In-Home Dementia and Alzheimer's Care in St. Augustine, FL
Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in St. Augustine for free and hire a caregiver directly, with no agency mark-up.
Dementia Care in St. Augustine, FL: the local picture
St. Augustine has about 478 residents aged 85 or older among 4,213 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.
31% of residents 65 and older report a disability (25% in St. Johns County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.
23% of older St. Augustine residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.
St. Augustine compared with St. Johns County and Florida
| Census figure | St. Augustine | St. Johns County | Florida |
|---|---|---|---|
| Residents 85 or older | 3.1% | 2.0% | 2.6% |
| Residents 65 or older | 27% | 21% | 21% |
| Residents 65+ with a disability | 31% | 25% | 31% |
| Residents 65+ in households who live alone | 23% | 20% | 25% |
| Residents 65+ below the poverty line (approx.) | 9.8% | 6.7% | 12% |
| Residents 5+ who speak a language other than English at home | 9.9% | 11% | 31% |
| Median income, households headed by someone 65+ | $58,406 | $75,579 | — |
Older residents in towns around St. Augustine
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| St. Augustine South, FL | 3.6 mi | 1,269 | 75 |
| St. Augustine Beach, FL | 4.5 mi | 2,054 | 130 |
| St. Augustine Shores, FL | 6.2 mi | 3,186 | 377 |
| Butler Beach, FL | 7.3 mi | 1,864 | 138 |
| World Golf Village, FL | 12 mi | 5,175 | 200 |
| Nocatee, FL | 14 mi | 5,756 | 342 |
Nursing homes near St. Augustine
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Lilac At Bayview, The | Saint Augustine, FL | 1.0 mi | 2 of 5 | 120 | (904) 829-3475 |
| St Augustine Health And Rehabilitation Center | Saint Augustine, FL | 2.0 mi | 1 of 5 | 120 | (904) 824-4479 |
| Ponce Therapy Care Center And Rehab, The | Saint Augustine, FL | 2.4 mi | 5 of 5 | 120 | (904) 824-3311 |
| Moultrie Creek Nursing And Rehab Center | Saint Augustine, FL | 5.9 mi | 5 of 5 | 120 | (904) 797-1800 |
| Clyde E Lassen State Veterans Nursing Home | Saint Augustine, FL | 10 mi | 5 of 5 | 120 | (904) 940-2193 |
| Westminster St Augustine | Saint Augustine, FL | 12 mi | 5 of 5 | 30 | (904) 940-4801 |
Hospices serving St. Augustine
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Heartland Hospice (Jacksonville) | Jacksonville, FL | 27 mi | (904) 737-2553 |
| Community Hospice Of Northeast Florida Inc | Jacksonville, FL | 27 mi | (904) 268-5200 |
| Hospice Of Florida | Jacksonville, FL | 36 mi | (904) 740-2310 |
| Adventhealth Hospice Care East Florida | Ormond Beach, FL | 44 mi | (386) 231-6555 |
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 a dementia caregiver can help with
- Keeping a predictable daily routine
- Gentle help with bathing, dressing and toileting
- Meals, hydration and medication reminders
- Calming approaches for sundowning, agitation and repeated questions
What dementia 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.
What to know before hiring a dementia caregiver
An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.
Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Dementia Care in St. Augustine: common questions
What nursing homes are near St. Augustine?
The closest Medicare-certified nursing homes are Lilac At Bayview, The in Saint Augustine (1.0 mi, 2 of 5 overall); St Augustine Health And Rehabilitation Center in Saint Augustine (2.0 mi, 1 of 5 overall); Ponce Therapy Care Center And Rehab, The in Saint Augustine (2.4 mi, 5 of 5 overall). Ratings are from Medicare Care Compare.
How much does dementia 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.
When does someone with dementia need care at home?
Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.
More senior care near St. Augustine
Dementia Care in nearby cities
- Dementia Care in St. Augustine South, FL
- Dementia Care in St. Augustine Beach, FL
- Dementia Care in St. Augustine Shores, FL
- Dementia Care in Butler Beach, FL
- Dementia Care in World Golf Village, FL
- Dementia Care in Nocatee, FL
- Dementia Care in Flagler Estates, FL
- Dementia Care in Sawgrass, FL
- Dementia Care in Palm Valley, FL
- Dementia Care in Green Cove Springs, FL
- Dementia Care in Fruit Cove, FL
- Dementia Care in Palm Coast, FL
- Dementia Care in Jacksonville Beach, FL
- Dementia Care in Fleming Island, FL
- Dementia Care in Palatka, FL
- Dementia Care in Neptune Beach, FL
Other care in St. Augustine
- Companion Care in St. Augustine
- Respite Care in St. Augustine
- Live-In Caregivers in St. Augustine
- Post-Surgery Care in St. Augustine
- Senior Transportation in St. Augustine
- Home Health Aides in St. Augustine
- Nursing Assistants in St. Augustine
- Personal Care in St. Augustine
- Overnight Caregivers in St. Augustine
- 24-Hour Home Care in St. Augustine
- Mobility Assistance in St. Augustine
- Parkinson’s Care in St. Augustine
- Stroke Recovery Support in St. Augustine
- Disability Care for Adults in St. Augustine
- Hospice Support in St. Augustine
- Senior Meal Preparation in St. Augustine
- Senior Housekeeping in St. Augustine
- Medication Reminders in St. Augustine
- Veterans’ Home Care in St. Augustine
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.
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