Companion Care in Middleburg, FL: Senior Companions at Home

Local figures

Companion Care in Middleburg, FL: the local picture

1,893

residents 65 or older (16% of Middleburg)

16%

of residents 65+ in households live alone (19% in Clay County)

8.4%

of residents 5+ speak a language other than English at home

1.0%

of households have no vehicle (3.6% in Clay County)

About 294 residents of Middleburg aged 65 or older live alone, 16% 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.

1.0% of Middleburg 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 1,893 Middleburg residents aged 65 or older, 77 are 85 or older (4.1%). 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.

1,146 Middleburg households headed by someone 65 or older own their home and 28 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 101 older Middleburg residents (5.3%) 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 8.4% of Middleburg residents aged 5 and over speak a language other than English at home. The most common are Spanish (618), other Indo-European languages (122), German or West Germanic languages (72). 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.

Middleburg compared with Clay County and Florida

Census figure	Middleburg	Clay County	Florida
Residents 65+ in households who live alone	16%	19%	25%
Residents 65 or older	16%	17%	21%
Residents 5+ who speak a language other than English at home	8.4%	11%	31%
Households with no vehicle	1.0%	3.6%	6.0%
Residents 65+ below the poverty line (approx.)	5.3%	8.4%	12%
Residents 65+ with a disability	32%	34%	31%
Median income, households headed by someone 65+	$56,436	$67,737	—

Older residents in towns around Middleburg

Town	Distance	Residents 65+	Live alone (65+)
Asbury Lake, FL	6.8 mi	1,834	12%
Oakleaf Plantation, FL	9.4 mi	3,028	17%
Lakeside, FL	9.9 mi	5,934	21%
Fleming Island, FL	12 mi	6,554	18%
Bellair-Meadowbrook Terrace, FL	13 mi	2,555	22%
Green Cove Springs, FL	14 mi	1,746	20%

Hospitals near Middleburg (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Ascension St Vincent's Clay County	Middleburg, FL	3.2 mi	3 of 5	(904) 602-1000
HCA Florida Orange Park Hospital	Orange Park, FL	13 mi	3 of 5	(904) 276-8500
Ed Fraser Memorial Hospital	Macclenny, FL	21 mi	1 of 5	(904) 259-3151

Straight-line miles from the center of Middleburg. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What companion care costs in Middleburg

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 30% of the $4,703 monthly median income of Middleburg 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.

Before you hire

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.

Questions

Companion Care in Middleburg: common questions

How many seniors live alone in Middleburg?

About 294 residents aged 65 or older, 16% of older residents in households (Census ACS 2020–2024) (19% in Clay County).

How much does companion care cost in Middleburg?

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 30% of the $4,703 monthly median income of Middleburg 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 Middleburg?

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 near Middleburg

More senior care near Middleburg

Companion Care in nearby cities

Other care in Middleburg

More for Middleburg families

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.

Companion Care for Seniors in Middleburg, FL