For St. Augustine families weighing board & care homes, here's the 2026 picture — local costs, Florida licensing, and the questions that matter most before you tour.
What senior care looks like in St. Augustine
St. Augustine pairs a historic downtown with fast growth around World Golf Village, and its senior population is large — inventory ranges from small homes to newer communities.
St. Augustine sits in St. Johns County. Nearby hospitals include Flagler Health+ / UF Health St. Johns, Baptist Medical Center Beaches, which matters for discharge planning and for staying close to a parent's doctors. Families here commonly focus on areas such as Downtown St. Augustine, Anastasia Island, World Golf Village. St. Johns County pricing trends above the metro median and has been climbing.
What it costs, and how families pay, in St. Augustine
In the St. Augustine market, board & care homes typically runs $2,800 to $4,800 a month. St. Johns County pricing trends above the metro median and has been climbing. 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 St. Johns County.
Understanding board & care homes in Florida
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 to do next
You don't have to sort this out alone. Send a free Jacksonville Senior Advisor advisor a note and we'll match you to one to three vetted options.
