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The 10 Best Assisted Living Facilities in Saint Augustine, FL for 2024

Saint Augustine is a beautiful city on the Atlantic Coast, famous for its outstanding Spanish architecture and believed by many to be the oldest city in the country. It’s popular with seniors, who make up 22.7% of the population of approximately 14,300. In addition to Florida’s tax-friendly status, they’re also drawn to the city’s below-average healthcare and transportation costs.

Despite its compact size, Saint Augustine has over 10 assisted living facilities. They’re suitable for seniors who need assistance with some of their daily routines, such as personal grooming. They also provide excellent opportunities for residents to socialize together and participate in organized events. The average fee is $4,660, which is more than the state median, but the city’s popularity with seniors seems to suggest many think it’s a price worth paying.

This guide discusses the pros and cons of living in Saint Agustine and compares its assisted living costs with nearby cities. It also considers costs for other types of senior care and lists some senior-friendly resources.

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Assisted Living Facilities in Saint Augustine, Florida

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What to Consider About Assisted Living in Saint Augustine

Operating an assisted living community in Florida requires the facility to be licensed by the Florida Agency for Health Care Administration. To receive a license, the applicant must pass an ALF Director’s course and agree to a level 2 FBI background check, in addition to providing evidence their planned facility satisfies all staffing, health and safety and insurance requirements.

Benefits and Drawbacks of Assisted Living in Saint Augustine

  • One of the advantages of living in Florida is its tax benefits. Residents don’t pay state income taxes, which includes pensions, Social Security payments and IRAs. There are also no taxes paid on inheritances or estates. Jacksonville’s taxpayer service center is less than an hour from Saint Augustine. Its staff can provide seniors with more detailed information about paying taxes based on their unique circumstances.
  • Due to its size and distance from heavily populated areas, Saint Augustine has one major medical center in Flagler Hospital. It has primary and urgent care facilities, in addition to an emergency room. The facility also specializes in several areas of medicine, such as orthopedics and outpatient surgery. Seniors who need other types of specialist care don’t have far to travel as Jacksonville’s abundance of hospitals are only 50 minutes away.
  • The average cost of living index for Saint Augustine is 101.9, which, although above the national index figure, is below Florida’s. The figures look even better when considering costs most likely to interest seniors in assisted living. The healthcare cost index for Saint Augustine is 95.9, which is below Florida’s 98, and the transportation cost index is 87.6, which is significantly below the state’s 112.6.
  • Florida’s climate is a major draw for seniors, and Saint Augustine is no different. The city gets around 223 sunny days per year and boasts temperatures of 91 degrees in the height of summer. Even in winter’s coldest periods, the average is a cool 45 degrees. Rain is more common than normal, as it tends to be throughout the state, but the benefit is a city surrounded by green fields and several popular beauty spots nearby, such as Matanzas State Forest.
  • Saint Augustine has above-average rates of violent and property crime. However, the city center and surrounding areas tend to skew the figures as they experience criminal behavior more often. Generally speaking, localities beyond these areas have lower levels of crime. Concerned seniors should know that assisted living facilities normally have extensive security and surveillance systems and many have staff on-site around the clock.

Paying for Assisted Living in Saint Augustine

Figures published in the 2021 Genworth Cost of Care Survey show Saint Augustine’s average assisted living fees of $4,660 are on the higher end. The typical senior pays approximately $660 per month more than the average Floridian, but this drops to $160 when compared to the U.S. average.

The Cost of Assisted Living in Nearby Cities

Saint Augustine’s assisted living costs may encourage some seniors to consider relocating elsewhere in north Florida. Resettling in Tallahassee is unlikely to save much as the average fee is only $10 per month below Saint Augustine’s. However, moving down the coast to Deltona could make a difference because the typical fee is $3,975. Relocating to Gainesville might result in significant savings, as the median fee is $2,350.

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The Cost of Other Types of Senior Care

At around $1,625 per month, adult day care centers are the most affordable option in Saint Augustine. Nursing homes are the most expensive, typically charging $8,882 for a private room, but semiprivate rooms can be had for around $8,213. Assisted living is midway between the costs of homemaker services, at $4,481, and home health aides, at $4,767.

Homemaker Services


Home Health Aide


Adult Day Health Care


Assisted Living Facility


Nursing Home Facility (semiprivate room)


Nursing Home Facility (private room)


Note: Care cost data for Saint Augustine was not available, so data for the closest city, Jacksonville, was used instead.

Financial Assistance for Assisted Living in Saint Augustine

Florida provides two state programs to help eligible seniors with the cost of services at assisted living facilities: Medicaid Long-Term Care and Assistive Care Services. The state also offers optional state supplementation (OSS) for residents who receive social security income. 

Learn more about these programs, plus who’s eligible, on our Assisted Living in Florida page.

Financial Assistance for Assisted Living in Florida

More Ways to Pay for Assisted Living

While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Some additional ways to finance assisted living costs include:

  • Veterans Benefits
  • Life Insurance Policy
  • Long-Term Care Insurance
  • Reverse Mortgage

For more information about different ways to finance assisted living, visit our Assisted Living in Florida page.

Free Assisted Living Resources in Saint Augustine

One of the reasons Florida is such a great place to retire is the abundance of free resources dedicated to helping seniors live happier and more comfortable lives. The organizations listed here can advocate for seniors who have issues with the quality of their care, help veterans find long-term support and refer those who want to help their communities find organizations that need volunteers.

Florida Long-Term Care Ombudsman Program(888) 831-0404Ombudsmen are volunteers trained by the state to visit residential care facilities to engage with seniors, help them understand their rights and be an advocate during disputes with their care providers. The Florida Long-Term Care Ombudsman program also holds records of facility inspections, which it can make available at no cost to seniors planning their long-term care in an assisted living setting.
Florida Department of Veterans Affairs(727) 319-7440The Florida Department of Veterans Affairs is primarily a counseling service for U.S. military vets and their dependents. Its purpose is to help veterans deal with psychological conditions, such as depression and PTSD. However, it's also a gateway to other services aimed at making life easier for those who served. The department can connect vets to veterans' services officers in Saint Augustine who can help them identify and apply for the local, state and federal benefits they're entitled to. It can also refer those with medical needs to the Leo C. Chase, Jr. VA Clinic.
Council on Aging(904) 209-3700The Council on Aging of St. Johns County is a multi-resource nonprofit organization. Although most of its services benefit seniors living at home, it can also be useful for those in assisted living communities. Its transportation department operates several low-cost transit and paratransit services that can take seniors anywhere within St. John's County. It also manages the county's senior centers, including the Coastal Community Center in Saint Augustine.
RSVP St. Johns(904) 547-7500RSVP St. Johns is a volunteer program for adults aged 55 years and older. It connects those who want to help their communities with nonprofits that rely on volunteers to fulfill their purposes. The program focuses on educational opportunities, such as tutoring and mentoring students within the St. Johns County School District. To qualify, potential volunteers must complete a school access form to determine their suitability. Volunteers receive training before assuming their roles.

Assisted Living Laws and Regulations in Saint Augustine

Saint Augustine Assisted Living Communities must adhere to the comprehensive set of state laws and regulations that all Assisted Living Facilities in Florida are required to follow. Visit our Assisted Living in Florida page for more information about these laws.

Assisted Living Laws and Regulations in Florida

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Other Options in Saint Augustine, FL

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