In-Home Care for St. Augustine, From the Old City to World Golf Village

For most of the city, the hospital is UF Health Flagler Hospital at 400 Health Park Boulevard, about 10 minutes’ drive from the Council on Aging’s Marine Street campus in free-flowing traffic. It has 335 beds and a 48-bed Emergency Care Center, and the Joint Commission has designated it a Primary Stroke Care Center. AdventHealth Treaty Oaks ER, a 24-hour freestanding emergency room run by AdventHealth Palm Coast, opened in July 2026 at 1775 State Road 207. After a stroke, a brain or spinal cord injury, or orthopedic surgery, some patients go on to Encompass Health Rehabilitation Hospital of St. Augustine, at 65 Silver Lane, before they come home. Either way, discharge can arrive with only a few hours’ notice, and the first days at home are when hospital-to-home care matters most: the new prescriptions picked up, meals that follow the discharge instructions, help in and out of the shower and a ride to the first follow-up. Home health nurses and therapists come and go on the doctor’s orders; our caregivers fill the rest of the day. We are a non-medical, private-pay agency: we accept long-term care insurance, don’t bill Medicare or Medicaid, and put every plan in writing after a free in-home assessment, with a registered nurse on our staff.

Downtown, the St. Johns County Council on Aging runs two programs at 180 Marine Street. The Coastal Community Center is open weekdays for adults 60 and older, with lunch, chair exercise, bingo and rides within a set radius on request. The Sunshine Center, in the same building, is the Council’s adult day care center for people with Alzheimer’s, dementia and other brain disorders, with skilled nursing care in a secured setting. Days there, and Alzheimer’s and dementia care at home on the days between, keep the routine steady and give a spouse or adult child hours back. The Sunshine Bus runs Monday through Saturday; several routes stop at Flagler Hospital, the Red Line stops at the Council on Aging on Marine Street, and riders 60 and older pay $1 each way. With 24 hours’ notice, a bus can detour up to a quarter mile off its route for a flat $4 on top of the fare. The bus gets a parent to the building; companion care gets them through the visit, with a caregiver who drives, waits and takes notes for the family.

North and west of the city the houses are new: in the Census survey, about 85% of homes in 32092 and 82% in 32095 were built in 2000 or later, against 58% countywide. Not everyone in them is young: in the Census area for World Golf Village, about one in five of roughly 26,100 residents is 65 or older. Cascades at World Golf Village is a community for active adults 55 and older, with 450 single-family, one-story homes. Westminster St. Augustine, on Towerview Drive, is a Life Plan Community with independent living, assisted living, memory support, skilled nursing and rehabilitation, and the Clyde E. Lassen State Veterans’ Nursing Home on State Road 16, open since 2010, has 120 beds, 60 of them for residents with dementia. A one-story house takes care of the stairs, but not the shower, the drive to the doctor or the long afternoon alone. When living alone is no longer realistic and a move is not what your parent wants, live-in care keeps a caregiver in the house around the clock.

Up here the closest hospital is often not Flagler. From Westminster St. Augustine, Ascension St. Vincent’s St. Johns County, a Primary Stroke Center with a 24-hour emergency room, is about 14 minutes away in free-flowing traffic, and from Palencia about 18; Flagler Hospital is about 24 from either. Closer still, UF Health runs an urgent care at MuraBella on Turin Terrace, and between here and the city, State Road 16 has two emergency rooms: the Baptist & Wolfson St. Augustine Emergency Room at 461 Outlet Mall Boulevard, off State Road 16 at I-95, and HCA Florida St. Augustine Emergency, a freestanding ER that opened in February 2026 at 1780 Woodlawn Road. The Sunshine Bus’s Purple Line runs out State Road 16, with stops at the veterans’ home and the MuraBella Publix, and also serves the Palencia Publix. Farther west, the Council on Aging’s Trout Creek Senior Center, at 6795 Collier Road, serves lunch to residents over 60 on Mondays, Wednesdays and Fridays. Out that way, distance from the ocean is no protection in storm season: the county’s evacuation Zone F covers an area along the St. Johns River that is vulnerable to flooding. For the neighborhoods north of here, see home care in St. Johns and Fruit Cove and home care in Nocatee and Ponte Vedra 32081, or find every ZIP code we cover on our Ponte Vedra service areas page.