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A small care home or a large community?

The two counties have plenty of both. They suit different people.

Quick answer

Very: 50 of the 105 licensed ALFs here are licensed for 16 or fewer residents and 15 for 100 or more, with a median of 26 beds; the small homes cluster in Deltona and Palm Coast neighborhoods, the large buildings along the coast and in DeLand.

Home›Comparisons›A small care home or a large community?

How common are small ALFs here?

Very: 50 of the 105 licensed ALFs here are licensed for 16 or fewer residents and 15 for 100 or more, with a median of 26 beds; the small homes cluster in Deltona and Palm Coast neighborhoods, the large buildings along the coast and in DeLand.

Small homes are often converted single-family houses on residential streets. Large buildings are purpose-built, often with separate memory care wings, dining rooms and activity calendars.

How does staffing differ?

Florida's weekly staff-hour floor applies to both, but a home under 17 residents may have staff sleeping overnight rather than awake, while larger buildings must have someone awake at all hours; small homes often have one caregiver on duty for most of the day.

The ratio can actually be better in a six-bed home during the day. The question is what happens at 3 a.m. and when the one caregiver is busy with another resident.

How do inspection records differ?

AHCA inspects both kinds of facility, but it posts searchable inspection histories mainly for buildings licensed for 40 or more residents, so for a small home you will usually need to ask the operator for the latest survey report.

Every small home in our roster shows its license, beds, status and any sanctions from its AHCA profile; the larger buildings also have survey citations and their own pages.

Who does better in a small home, and who in a large building?

Small homes tend to suit people who are quiet, easily overwhelmed, or need a lot of hands-on help in a calm setting; large buildings tend to suit people who want activities, social life, a dining room, and the option of moving to a memory care wing on the same campus.

Small homes are also often less expensive, and some accept OSS residents. Large buildings more often hold LNS or ECC licenses that allow more care before a move.

What should we ask a small home in particular?

Ask who lives or sleeps on site, who covers when the main caregiver is off, how medications are stored and given, what the backup power and evacuation plan is, and whether the home can keep your parent if needs increase.

Ask to see the AHCA license on the wall and compare it with the profile on FloridaHealthFinder.

At a glance

A small residential ALFA large assisted living building
SettingA house on a residential streetA purpose-built community
OvernightStaff may sleep on site (under 17 residents)Someone awake at all hours
RecordsAsk the operator for the latest surveyPosted inspection history on AHCA's site

Sources: Chapters 408, 429 and 651, Florida Statutes; Florida Administrative Code chapters 59A-36 and 65A-2; publications of AHCA, DCF, OIR and the Department of Elder Affairs; and the CareScout and VA tables named on the page. See our editorial standards for how figures are checked.

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