What does a nursing home provide?
A nursing home, licensed by AHCA under Chapter 400, provides 24-hour licensed nursing care, rehabilitation therapy and help with all daily activities for people who cannot be cared for safely in assisted living or at home.
Volusia and Flagler have 31 AHCA-licensed nursing homes with 3,667 beds between them; 31 carry a CMS overall rating and 20 of those have four or five stars (Care Compare data as of October 1, 2026).
What is the difference between rehab and long-term care?
Short-term rehab is a stay of days or weeks after a hospital admission, usually paid by Medicare, aimed at going home or to assisted living; long-term care is ongoing residence, usually paid privately until Florida Medicaid takes over.
Most nursing homes here do both, often on separate units. Ask which unit your parent would be on and who the therapists are.
How are nursing homes paid for?
Medicare Part A covers up to 100 days of skilled care after a three-day inpatient stay, Florida Medicaid pays for long stays once income and asset limits are met, and private payment covers the rest; Florida's 2025 median is about $340 a day for a shared room.
A Medicaid resident keeps a $160 monthly personal needs allowance, and a spouse at home is protected by the spousal allowances.
How should we compare nursing homes?
Compare CMS's staffing rating and reported nurse hours per resident per day, staff turnover, the deficiency count at the latest inspection and any federal fines, then visit around a shift change and talk to residents and families.
Each nursing home page in our directory sets those figures beside the two-county median.
What rights do nursing home residents have?
Residents are protected by s. 400.022, Florida Statutes, and federal rules, including rights to dignity, privacy, visitors, involvement in care planning and written notice with appeal rights before a transfer or discharge.
The Long-Term Care Ombudsman Program (1-888-831-0404) advocates for residents for free.
Where in Volusia and Flagler is nursing homes licensed?
AHCA's records put these nursing homes licenses in the following cities; agencies have no bed count.
| City | County | Licenses | Licensed beds / capacity |
|---|---|---|---|
| Daytona Beach | Volusia | 10 | 1283 |
| DeLand | Volusia | 7 | 698 |
| Palm Coast | Flagler | 1 | 120 |
| Ormond Beach | Volusia | 4 | 452 |
| Port Orange & Ponce Inlet | Volusia | 1 | 120 |
| Deltona | Volusia | 1 | 120 |
| New Smyrna Beach | Volusia | 1 | 239 |
| Orange City | Volusia | 1 | 150 |
| Holly Hill | Volusia | 1 | 60 |
| DeBary | Volusia | 2 | 240 |
| South Daytona | Volusia | 1 | 65 |
| Bunnell | Flagler | 1 | 120 |
At a glance
| Nursing homes in Florida is | Nursing homes in Florida is not | |
|---|---|---|
| Care | Licensed nurses on duty 24 hours, with rehab | Help with daily tasks only |
| Ratings | CMS stars and inspection results | Unrated |
| Medicaid | Pays long stays once limits are met | Something Medicare pays for indefinitely |