Companion Care in St. Augustine, FL for Seniors

Local figures

Companion Care in St. Augustine, FL: the local picture

4,213

residents 65 or older (27% of St. Augustine)

23%

of residents 65+ in households live alone (20% in St. Johns County)

9.9%

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

8.8%

of households have no vehicle (3.1% in St. Johns County)

About 928 residents of St. Augustine aged 65 or older live alone, 23% of older residents in households (20% in St. Johns County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

8.8% of St. Augustine households have no vehicle (3.1% in St. Johns County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 4,213 St. Augustine residents aged 65 or older, 478 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.

1,881 St. Augustine households headed by someone 65 or older own their home and 397 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 392 older St. Augustine residents (9.8%) live below the poverty line (6.7% in St. Johns 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 9.9% of St. Augustine residents aged 5 and over speak a language other than English at home. The most common are Spanish (711), other Indo-European languages (392), Russian, Polish or other Slavic languages (150). 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.

St. Augustine compared with St. Johns County and Florida

Census figure	St. Augustine	St. Johns County	Florida
Residents 65+ in households who live alone	23%	20%	25%
Residents 65 or older	27%	21%	21%
Residents 5+ who speak a language other than English at home	9.9%	11%	31%
Households with no vehicle	8.8%	3.1%	6.0%
Residents 65+ below the poverty line (approx.)	9.8%	6.7%	12%
Residents 65+ with a disability	31%	25%	31%
Median income, households headed by someone 65+	$58,406	$75,579	—

Older residents in towns around St. Augustine

Town	Distance	Residents 65+	Live alone (65+)
St. Augustine South, FL	3.6 mi	1,269	31%
St. Augustine Beach, FL	4.5 mi	2,054	21%
St. Augustine Shores, FL	6.2 mi	3,186	33%
Butler Beach, FL	7.3 mi	1,864	24%
World Golf Village, FL	12 mi	5,175	13%
Nocatee, FL	14 mi	5,756	13%

Hospitals near St. Augustine (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Flagler Hospital	Saint Augustine, FL	4.7 mi	3 of 5	(904) 819-5155
Ascension St Vincent's St Johns County	St. Johns, FL	19 mi	4 of 5	(904) 450-6020
Adventhealth Palm Coast Parkway	Palm Coast, FL	24 mi	4 of 5	(386) 302-1800

Straight-line miles from the center of St. Augustine. 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 St. Augustine

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 29% of the $4,867 monthly median income of St. Augustine 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 St. Augustine: common questions

How many seniors live alone in St. Augustine?

About 928 residents aged 65 or older, 23% of older residents in households (Census ACS 2020–2024) (20% in St. Johns County).

How much does companion care cost in St. Augustine?

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 29% of the $4,867 monthly median income of St. Augustine 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 St. Augustine?

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 St. Augustine

More senior care near St. Augustine

Companion Care in nearby cities

Other care in St. Augustine

More for St. Augustine 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 St. Augustine, FL