About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Top Home Care Agencies in St. Augustine, Florida

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Home Instead - St. Augustine and Palm Coast, FL, Grandma Joan's Live-In Care Consulting and Recruiting and Amada Senior Care of St. Augustine, FL are the top home care agencies in St. Augustine, Florida, offering compassionate support to help seniors remain safe and independent in their own homes. With 31 home care agencies in the area, families can find personalized solutions to fit their loved one’s needs and lifestyle. On average, home care in St. Augustine costs $30 per hour, providing a flexible and cost-effective way to get some additional support.

St. Augustine also offers a variety of aging-in-place resources — including wellness programs, transportation, social activities, and home-delivered meals — to help seniors continue living comfortably at home.

Home Care Agencies near St Augustine, FL

Showing 14 home care providers
Last Updated: 12/7/25
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Photo of Home Instead - St. Augustine and Palm Coast, FL
11 Photo available
4 reviews
Had several different caregivers. Current one is competent and engaging. Interested in helping. Older and less capable than I was hoping for; all of them. Not very good with gaining compliance from a...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Home Instead Senior Care enables the elderly to live independently. It's at home where quality of life is enhanced without the stress of interrupted routines and changes in daily habits. Our non-medical CAREGivers provide one-on-one support and interaction that reduce feelings of isolation and...
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Photo of Grandma Joan's Live-In Care Consulting and Recruiting
66 Photos available
57 reviews
I was in a real pinch to find the right care giver and "home manager" for my parents. Mom suffers from dementia and suddenly Dad, her main caregiver, had a stroke. Almost overnight, we needed immediate...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
About our Consulting and Recruiting ServicesGrandma Joan is an award-winning consulting and recruiter service that has been helping discerning families recruit, screen, and hire premium live-in caregivers since 2010.We act as the family’s private 3rd party recruiters, finding and screening the...
1 review
This agency is very helpful kind and willing to go above and beyond making sure who they send is competent and I am happy with her. PS They listen to me and gave good suggestions I know if I have a problem...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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1 review
From the first phone call to Granny Nannies to the end of their service, it was wonderful. The staff that handle the requests were very professional. Once my request was made, that was it. They handled...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Helping Hands Patient Services, LLC
22 Photos available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
HELPING HANDS PATIENT SERVICES is a limited liability corporation with a staff of dedicated lift team technicians and support personnel. HHPS’ mission is to provide safe patient handling, improve patient comfort, safety and recovery, and prevent employee injuries through skillful, compassionate...
Photo of Credible Homecare Services
11 Photo available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details

How much does home care cost in St. Augustine, Florida?

The average hourly rate for home care in St. Augustine is $30, based on A Place for Mom’s proprietary data.[01] This per-hour cost model allows families to create a custom schedule that fits their budget and their loved one’s care needs.

The cost of living in St. Augustine is 3% lower than the national average, which may help to offset some of the cost of part-time home care.[02] However, if you find that your loved one needs full-time care, a nursing home, memory care, or an assisted living community may be more cost-effective.

Average home care costs in Saint Augustine, FL

Average hourly rate
$30/hr

Home care costs vs. senior living costs in Saint Augustine, FL

44 hours of home care/wk
$5,716/mo
$5,162/mo

Home care costs in Saint Augustine vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.
Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.
Column location: Location (Location name)
Column hourlyCost: Hourly cost (Cost per hour)
Column dailyCost: Daily cost (Cost per day (4 hours))
Column monthlyCost: Monthly cost (Cost per month)
Column annualCost: Annual cost (Cost per year)
LocationHourly costDaily costMonthly costAnnual cost
Saint Augustine, FL$30$120$2,598$31,200
Florida$29$116$2,511$30,160
National$30$120$2,598$31,200
Saint Augustine, FL
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
Florida
Hourly cost:$29
Daily cost:$116
Monthly cost:$2,511
Annual cost:$30,160
National
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in St Augustine.

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How to pay for home care in St. Augustine

Most families in St. Augustine use a combination of personal funds and benefits to cover the cost of home care.

Private pay options

Many seniors and families in St. Augustine rely on the following sources to pay for home care:

  • Personal savings or retirement income. Income from Social Security, pensions, and investments is commonly used.
  • Life insurance. Some policies can be sold or converted to help pay for home care services.
  • Long-term care insurance. These policies may reimburse care costs, depending on coverage details.
  • Home equity. A reverse mortgage or HELOC (home equity line of credit) can provide funds for in-home support.

Medicare

Medicare may cover short-term home health services when they’re prescribed by a doctor, considered medically necessary, and provided by a Medicare-certified agency.[03] This can include:

  • Skilled nursing care
  • Occupational, physical, or speech therapy
  • Medical social services
  • Some medical supplies or durable equipment

However, Medicare won’t cover personal care — such as help with bathing or dressing — unless it’s part of a care plan that includes skilled nursing services.

Medicare resources in St. Augustine

For help understanding Medicare coverage and options, reach out to:

For general questions about Medicare, visit Medicare.gov.

Medicaid

Florida’s Statewide Medicaid Managed Care Long-Term Care Program provides home care support for residents who meet financial and health requirements.[04] Covered services may include:

  • Homemaker assistance
  • Adult day care
  • Home-delivered meals
  • Case management
  • Personal care and medical support

Medicaid resources in St. Augustine, FL

Seniors in St. Augustine can apply for Medicaid programs or seek guidance through the following agencies:

VA benefits

Veterans in St. Augustine may qualify for these VA programs that can help cover home care costs:

  • Aid and Attendance (A&A). The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities. These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680. The completed form can be uploaded online, mailed in, or submitted in person at the nearest regional benefit office in St. Petersburg.[05]
  • Homemaker and Home Health Aide Care. This program offers trained professionals to assist veterans with personal care needs, allowing them to remain in their homes. Services include help with activities like bathing, dressing, and meal preparation. Eligibility is determined by a VA health care provider, and services are coordinated through the local VA medical center. To apply, contact a VA social worker in Florida for next steps.[06]
  • Veteran Directed Care (VDC). The VDC program allows eligible veterans to manage their own care services, including hiring personal care aides. This self-directed approach provides flexibility in choosing caregivers and tailoring services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department.​ To access the program, reach out to your loved one’s VA social worker.[07]

Veterans resources in St. Augustine

These local and regional organizations can help with VA benefits:

Resources in St. Augustine that help seniors age in place

St. Augustine offers local programs and services to help older residents live safely and independently.

  • ElderSource
    ElderSource is the Area Agency on Aging (AAA) and Aging and Disability Resource Center (ADRC) that serves St. Augustine. It operates a telephone helpline, helps with Medicare, and provides resources for seniors and caregivers.
    10688 Old St. Augustine Road
    Jacksonville, FL 32257
    Phone: 888-242-4464
  • Johns County Council on Aging (COA)
    The COA in St. Johns County provides a senior center, Meals on Wheels, transportation, adult day care, respite care, care coordination, and other services to support local seniors.
    180 Marine St.
    St. Augustine, FL 32084
    Phone: 904-209-3700
  • Sunshine Bus Company
    The Sunshine Bus Company provides affordable door-to-door transportation for eligible seniors and residents with disabilities.
    Phone: 904-209-3716

Home care laws and regulations in Florida

Families in St. Augustine can feel confident knowing that Florida regulates home care services to help protect clients and ensure quality.

Licensing and oversight

Home health agencies must meet specific standards related to patient care, staff qualifications, and operational procedures to be licensed in Florida. Agencies that provide skilled nursing services are required to have a qualified director of nursing and may need to obtain accreditation, especially if they seek Medicare or Medicaid certification.[09]

In Florida, Homemaker and Companion Services (HCS) providers only offer nonmedical services like light housekeeping, companionship, cooking, and running errands. Unlike home health agencies that provide skilled care, a license isn’t required for these providers. However, they must still register with the state. By law, these providers can’t provide personal care or medical care.[10]

Hiring practices

Licensed agencies must follow state regulations, including:[10]

  • Conducting background checks
  • Verifying caregiver credentials
  • Providing initial and ongoing training
  • Maintaining supervision and service documentation

These standards help ensure safe, reliable care for seniors and peace of mind for families.

How to choose the right home care agency in St. Augustine

The following steps can help you choose the right home care agency in St. Augustine.

Compare pricing and services

Ask each agency for a written estimate detailing hourly rates, minimum shifts, and service types. Clarify what’s included and whether extra fees apply.

Verify caregiver training

Look for agencies that train staff in areas like dementia care, fall prevention, and chronic condition support. Ask about ongoing education and supervision.

Check licensing status

The Florida Agency for Health Care Administration (AHCA) maintains records of inspections and any deficiencies found in home care agencies. Access an agency’s inspection reports and complaint history through the AHCA’s public records search portal.

Read reviews and testimonials

Check online reviews for real experiences with agencies in St. Augustine. Note trends in client satisfaction, reliability, and caregiver professionalism.

References

  1. A Place for Mom. (2025). A Place for Mom proprietary data.

  2. PayScale. (2024). Cost of living in St. Augustine, Florida.

  3. U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.

  4. Florida Agency for Health Care Administration. Medicaid home health services.

  5. U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

  6. U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

  7. U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

  8. Florida Agency for Health Care Administration. State laws and rules.

  9. Online Sunshine. The 2023 Florida statutes.

  10. Florida Agency for Health Care Administration. Frequently asked questions: Homemaker and Companion Services (HCS) registration.

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More questions?

Ask an A Place for Mom local advisor at no cost.

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

A Place for Mom. (2025). A Place for Mom proprietary data.

2.
3.

U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.

4.

Florida Agency for Health Care Administration. Medicaid home health services.

5.

U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

6.

U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

7.

U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

8.

Florida Agency for Health Care Administration. State laws and rules.

9.

Online Sunshine. The 2023 Florida statutes.

10.