Companion Care for Seniors in Fleming Island, FL
Conversation, outings, meals together and a steady, friendly presence for an older adult who lives alone or spends long days by themselves. Post what you need in Fleming Island for free and hire a caregiver directly, with no agency mark-up.

Companion Care in Fleming Island, FL: the local picture
About 1,115 residents of Fleming Island aged 65 or older live alone, 18% of older residents in households (19% in Clay County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.
1.9% of Fleming Island households have no vehicle (3.6% in Clay County). A companion who drives can turn a week at home into appointments, shopping and visits.
Of the 6,554 Fleming Island residents aged 65 or older, 553 are 85 or older (8.4%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.
3,606 Fleming Island households headed by someone 65 or older own their home and 361 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.
About 529 older Fleming Island residents (8.3%) live below the poverty line (8.4% in Clay County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.
About 11% of Fleming Island residents aged 5 and over speak a language other than English at home. The most common are Spanish (1,430), other Indo-European languages (617), Tagalog (374). If the person you care for is more at ease in one of these languages, say so in your posting; many caregivers list the languages they speak.
Fleming Island compared with Clay County and Florida
| Census figure | Fleming Island | Clay County | Florida |
|---|---|---|---|
| Residents 65+ in households who live alone | 18% | 19% | 25% |
| Residents 65 or older | 22% | 17% | 21% |
| Residents 5+ who speak a language other than English at home | 11% | 11% | 31% |
| Households with no vehicle | 1.9% | 3.6% | 6.0% |
| Residents 65+ below the poverty line (approx.) | 8.3% | 8.4% | 12% |
| Residents 65+ with a disability | 30% | 34% | 31% |
| Median income, households headed by someone 65+ | $91,313 | $67,737 | — |
Older residents in towns around Fleming Island
| Town | Distance | Residents 65+ | Live alone (65+) |
|---|---|---|---|
| Lakeside, FL | 4.3 mi | 5,934 | 21% |
| Orange Park, FL | 5.0 mi | 2,455 | 22% |
| Fruit Cove, FL | 5.5 mi | 4,988 | 16% |
| Asbury Lake, FL | 5.7 mi | 1,834 | 12% |
| Bellair-Meadowbrook Terrace, FL | 5.7 mi | 2,555 | 22% |
| Green Cove Springs, FL | 8.1 mi | 1,746 | 20% |
Hospitals near Fleming Island (for rides to appointments)
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| HCA Florida Orange Park Hospital | Orange Park, FL | 4.6 mi | 3 of 5 | (904) 276-8500 |
| Ascension St Vincent's Clay County | Middleburg, FL | 9.2 mi | 3 of 5 | (904) 602-1000 |
| Ascension St Vincent's St Johns County | St. Johns, FL | 9.9 mi | 4 of 5 | (904) 450-6020 |
Straight-line miles from the center of Fleming Island. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a companion caregiver can help with
- Conversation, cards, puzzles and shared hobbies
- Walks and outings to the park, library or senior center
- Company at meals, and help preparing them
- Rides or escort to appointments, church and visits
What companion care costs in Fleming Island
At the Florida median aide wage of $16.25 an hour, 20 hours of help a week comes to about $1,408 a month in wages, which is 19% of the $7,609 monthly median income of Fleming Island households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see How to get paid to take care of a family member in Florida: SMMC LTC and the PDO.
What to know before hiring a companion caregiver
Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).
Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Companion Care in Fleming Island: common questions
How many seniors live alone in Fleming Island?
About 1,115 residents aged 65 or older, 18% of older residents in households (Census ACS 2020–2024) (19% in Clay County).
How much does companion care cost in Fleming Island?
At the Florida median aide wage of $16.25 an hour, 20 hours of help a week comes to about $1,408 a month in wages, which is 19% of the $7,609 monthly median income of Fleming Island households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.
What does a companion caregiver do in Fleming Island?
A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.
More senior care near Fleming Island
Companion Care in nearby cities
- Companion Care in Lakeside, FL
- Companion Care in Orange Park, FL
- Companion Care in Fruit Cove, FL
- Companion Care in Asbury Lake, FL
- Companion Care in Bellair-Meadowbrook Terrace, FL
- Companion Care in Green Cove Springs, FL
- Companion Care in Oakleaf Plantation, FL
- Companion Care in Middleburg, FL
- Companion Care in World Golf Village, FL
- Companion Care in Jacksonville, FL
- Companion Care in Nocatee, FL
- Companion Care in Palm Valley, FL
- Companion Care in Sawgrass, FL
- Companion Care in Jacksonville Beach, FL
- Companion Care in Neptune Beach, FL
- Companion Care in Atlantic Beach, FL
Other care in Fleming Island
- Dementia Care in Fleming Island
- Respite Care in Fleming Island
- Live-In Caregivers in Fleming Island
- Post-Surgery Care in Fleming Island
- Senior Transportation in Fleming Island
- Home Health Aides in Fleming Island
- Nursing Assistants in Fleming Island
- Personal Care in Fleming Island
- Overnight Caregivers in Fleming Island
- 24-Hour Home Care in Fleming Island
- Mobility Assistance in Fleming Island
- Parkinson’s Care in Fleming Island
- Stroke Recovery Support in Fleming Island
- Disability Care for Adults in Fleming Island
- Hospice Support in Fleming Island
- Senior Meal Preparation in Fleming Island
- Senior Housekeeping in Fleming Island
- Medication Reminders in Fleming Island
- Veterans’ Home Care in Fleming Island
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
Find companion care in Fleming Island
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