Located in beautiful South Carolina, Greenville is a moderately-sized community that's home to dozens of useful amenities, including one-of-a-kind things to do, world-class shopping, and more. Home to roughly 68,000 people, Greenville is a peaceful community with a lot to offer.
Of the community's many resources are senior living communities, including assisted living residences. These residences provide personal care for retirees who need assistance with their activities of daily living. For many, assisted living in Greenville can be a viable alternative to nursing care depending on a person's level of care.
This guide will discuss South Carolina's regulations for assisted living facilities, including those in Greenville. By understanding the state’s licensing provisions for assisted living facilities, prospective residents can get a better idea of what it's like to transition from a private residence to community-based care.
Greenville Assisted Living
In South Carolina, assisted living facilities are formerly known as Community Residential Care Facilities. They are licensed by the State Board of Health and Environmental Control, Division of Health licensing. According to the state's regulations, Residential Care Facilities may provide housing and personal care for two or more adults who are not related to the community’s owner.
South Carolina licenses two unique types of assisted living communities. Community residential care facilities are the standard type, offering personal assistance for residents. If a community is referred to as assisted living but they meet the definition for community residential care facilities, they are included in the CRCF category.
Along with residential care facilities, South Carolina has special licensing provisions for communities that provide Alzheimer's care. These communities, known as Alzheimer's Special Care units, our facilities, or areas within a facility that provide secure, designated programs for adults with an Alzheimer’s or dementia diagnosis.
Facilities may only admit and retain residents for whom they can adequately assist. If a person's daily needs cannot be met by the community’s services, they may not be admitted to the residence.
Facilities made out of individuals who display violent or aggressive behavior that could endanger themselves or others. Additionally, residential care facilities in South Carolina may not admit anyone who requires daily medical attention from a license to nurse, or who requires nursing care. If a person requires any of the following, they may not be admitted to an assisted living community in Greenville:
Urinary catheters that require assistance
Sterile dressing changes
Dependency on another person to complete all of their activities of daily living for more than two consecutive weeks
Treatment of stage 2, 3, or 4 decubitus
Daily skilled monitoring
If an assisted living resident needs short-term nursing care, defined as nursing care for no more than 14 consecutive days, a community may provide it if it is furnished by a licensed nurse.
Assisted Living vs. Other Types of Long-Term Care in Greenville, South Carolina
Assisted living is popular, but it isn't the only type of long-term care available in South Carolina. In fact, there are several different types of senior living that offer a variety of services, caring for residents with a spectrum of long-term care needs.
At assisted living communities, residents get assistance with their activities of daily living. They may be self-sufficient in some areas, but require help with some parts of their daily life on a regular and ongoing basis. In many cases, these individuals could receive care at a nursing home or from a home healthcare agency, but choose to live at an assisted living community for the additional benefits that come with residential care.
Because assisted living provides a wide variety of amenities, including social activities, transportation, and meals, some retiring individuals may wonder if they can move into one of these residences if they don't have ongoing daily care needs. For these individuals, independent living may be a more suitable choice for long-term care.
Independent living communities offer a valuable alternative to community residential care facilities for those who do not require personal assistance. They provide recreational amenities and convenient resources to help their residents live maintenance-free lives. This may include housekeeping, laundry services, on-site meals, transportation, and more.
When a person moves into independent living, they are usually self-sufficient with their activities of daily living. They may require intermittent assistance, which they may request as needed, but they do not have an ongoing service plan that offers daily staff intervention.
While assisted and independent living communities in South Carolina are not permitted to offer skilled nursing care on-site, nursing homes are. For this reason, nursing homes may be a more appropriate choice for long-term care if a person has ongoing health conditions that require medical attention.
Nursing homes can provide adequate care for those with chronic illness or injury. They are subject to unique staffing requirements that make them more readily equipped to provide ongoing medical attention. It's important for an individual to speak with their physician before choosing or applying to a long-term care community so they can determine if residential care is an adequate alternative to nursing assistance, based on their needs.
Assisted Living Services and Amenities in Greenville, South Carolina
South Carolina requires all residential care facilities in the state to provide standard services and amenities according to their licensing provisions.
Assisted living communities must provide assistance with residents’ activities of daily living, according to their individual care needs. These activities may include eating, dressing, bathing, and maintaining personal hygiene.
Facilities are also required to provide medication assistance, recreational activities, and transportation services. They must provide at least one recreational activity per day, although many offer more.
Service planning is an important part of transitioning from private living to community-based care in South Carolina, making it possible for communities to provide adequate care for each individual. Service planning starts with a pre-admission assessment that determines an incoming residents level of care based on their preferences and needs.
Using the pre-admission assessment, communities must develop individualized care plans for each resident. The individualized care plan should be reviewed and revised as a person's daily needs change. These revisions must occur no less than semi-annually.
A resident’s individualized care plan should describe their needs, including the activities of daily living for which they require assistance. It should also describe recreational and social activities that are suitable for the resident, and discuss their dietary needs.
If a resident needs short-term, intermittent nursing care as they recover from an injury or illness, they may work with a home health agency to receive care at their assisted living community. They may also contract with a third-party provider who is not associated with their facility to receive companion or sit or services.
Meals must be provided daily, and no more than 14 hours between the community’s evening meal and breakfast the following day. Tray service is only available when a resident is unable to attend meals in the dining room due to medical reasons. Residents may request tray service on occasion, but it may not be readily provided.
Assisted living apartments in Greenville South Carolina
Assisted living apartments in Greenville are not required by the state to provide single occupancy, private units. While many communities do provide apartment-style units, others are allowed to house up to three residents in one room.
Private bathrooms are not required by the state of South Carolina, but they are common at some Community Residential Care Facilities. If private bathrooms are not provided, communities must offer at least one toilet for every six residents and one bathing facility, like a bathtub or shower, for every 8 residents.
Along with the amenities required by the state, many communities provide resort-style apartments that offer additional resources. These may include, but are not limited to:
Kitchens with appliances like microwaves, ovens, and refrigerators
Individually controlled heating and air conditioning
Cable or Internet hookups
Patios or balconies
Before a family applies to an assisted living community, they should consider touring the residence. By touring communities, prospective residents can see apartments for themselves and picture calling the facility home. Community tours are generally free of charge and are available for anyone who is interested and moving into a facility.
Things to Do in Greenville, South Carolina
Greenville isn't the largest city in South Carolina, but it offers a lot of exciting experiences. With your round warm weather and sunny skies, outdoor activities are popular in the Greenville area. However, the city is also home to numerous indoor attractions, including museums and more.
On a warm day, the Greenville Zoo is a must-see destination for people of all ages. Opened in 1960, the zoo spans more than 15 acres in Greenville's Cleveland Park. During their visit, guests can enjoy dozens of quality exhibits, featuring animals like elephants, giraffes, and primates. The zoo also offers unique and one-of-a-kind events, including educational lectures and more.
Located on the city's historic West End District, Falls Park on the Reedy is another popular outdoor destination in Greenville. The park spans more than 32 Acres and is located near downtown Greenville. Known as the birthplace of Greenville, the park offers stunning Riverfront Gardens and breathtaking waterfall views. Visitors love the curved suspension bridge, which offers a unique experience unlike any other in Greenville.
Looking for something to do indoors? The Roper Mountain Science Center is a must-see, offering a fully featured Planetarium and Observatory. Additional science attractions at the center include a living history Farm and an arboretum for guests to enjoy. Alongside their permanent attractions, the science center offers weekly events for visitors of all ages.
Funding Assisted Living in Greenville, South Carolina
Paying for long-term care can feel overwhelming when a person is transitioning from a private residence to assisted living, but it doesn't have to be challenging. While many families use personal savings or retirement funds to cover the costs of residential care, others may wonder which options are available to help them finance assisted living. Fortunately, there are numerous resources available including special insurance policies and government subsidized programs that offset the cost of long-term care.
Long-term care insurance is one such option to pay for assisted living in Greenville. Long-term care insurance has become a popular way to finance residential care, as more families consider community-based living during their retirement.
Ideally, a person will purchase a long-term care insurance policy years prior to retiring. The sooner a person purchases their policy, the less they will pay each month in monthly premiums. Many assisted living communities in Greenville accept long-term care insurance to pay for services, room, and board, however, family should speak with their preferred residences for more information about paying with their policy.
Medicaid can be another viable option to pay for long-term care, thanks to their waiver programs that cover home and community-based care. Known as the South Carolina Community Choices Medicaid waiver, the program is available to families and individuals who meet the eligibility guidelines.
The eligibility guidelines for the South Carolina Community Choices Medicaid waiver program are as follows:
A person must be between the ages of 18 and 64 and be classified as disabled by the Social Security Administration, or they must be 65 years of age or older
They must require a nursing facility level of care that can be adequately met at a Residential Care community
They must meet Medicaid's income and asset requirements, which vary for single and married applicants
Additionally, the Department of Veterans Affairs offers a special program to help recipients pay for long-term care. Known as the aid and attendance program, this award is paid to qualifying veterans monthly as a means to cover the cost of assistance. As a cash benefit, beneficiaries are welcome to use their award to cover any facet of long-term care, however many use it to pay for assisted living.
To be eligible for aid and attendance, a person must have served in the United States armed forces during a time of war and they must not have been dishonorably discharged. Additionally, they must require assistance with their activities of daily living from another person and they must meet the programs financial eligibility requirements.
For more information about the aid and attendance benefit, veterans and their families should speak with a designated VA caseworker to learn about eligibility, the application process, and receiving the award. Additionally, the Department of Veterans Affairs offers an informational web page with more information about the award.