Start Your South Carolina Assisted Living Facility
We specialize in South Carolina ALF licensing, compliance, Medicaid, and more.

Comprehensive Solutions to Start an Assisted Living Facility in South Carolina

Open an Assisted Living Facility in South Carolina
Thinking about starting your own residential assisted living facility (RAL) in South Carolina? You’re in the right place. With our expert guidance, you’ll have the support you need to meet state regulations, get licensed, and launch your care home successfully. South Carolina refers to these homes as Community Residential Care Facilities (CRCFs), and the licensing process is managed by the South Carolina Department of Health and Environmental Control (DHEC). From application to inspection—we walk with you every step of the way.
South Carolina ALF Services We Offer
Startup & Licensing
- ALF Core Training (State Approved)
- New Facility Licensing
- CHOW (Change of Ownership)
- Pre-Licensure Mock Survey
Compliance & Mentorship
- Customized CEMP Plan (Florida Compliant)
- Monthly Compliance Mentorship
- Inspection Prep & Support
- License Renewal Guidance
Medicaid & Billing
- Facility Level Medicaid Enrollment
- Resident LTC Medicaid Applications
- Monthly LTC Medicaid Billing
- Past-Due Balance Recovery
ALF Consultants Form Services Request
South Carolina ALF Licensing Process

Schedule a Consultation

Submit State Application

Begin Operations & Medicaid Setup
Licensing Requirements for Residential Care Facilities in South Carolina
In South Carolina, assisted living facilities are licensed as Community Residential Care Facilities (CRCFs) by the Department of Health and Environmental Control (DHEC). To get licensed, you must submit a detailed application, pass a background check, and undergo a facility inspection. The administrator must be at least 21, meet specific education and experience requirements, and pass the NAB CORE, RCAL, and South Carolina state exams. Facilities must meet safety standards, have written policies and emergency plans, and ensure proper staffing and staff training. Residents must receive personalized care plans, and all services must align with DHEC regulations.
Let’s Build Your Dream Facility—Together
You don’t have to figure it all out on your own. We’ve helped aspiring owners across South Carolina open compliant, successful assisted living facilities—and we’re ready to help you next.