Companion Care in Palm Coast, FL: Senior Companions at Home

Local figures

Companion Care in Palm Coast, FL: the local picture

28,977

residents 65 or older (29% of Palm Coast)

19%

of residents 65+ in households live alone (20% in Flagler County)

18%

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

3.9%

of households have no vehicle (4.0% in Flagler County)

About 5,539 residents of Palm Coast aged 65 or older live alone, 19% of older residents in households (20% in Flagler County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

3.9% of Palm Coast households have no vehicle (4.0% in Flagler County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 28,977 Palm Coast residents aged 65 or older, 3,182 are 85 or older (11%). 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.

14,772 Palm Coast households headed by someone 65 or older own their home and 2,098 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 2,068 older Palm Coast residents (7.2%) live below the poverty line (6.7% in Flagler 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 18% of Palm Coast residents aged 5 and over speak a language other than English at home. The most common are Spanish (7,823), other Indo-European languages (2,934), Russian, Polish or other Slavic languages (2,239). 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.

Palm Coast compared with Flagler County and Florida

Census figure	Palm Coast	Flagler County	Florida
Residents 65+ in households who live alone	19%	20%	25%
Residents 65 or older	29%	31%	21%
Residents 5+ who speak a language other than English at home	18%	15%	31%
Households with no vehicle	3.9%	4.0%	6.0%
Residents 65+ below the poverty line (approx.)	7.2%	6.7%	12%
Residents 65+ with a disability	30%	29%	31%
Median income, households headed by someone 65+	$61,697	$63,791	—

Older residents in towns around Palm Coast

Town	Distance	Residents 65+	Live alone (65+)
Flagler Beach, FL	8.0 mi	1,838	27%
Bunnell, FL	9.4 mi	1,136	28%
Flagler Estates, FL	15 mi	624	13%
Ormond-by-the-Sea, FL	17 mi	2,960	28%
Butler Beach, FL	18 mi	1,864	24%
Ormond Beach, FL	19 mi	14,718	29%

Hospitals near Palm Coast (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Adventhealth Palm Coast Parkway	Palm Coast, FL	2.0 mi	4 of 5	(386) 302-1800
Adventhealth Palm Coast	Palm Coast, FL	4.2 mi	5 of 5	(386) 586-2000
Flagler Hospital	Saint Augustine, FL	21 mi	3 of 5	(904) 819-5155

Straight-line miles from the center of Palm Coast. 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 Palm Coast

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 27% of the $5,141 monthly median income of Palm Coast 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 Palm Coast: common questions

How many seniors live alone in Palm Coast?

About 5,539 residents aged 65 or older, 19% of older residents in households (Census ACS 2020–2024) (20% in Flagler County).

How much does companion care cost in Palm Coast?

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 27% of the $5,141 monthly median income of Palm Coast 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 Palm Coast?

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 Palm Coast

More senior care near Palm Coast

Companion Care in nearby cities

Other care in Palm Coast

More for Palm Coast 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 Palm Coast, FL