Daytona Beach Senior AdvisorBy Daytona Beach Senior Advisor Care Team · September 28, 2026
Flagler's 65-and-older population rose from 37,121 in 2020 to 46,785 in 2025 (+26%), and 33.3% of residents are now 65 or older. The county has 18 licensed ALFs with 835 beds, almost all in Palm Coast, two nursing homes and no continuing care provider on OIR's list.
How fast is Flagler County aging?
Census Bureau estimates put Flagler County's population at 140,360 on July 1, 2025, up from 115,378 in April 2020. The 65-and-older group grew faster than the county as a whole, by 9,664 people, and residents aged 75 or older numbered about 21,475. Flagler's median age of 54.2 is among the highest in Florida.
Most of that growth is in Palm Coast, where retirees from the Northeast and Midwest have bought homes along the canals and in newer sections west of I-95. Many arrived healthy and active; a decade or two later, the same households are starting to need help.
What licensed care does Flagler have?
| Facility | City | Beds | Specialty license | Memory care reported | First licensed |
|---|---|---|---|---|---|
| Tuscan Gardens of Palm Coast | Palm Coast | 160 | Standard | Yes | 2026 |
| Sancerre at Palm Coast | Palm Coast | 116 | Standard | Yes | 2021 |
| The Heron of Palm Coast | Palm Coast | 100 | Standard | Yes | 2023 |
| Harborchase of Palm Coast | Palm Coast | 98 | ECC | Yes | 2025 |
| Windsor of Palm Coast | Palm Coast | 94 | LNS | Yes | 2012 |
| The Opal at Palm Coast | Palm Coast | 80 | Standard | Yes | 2026 |
| Artis Senior Living of Palm Coast | Palm Coast | 68 | LNS | Yes | 2025 |
| Brookdale Palm Coast | Palm Coast | 60 | LNS | No | 2000 |
| Brendlyn Assisted Living LLC | Palm Coast | 6 | Standard | No | 2021 |
| Gentle Care Assisted Living Inc. 2 | Palm Coast | 6 | Standard | No | 1999 |
| Good Sam's Assisted Living Residence, LLC | Palm Coast | 6 | Standard | No | 2016 |
| Good Samaritan Care Center Assisted Living Facility Inc. | Palm Coast | 6 | Standard | Yes | 2005 |
| Home Sweet Home ALF, LLC | Palm Coast | 6 | Standard | Yes | 2019 |
| Magnolia Manor of Palm Coast, Inc. | Palm Coast | 6 | Standard | No | 1999 |
| Peaceful Home Assisted Living | Palm Coast | 6 | Standard | No | 2024 |
| S & B Kingdom Care, LLC | Palm Coast | 6 | Standard | No | 2012 |
| Therapeutic Assisted Living Corp | Palm Coast | 6 | LMH | No | 2020 |
| Pampered Parents, ALF, Inc | Palm Coast | 5 | Standard | Yes | 2014 |
Flagler also has two nursing homes, Aviata at Grand Oaks in Palm Coast and Flagler Health and Rehabilitation Center in Bunnell, and AHCA lists 12 adult family care homes in the county, more than in all of Volusia.
Source: AHCA FloridaHealthFinder, retrieved November 6, 2026; Census Bureau Vintage 2025 estimates.
Is the supply keeping pace?
By a rough measure, Flagler has one licensed assisted living bed for every 25 residents aged 75 or older; Volusia has one for every 18. Nursing home capacity is thinner still, with 240 licensed beds in the county. Many Flagler families end up looking at Ormond Beach and Daytona Beach, 20 to 30 minutes south, especially for nursing home rehab.
The newest buildings are a sign of catch-up: several Palm Coast ALFs were first licensed or changed hands within the past few years.
Why do ownership changes matter here?
Palm Coast has seen an unusual number of ownership changes. AHCA records show recent changes at The Opal at Palm Coast (July 1, 2026), Tuscan Gardens of Palm Coast (March 6, 2026), Artis Senior Living of Palm Coast (February 28, 2025), Harborchase of Palm Coast (January 1, 2025), Peaceful Home Assisted Living (January 18, 2024), The Heron of Palm Coast (September 1, 2023).
New owners can bring investment and fresh management, but they can also change prices, staffing and policies. When touring a building that recently changed hands, ask who stayed through the sale, starting with the administrator and the nurses, and whether the contract terms changed.
What about care at home in Flagler?
Many Flagler retirees want to stay in their houses as long as possible, and home care is the first service most households add. AHCA lists 9 home health agency offices with Flagler County addresses, though agencies based in Ormond Beach and Daytona Beach also serve Palm Coast. Flagler County Senior Services, an ElderSource partner, runs meals and in-home programs for eligible residents. Adult day care is available at the David I. Siegel Adult Day Care Center in Palm Coast, a useful option for families with a working caregiver.
For out-of-state children of Palm Coast retirees, the practical advice is the same as anywhere: get the legal documents signed, find a local contact who can visit, and keep a short list of licensed options ready before a hospital stay forces a quick decision.
What should Flagler families do now?
Plan earlier than you think you need to. Get on ElderSource's screening list (1-888-242-4464) if Medicaid may be needed, tour two or three Palm Coast buildings before a crisis, and decide whether a nursing home in Ormond Beach or Daytona Beach would be acceptable for rehab after a hospital stay at AdventHealth Palm Coast.
Our Palm Coast page splits the city by area, and the Flagler County page covers every town.
Frequently asked questions
How many ALFs are in Flagler County?
18, with 835 licensed beds, per AHCA's locator.
Is there a continuing care community in Flagler?
Not on OIR's October 2025 list. The nearest are in Orange City and DeLand.
Which agency helps Flagler seniors?
ElderSource, with Flagler County Senior Services as a local provider.
