If you're looking for board & care homes in Middleburg, Clay County, this is the local rundown — real 2026 pricing, how Florida licenses it, and what to check before you tour.
Middleburg in context
Middleburg is a semi-rural Clay County community with limited local senior housing, so families often look toward nearby Orange Park and Fleming Island for more options.
Middleburg sits in Clay County. Nearby hospitals include Orange Park Medical Center, Ascension St. Vincent's Clay County, which matters for discharge planning and for staying close to a parent's doctors. Families here commonly focus on areas such as Middleburg Central, Ridgewood. Rural Clay pricing runs below the metro median.
Board & Care Homes: what you're actually buying
Board-and-care homes are small residential assisted living homes — often a converted house with a handful of residents — offering a quieter, family-style alternative to a big campus.
In Florida these are small-capacity ALFs licensed by AHCA under FS Ch. 429 and Rule 59A-36, with the same disclosure and inspection standards as larger communities. A typical monthly range is $2,800 to $4,800 a month.
Here's what separates a strong community from a weak one:
- the owner or operator's tenure and hands-on involvement
- the caregiver-to-resident ratio, which is the small home's main selling point
- what happens if care needs exceed what the home is licensed for
What it costs, and how families pay, in Middleburg
In the Middleburg market, board & care homes typically runs $2,800 to $4,800 a month. Rural Clay pricing runs below the metro median. Most families combine sources over time: private savings and Social Security first, then long-term-care insurance if it's in place, VA Aid & Attendance for eligible veterans and surviving spouses, and Florida's SMMC LTC Medicaid program, which can cover care services (not room and board) for those who meet the income and asset tests.
Verify any community's license and inspection record on Florida Health Finder (floridahealthfinder.gov) before you commit — it's the one statewide database that covers every facility in Clay County.
Where to start
A free Jacksonville Senior Advisor advisor can shortlist options that fit your budget and timeline and set up tours. Reach us online — there's never a fee for families.
