Palm Coast is Flagler County's largest city and its growth engine, about 109,886 residents in the 2025 estimates against 89,224 in 2020. Planned as a canal-and-golf community in the 1970s, it now stretches from the Intracoastal Waterway and Palm Harbor west past I-95 to Town Center, Seminole Woods and Belle Terre. AdventHealth Palm Coast on SR 100 and AdventHealth Palm Coast Parkway are its hospitals.
Almost all of Flagler County's licensed assisted living is in Palm Coast, split between the older east side near the Parkway and the newer west side around Town Center; the county's two nursing homes are in Palm Coast and Bunnell. Many retirees here moved from the Northeast and have family far away, which shapes how care gets arranged.
How much licensed senior care is there in Palm Coast, FL?
About 109,886 people lived in Palm Coast in the Census Bureau's July 1, 2025 estimates, and AHCA lists 18 licensed assisted living facilities, 1 nursing home and 5 home health or hospice offices at local addresses.
| What Palm Coast has | What Palm Coast lacks | |
|---|---|---|
| Licenses at local addresses (AHCA) | Assisted living facilities: 18, Nursing homes: 1, Home health agencies: 5, Adult day care centers: 1, Adult family care homes: 12 | — |
| License types absent | — | Hospices |
| ALFs reporting a memory care program | 10 | — |
Where in Palm Coast is licensed senior care located?
We split Palm Coast's mailing area into 2 parts by ZIP code; this table shows what each holds, and each part's page lists every license in it.
| Area | ZIP codes | Licensed ALFs | ALF beds | Nursing homes |
|---|---|---|---|---|
| Palm Coast East: the Parkway, Palm Harbor & the Hammock | 32137 | 10 | 516 | 1 |
| Palm Coast West: Town Center, Seminole Woods & Belle Terre | 32164 | 8 | 319 | 0 |
Care types in Palm Coast
Assisted living in Palm Coast
See it by area →Memory care in Palm Coast
See it by area →Home health & hospice in Palm Coast
See it by area →Which hospitals do older adults in Palm Coast use?
CMS's hospital data puts these acute-care hospitals closest to central Palm Coast: AdventHealth Palm Coast Parkway (about 2.7 miles, CMS hospital rating 4); AdventHealth Palm Coast (about 3.9 miles, CMS hospital rating 5); Flagler Hospital (about 14.8 miles, CMS hospital rating 3); AdventHealth Daytona Beach (about 23.1 miles, CMS hospital rating 5).
Most rehab stays and nursing home admissions begin with a discharge from one of these.
Which agency serves seniors in Palm Coast?
ElderSource, the Area Agency on Aging and Aging and Disability Resource Center for Flagler 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 Flagler County Senior Services.
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.