The Department of Health and Human Services (HHS) Office of Inspector General (OIG) examines South Carolina’s oversight of adult day providers in a newly released report that is the latest in its series exploring state oversight of adult day services providers in the Medicaid program.

The October 30, 2025 South Carolina report follows the approach of the 15 explorations that preceded it, focused on failures by providers in meeting minimum standards for assuring participant safety. The report suggests that South Carolina take additional steps to oversee providers and support providers in remedying problematic findings.

Each report in the OIG series, beginning in 2018, inspects 20 adult days across a state and focuses on areas where the providers haven’t secured dangerous chemicals, have visible water damage, accessible electrical wiring, or other manners in which participants could be harmed.

The trend in OIG reports demonstrates a focus on state oversight of federally unregulated settings, though necessary state oversight should assure Medicaid standards for participant health and safety are upheld.

The full report and links to all other state reports can be found within the report here.