Florida assisted living license types

Who licenses assisted living in Volusia and Flagler counties?

Florida's Agency for Health Care Administration (AHCA) does, under Part I of Chapter 429, Florida Statutes; the license spells out each category of care the facility may offer, whether that is standard care alone or standard care plus extended congregate care (ECC), limited nursing services (LNS) or limited mental health (LMH).

Licenses run two years. Licensing procedure (renewals, changes of ownership, inspections and sanctions) comes from Part II of Chapter 408, and daily operating standards come from rule chapter 59A-36. A city such as Ormond Beach or Palm Coast can require a business tax receipt or a fire inspection, but neither city can license care.

As of November 6, 2026, AHCA lists 105 assisted living facilities across Volusia (87) and Flagler (18) counties, 4,998 licensed beds in all. 8 of them carry a limited mental health license, 11 limited nursing services and 3 extended congregate care, and 42 tell AHCA they run a memory care program.

What can a facility do on a standard license alone?

It can provide a home, meals, supervision and help with personal care such as bathing, dressing, grooming, eating, getting around and taking medications, and it may have a licensed nurse administer medications and handle the limited tasks s. 429.255 allows.

What a standard facility cannot do is deliver ongoing nursing with its own staff. A resident who needs daily wound care or injections arranges a home health agency or private nurse to come in. Many of the six-bed homes in Deltona and Palm Coast hold a standard license only, which is fine for supervision and personal care but sets a ceiling as needs grow.

What does an ECC license add?

Extended congregate care lets an ALF provide nursing and supportive services beyond the standard scope so residents can age in place longer; AHCA grants it only to facilities licensed for at least two years without serious violations, and the first ECC license is provisional for up to six months.

An ECC facility sets its own continued-residency criteria within AHCA's guidelines, but it still may not keep a resident who needs 24-hour nursing supervision. AHCA nurse monitors visit ECC residents at least twice a year. ECC can cover the whole building or a wing, so ask which beds are approved. 3 ALFs in the two counties hold an ECC license on AHCA's profiles: Harborchase of Palm Coast (Palm Coast), John Knox Village of Central Florida, Inc. (Orange City), Paradise Pointe of Ormond Beach LLC (Ormond Beach).

What are LNS and LMH licenses?

Limited nursing services lets a facility's own nurses perform a set list of nursing tasks for residents who still meet standard admission rules, with AHCA monitoring at least once a year; limited mental health is required of any ALF that houses even one resident with a serious mental illness who receives optional state supplementation.

LMH facilities keep a community living support plan for each such resident and a cooperative agreement with the mental health provider, and staff complete mental health training under s. 429.075. Neither license is a quality rating; each simply describes services the building is allowed to deliver.

How does the 2026 memory care license fit in?

Section 429.076, added by chapter 2026-102, Laws of Florida, will require a separate memory care services license of any ALF that serves memory care residents or advertises memory, dementia or Alzheimer's care, once AHCA adopts rules (due by June 1, 2027); already-licensed facilities then have six months to get it.

Until the rules exist, s. 429.178 continues to govern facilities that advertise special care for Alzheimer's disease. The full timeline is on the memory care license page.