In-Home Care for Elkton, Armstrong and Spuds

ZIP 32033 is the Postal Service’s Elkton: about 78 square miles of farm fields, pine woods and small settlements in the southwest of St. Johns County. All of it lies inside the county and none of it is incorporated; the Census Bureau does not draw even a census-designated place within it, so the figures below are for the ZIP code as a whole. State Road 207 runs through it on the way from St. Augustine to Hastings, and County Roads 305, 13, 13A and 214 cross it as well. Elkton is the crossroads of SR 207 and County Road 305, and it still has the post office that handles mail for the rural southwest of the county. Armstrong lies just southwest of it off SR 207, and Spuds farther along toward Hastings. Florida State Parks counts Armstrong among the county’s oldest African American settlements, and in the early 20th century Armstrong, Hastings, Elkton and Spuds made up Florida’s “potato belt”; by the mid-1920s Elkton was called “the heart of the Irish potato district.” Our office is at Nocatee Town Center, in the north of the county; for the team, the services and how we work, start with home care across Ponte Vedra.

The Census Bureau’s 2020–2024 American Community Survey estimates describe a far older place than the county around it. The median age in 32033 is 61.5, against 44.2 for St. Johns County. Close to 45% of its roughly 4,600 residents are 65 or older, against about 21% countywide, and 62% of households include someone that age. About 530 residents 65 and older live alone, nearly one household in four and more than twice the county’s share. They are spread thin, at roughly 58 residents per square mile of land against about 510 for the county as a whole. The sample behind these estimates is small, so read each number as approximate, but the picture is clear: many older people living on their own, with the nearest help a drive away. Companion care puts someone in the house on a set schedule, for conversation, meals, the trip to the store and a second pair of eyes on how your parent is doing, and hourly care adds help with bathing, laundry and housework a few hours at a time.

The hospital for 32033 is UF Health Flagler Hospital, the 335-bed hospital at 400 Health Park Boulevard in St. Augustine, which The Joint Commission has designated a Primary Stroke Care Center. In free-flowing traffic it is about 19 minutes’ drive from the Elkton crossroads and about 23 from Spuds. Since July 14, 2026, there has also been an emergency room closer in: AdventHealth Treaty Oaks ER, at 1775 State Road 207 just east of I-95, about 12 minutes from Elkton and 17 from Spuds. It is a 12-bed freestanding ER, open around the clock, with a lab, X-ray, ultrasound and CT scanning and an overnight observation unit. It is a department of AdventHealth Palm Coast, not an urgent care center, and bills at hospital emergency rates; a patient who needs a hospital stay is transferred, which AdventHealth says can mean one of its Palm Coast hospitals. Either way, the emergency is the short part. What follows is a run of trips into town: the follow-up visit, the lab work, the outpatient therapy sessions, the pharmacy. Primary care is nearer. Aza Health runs a community health center at 201 West Lattin Street in Hastings, about 10 minutes from Elkton, open Monday through Thursday; it accepts Medicaid and most insurance plans and offers a sliding fee to patients who qualify. For the city itself, see home care in St. Augustine.

Discharge day ends with the drive home to a house that may have sat empty for days. Our hospital-to-home care starts that day: a caregiver can pick up the prescriptions in St. Augustine before heading out, stock the kitchen with food that fits the discharge instructions and stay through the first nights, then drive your parent back into town for the follow-up visit later in the week. Personal care covers bathing and dressing while your parent is still unsteady, and mobility care means a steady arm on the porch steps, in and out of the car, and on the daily walks a therapist asks for. When a home health nurse or therapist visits a few times a week, our caregivers cover the rest of it. We are a non-medical, private-pay agency: we accept long-term care insurance and don’t bill Medicare or Medicaid. Every plan starts with a free in-home assessment at the house itself, and there is a registered nurse on our staff.