Flagler County had about 140,360 residents on July 1, 2025, 33.3% of them 65 or older, with a median age of 54.2, one of the oldest county populations in Florida. Palm Coast holds most of its people; Bunnell is the county seat, and Flagler Beach and Beverly Beach line the coast on A1A.
Flagler is also in Planning and Service Area 4, served by ElderSource, with Flagler County Senior Services as a local provider. Beacon of Life's planned PACE program would cover Flagler as well as Volusia and Seminole, but it was still awaiting federal approval in August 2026.
How many older adults and licensed care options does Flagler County have?
Flagler County had about 46,785 residents aged 65 or older (33.3% of 140,360) and 4,852 aged 85 or older on July 1, 2025, and AHCA licenses 18 assisted living facilities and 2 nursing homes there.
| What Flagler County has | What Flagler County lacks | |
|---|---|---|
| Licenses at local addresses (AHCA) | Assisted living facilities: 18, Nursing homes: 2, Home health agencies: 9, Adult day care centers: 1, Adult family care homes: 12 | — |
| License types absent | — | Hospices |
| ALFs reporting a memory care program | 10 | — |
Population: U.S. Census Bureau, Vintage 2025 county population estimates by age (July 1, 2025).
How fast is Flagler County's older population growing?
Census estimates show Flagler County's 65-and-older population rising from 37,121 in April 2020 to 46,785 in July 2025, up 9,664 or 26%, while the whole county grew 22%.
Residents aged 75 or older numbered about 21,475 in 2025. Against the county's 835 licensed assisted living beds, that is roughly one bed for every 25 people aged 75 or older, a tighter supply than in Volusia.
Where in Flagler County is licensed senior care located?
By mailing address, Flagler County's assisted living beds are concentrated in Palm Coast, Bunnell and Flagler Beach; the table lists every city with at least one license.
| City or community | Licensed ALFs | ALF beds | Nursing homes | Home health / hospice offices |
|---|---|---|---|---|
| Palm Coast | 18 | 835 | 1 | 5 |
| Bunnell | 0 | 0 | 1 | 3 |
| Flagler Beach | 0 | 0 | 0 | 1 |
Which specialty licenses do Flagler County ALFs hold?
1 Flagler County ALFs hold a limited mental health license, 3 limited nursing services and 1 extended congregate care, and 10 report a memory care program to AHCA.
0 report beds reserved for Optional State Supplementation residents and 9 list Medicaid services on their profiles.
Does Flagler County have a continuing care retirement community?
Not on Florida OIR's October 2025 map, which lists no continuing care provider in Flagler County; the closest are in Volusia County, in Orange City and DeLand.
See life plan communities for both and how Chapter 651 contracts work.
Who helps Flagler County seniors and caregivers?
ElderSource (Planning and Service Area 4) is the Aging and Disability Resource Center for Flagler County, at (904) 391-6600 or toll-free 1-888-242-4464; it runs Medicaid long-term care screening and the wait list for home and community-based services, and contracts with Flagler County Senior Services for local programs.
ElderSource's office is at 10688 Old St. Augustine Road, Jacksonville, FL 32257, and it serves Baker, Clay, Duval, Flagler, Nassau, St. Johns and Volusia counties. Beacon of Life's PACE program for Volusia, Flagler and Seminole was still awaiting federal approval in AHCA's August 2026 report.
Which hospitals serve Flagler County?
CMS's hospital data lists 2 acute-care hospitals in Flagler County: AdventHealth Palm Coast in Palm Coast (CMS rating 5 of 5); AdventHealth Palm Coast Parkway in Palm Coast (CMS rating 4 of 5).
These are CMS's overall hospital ratings, which measure different things from nursing home stars. Flagler residents also use the Daytona Beach hospitals and Flagler Hospital in St. Augustine.
Flagler County and its neighbors
| Inside our directory | Outside it | |
|---|---|---|
| Counties | Volusia and Flagler addresses | St. Johns, Putnam, Lake, Seminole and Brevard |
| Rules | Florida licensing and Medicaid rules | Nothing different: the same state rules apply across the line |
| Area Agency on Aging | ElderSource (PSA 4) | Other agencies serve Seminole, Lake and Brevard |