New Smyrna Beach, about 33,182 residents in the 2025 estimates, is southeast Volusia's center: a historic downtown on Canal Street, the Flagler Avenue beachside across the North Causeway, and growing subdivisions out toward I-95. AdventHealth New Smyrna Beach on State Road 44 is the local hospital.
The city has a solid group of assisted living facilities and a large nursing home, and it serves Edgewater and Oak Hill to the south, where licensed care is thin. Its retiree population skews older on the beachside.
How much licensed senior care is there in New Smyrna Beach, FL?
About 33,182 people lived in New Smyrna Beach in the Census Bureau's July 1, 2025 estimates, and AHCA lists 11 licensed assisted living facilities, 1 nursing home and 0 home health or hospice offices at local addresses.
| What New Smyrna Beach has | What New Smyrna Beach lacks | |
|---|---|---|
| Licenses at local addresses (AHCA) | Assisted living facilities: 11, Nursing homes: 1, Adult day care centers: 1, Adult family care homes: 1 | — |
| License types absent | — | Home health agencies, Hospices |
| ALFs reporting a memory care program | 5 | — |
Which assisted living facilities are licensed in New Smyrna Beach?
AHCA's records list 11 assisted living facilities at New Smyrna Beach addresses with 377 licensed beds; Lexington Place Assisted Living Facility is the largest at 115 beds, 5 report a memory care program and 2 hold a specialty license.
| Facility | License | Licensed beds | Last standard survey | Cites at that survey | AHCA fines on profile |
|---|---|---|---|---|---|
| Lexington Place Assisted Living Facility 301 S Myrtle Ave, 32168 | Standard only | 115 | 09/17/2024 | 2 | $5,544 |
| Alba Court Residences 115 Washington St, 32168 | Standard only | 109 | 11/04/2025 | 6 | $1,150 |
| Seashore Senior Living 699 N Dixie Freeway, 32168 | Standard only | 53 | 09/10/2025 | 0 | $750 |
| Emerald Assisted Living Inc. 1150 Wayne Ave, 32168 | Standard only | 40 | 12/03/2025 | 0 | $1,000 |
| Crown Assisted Living 301 Milford Place, 32168 | Standard only | 18 | Not posted | — | $4,150 |
| Guardian Home II ALF LLC 902 Canal St, 32168 | Standard + LMH | 11 | Not posted | — | $5,000 |
| Tiffany on the River 402 N. Riverside Drive, 32168 | Standard + LMH | 7 | Not posted | — | $0 |
| Coquina Cay ALF 117 Sweet Bay Avenue, 32168 | Standard only | 6 | Not posted | — | $2,000 |
| Nsb ALF 5 Fairgreen Ave, 32168 | Standard only | 6 | Not posted | — | $0 |
| Town and Country Assisted Living LLC 2440 Selleck Avenue, 32168 | Standard only | 6 | Not posted | — | $500 |
| Windsor Manor 415 S Timberlane Drive, 32168 | Standard only | 6 | Not posted | — | $0 |
Specialty licenses held: LMH (2).
What nursing homes does New Smyrna Beach have, and how does CMS rate them?
There is 1 licensed nursing home in New Smyrna Beach with 239 beds; 1 of the 1 with a CMS overall rating have four or five stars.
| Facility | CMS overall | Licensed beds | Last CMS inspection | CMS deficiencies |
|---|---|---|---|---|
| Beachside Center for Rehabilitation and Nursing 2810 South Atlantic Avenue, 32169 | 5 of 5 | 239 | February 4, 2026 | 1 |
Are there adult day centers or adult family care homes in New Smyrna Beach?
Yes: 1 adult day care center and 1 adult family care home hold AHCA licenses in New Smyrna Beach.
- Alba Court Adult Day Care Center (adult day care center, capacity 25)
- Caedo-Collins, Teresita (adult family care home, capacity 5)
Have any New Smyrna Beach facilities been fined by AHCA?
Yes: fines appear on the AHCA profiles of 9 facilities here; the most recent case was initiated December 29, 2025 against Alba Court Residences.
The facility's own page lists every sanction with its date and amount. An old fine is history; ask what changed afterward before treating it as a current warning.
What hospitals are closest to New Smyrna Beach?
Measured from the middle of New Smyrna Beach's licensed facilities, CMS's hospital list puts Halifax Health Medical Center closest (about 13.4 miles) and AdventHealth Daytona Beach next (about 16.5 miles).
Halifax Health /uf Health Medical Center Of Delton is about 21.1 miles away. These are straight-line distances: fine for comparing places, not for timing a drive over the bridges.
Where can New Smyrna Beach families get free help with an aging relative?
ElderSource, the Area Agency on Aging and Aging and Disability Resource Center for Volusia County (toll-free 1-888-242-4464), screens for Medicaid long-term care and links families to meals, respite, legal help and in-home services through local partners such as Council on Aging of Volusia County.
Licensing complaints go to AHCA at 1-888-419-3456, suspected abuse to the Florida Abuse Hotline at 1-800-962-2873, and any facility resident can reach the Long-Term Care Ombudsman Program at 1-888-831-0404.