer's disease or related dementia, defined in Regulation 60-84, Section 101.F.
DPH's licensing data (as of October 31, 2026) flags an Alzheimer's special care unit at 35 of the 61 senior-serving CRCFs in Greenville, Anderson, Pickens and Laurens counties, and Alzheimer's care without a unit at 2 more; 6 of the 34 licensed nursing homes carry an Alzheimer's flag. A facility that markets special dementia care must give families a written disclosure of what makes its care special under the Alzheimer's Special Care Disclosure Act.
Who needs memory care rather than assisted living?
People with dementia who wander or try to leave, who become lost or disoriented inside a building, whose behavior puts them at risk, or who need structured days and frequent redirection usually need a secured unit rather than standard assisted living.
Many people in early stages of dementia live well in standard assisted living. Choosing a building with both options can avoid a second move.
How much does memory care cost in Greenville?
No memory care median is published for South Carolina or Greenville; memory care usually costs more than the $5,350 monthly assisted living median because of the secured environment and staffing, so compare written all-inclusive quotes.
Ask whether the unit participates in Optional State Supplementation or Community Choices Residential Personal Care if savings may run low.
How do I evaluate a memory care unit in the Upstate?
Ask for the written Alzheimer's special care disclosure, then visit in the late afternoon and watch how staff respond to residents, ask how many staff are on the unit overnight, how the day is structured, and how the unit handles agitation and exit-seeking without relying on medication.
Look for residents who are engaged rather than parked in front of a television, and staff who call residents by name. Ask how many of the building's licensed beds are inside the secured area and whether there is a waiting list, because DPH's data does not publish a separate dementia bed count.
When should a family start looking at memory care?
Start looking before a crisis, ideally when a dementia diagnosis is made or when wandering, getting lost or unsafe behavior first appears, so the family can compare units calmly and get on a waiting list if needed.
Many families wait until a fall, a wandering episode or caregiver exhaustion forces a move within days. Touring early, and choosing a building with both standard assisted living and an Alzheimer's unit, gives the most flexibility.
Where is memory care licensed across the Greenville area?
Here is how DPH's licensing data distributes memory care across Greenville, Anderson, Pickens and Laurens counties.
| County | Licenses | Flagged for Alzheimer's unit |
|---|---|---|
| Greenville County | 26 | 24 |
| Anderson County | 5 | 4 |
| Pickens County | 7 | 6 |
| Laurens County | 5 | 4 |
At a glance
| Memory care in South Carolina is | Memory care in South Carolina is not | |
|---|---|---|
| License | An Alzheimer's special care unit inside a CRCF or nursing home license | A separate memory care license |
| Disclosure | Required in writing by the Alzheimer's Special Care Disclosure Act | Optional marketing |
| Pricing | Quoted by each facility | Published as any median |