SC DPH memory care staffing study (Proviso 31.48)

January 1, 2026 report: recommends higher ratios, enhanced training and workforce resources without a numeric target.

Proviso 31.48, 2025 Act No. 69 (H.4025); R.60-84 §503.B · Updated Nov 5, 2026

This page is CMI's own briefing on the topic, written by CMI. It is not the text of the regulation. Read the regulation itself in the Regulatory hub or at the official source.

Item	Detail
Report date	Jan. 1, 2026
Facilities responding	137 of 629 licensed (114 CRCFs, 23 nursing homes)
People in memory care among respondents	About 3,177

Recommendations: (1) increase minimum staffing ratios, potentially varying by staff type, time of day or acuity; (2) require enhanced memory care training; (3) augment workforce resources and infrastructure.

Current standards cited:

Setting	Standard	Source
CRCF, peak hours	1:8	R.60-84 §503.B
CRCF, non-peak hours	1:30	R.60-84 §503.B
Nursing homes	1.63 non-licensed direct care hours per resident per day plus one licensed nurse per shift per work area	Proviso 31.17, as cited in the report

Status: no specific numeric target or licensing text proposed. Watch for follow-on legislation or rulemaking.