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Compassionate home care in St. Johns County

Trusted, background-screened caregivers, clear Florida Medicaid guidance, and flexible private-pay care for St. Johns County families, all coordinated by Cottage Home Care's Florida team.

  • Florida Medicaid at little to no cost for those who qualify
  • A loved one may be hired and paid to provide the care
  • Private pay can begin in as little as 24 hours
  • Free eligibility review — we handle the paperwork
Call (786) 899-46735.0 rating from South Florida families

Request care in St. Johns County

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Northeast Florida home care

Local, trusted care across St. Johns County

From historic St. Augustine to the beaches of Ponte Vedra and the newer neighborhoods around Nocatee and World Golf Village, Cottage Home Care helps St. Johns County seniors and adults with disabilities stay safely in the homes they love. We support families caring for a parent recovering from surgery, a spouse living with dementia, or a loved one who simply needs a steady hand with daily routines, so that moving to a nursing home or assisted living facility becomes a choice rather than the only option. Care can include personal care such as bathing, dressing, grooming and mobility, companionship, homemaking, memory care, and around-the-clock support.

From your very first call, our Florida care team walks you through Florida Medicaid, specifically the Statewide Medicaid Managed Care Long-Term Care program (SMMC-LTC), a statewide benefit that reaches families throughout St. Johns County. We explain what it covers, help you understand whether you qualify, and handle the paperwork with you. In many cases a qualified family member or trusted friend can be hired and paid to provide that care through Florida's participant-directed options, so the person your loved one trusts most can be the one at their side. Every caregiver we place is trained and background-screened.

If you would rather not wait on an eligibility determination, our private-pay option lets care begin in as little as 24 hours. You choose the schedule that fits your family, whether that is a few hours a week for errands and companionship in St. Augustine Shores, overnight coverage in Fruit Cove, or full live-in support along the coast, and you can adjust it as needs change.

We proudly serve families throughout St. Johns County, including St. Augustine, St. Augustine Beach, Ponte Vedra Beach, Nocatee, Fruit Cove, St. Augustine Shores and Hastings.

Cities we serve in St. Johns County

  • St. Augustine
  • St. Augustine Beach
  • Ponte Vedra Beach
  • Nocatee
  • Fruit Cove
  • St. Augustine Shores
  • Hastings
  • Vilano Beach
  • World Golf Village
Why Cottage Home Care

Why St. Johns County families choose us

  • Statewide Florida Medicaid that reaches St. Johns County

    Cottage Home Care is a Florida Medicaid provider, and because SMMC-LTC is a statewide program, its coverage extends to families in St. Augustine, Ponte Vedra Beach, Nocatee and every community across St. Johns County. Our offices are in South Florida, but our Florida care team coordinates services here in the Northeast Florida region so distance never limits the help you can get.

  • We handle the Florida Medicaid process for you, at no cost

    Applying for long-term care Medicaid can feel overwhelming, especially while caring for someone you love. Our team reviews your situation, checks eligibility, and completes the paperwork alongside you at no charge. For those who qualify, SMMC-LTC covers in-home care at little to no out-of-pocket cost, and we make sure St. Johns County families understand every step.

  • A family member can be the paid caregiver

    Through Florida's participant-directed Medicaid options, many St. Johns County families can have a qualified son, daughter, spouse or friend hired and paid to provide care. It keeps a familiar, trusted face at the bedside, whether in Hastings, Vilano Beach or St. Augustine Beach, and we guide you through the enrollment, training and background-screening requirements.

  • Private pay that starts fast

    When you cannot wait, private pay skips the eligibility process entirely and care can begin in about 24 hours. Families in Fruit Cove, World Golf Village and along Ponte Vedra can arrange hourly, overnight or live-in support on a schedule that flexes with their needs, with no long-term contract required to get started.

Two paths to home care in Florida

Most Florida families use Medicaid to cover home care. Others start privately within 24 hours. One free call and we’ll tell you which path fits — no obligation.

Most families qualify
Medicaid

Florida Medicaid Home Care

Statewide Medicaid Managed Care — Long-Term Care (SMMC-LTC)

$0out-of-pocket for those who qualify

Florida Medicaid covers in-home care at no cost for eligible seniors. Through the Participant Directed Option, a family member can even be hired and paid as the caregiver.

  • Little to no cost for qualifying families
  • A family member can be paid to be the caregiver
  • We handle the eligibility paperwork — free
  • Serving Miami-Dade, Broward & Palm Beach
Start in ~24 hours
Private Pay

Private Pay Home Care

Flexible care with no Medicaid paperwork or waiting

24 hrsand care can begin — no eligibility wait

Choose the schedule you need — hourly, overnight, 24-hour, or live-in care anywhere in South Florida — and we match a trusted caregiver right away.

  • Start right away — no eligibility wait
  • Flexible hourly, overnight & live-in plans
  • Change or scale your hours anytime
  • Clear hourly rates — no hidden fees

Not sure which path is right for your family? We’ll walk you through both — free, with no obligation.

Ready to find the right home care in Florida?

Complete home care, across all of Florida

From everyday personal care to specialized memory support, our South Florida caregivers deliver personalized care at home — through Florida Medicaid or private pay, we’ll help you find the right fit.

  • Personal Care

    Bathing, dressing, grooming, toileting, and everyday mobility support.

  • Companion Care

    Companionship, supervision, errands, and genuine emotional support.

  • Alzheimer's & Dementia

    Specialized, patient memory care delivered in familiar surroundings.

  • Homemaking

    Light housekeeping, laundry, and home-cooked meal preparation.

  • 24-Hour & Live-In

    Around-the-clock and live-in care for higher-need routines.

  • Medicaid & Private Pay

    Free help with SMMC-LTC eligibility, or flexible private-pay plans.

Statewide service areaOur offices — Miami & Fort Lauderdale
Florida Agency for Health Care Administration LicensedCHAP CertifiedLicensed Home Care AgencyCHAP Seal of AccreditationHIPAA CompliantFlorida Agency for Health Care Administration LicensedCHAP CertifiedLicensed Home Care AgencyCHAP Seal of AccreditationHIPAA CompliantFlorida Agency for Health Care Administration LicensedCHAP CertifiedLicensed Home Care AgencyCHAP Seal of AccreditationHIPAA Compliant

Trusted by South Florida families

Real reviews from the families we care for across Miami-Dade, Broward, and Palm Beach.

Elena R.Verified
Cottage made it so easy to arrange care for my mother. Our caregiver treats her like family, and I finally have peace of mind knowing she is safe at home.
Miami, FL
Marcus G.Verified
From the first call, the team was warm and organized. They matched us with a caregiver quickly and the care has been outstanding every single day.
Fort Lauderdale, FL
Carmen S.Verified
After my husband’s surgery we needed help fast. Cottage handled everything and the caregivers were compassionate, punctual, and truly skilled.
West Palm Beach, FL
David L.Verified
Being able to be paid to care for my dad through the Medicaid program changed everything for our family. Cottage walked us through every step.
Hollywood, FL
Rosa N.Verified
The team went above and beyond to make sure I understood every option. Patient, kind, and genuinely caring — five stars without hesitation.
Hialeah, FL
Elena R.Verified
Cottage made it so easy to arrange care for my mother. Our caregiver treats her like family, and I finally have peace of mind knowing she is safe at home.
Miami, FL
Marcus G.Verified
From the first call, the team was warm and organized. They matched us with a caregiver quickly and the care has been outstanding every single day.
Fort Lauderdale, FL
Carmen S.Verified
After my husband’s surgery we needed help fast. Cottage handled everything and the caregivers were compassionate, punctual, and truly skilled.
West Palm Beach, FL
David L.Verified
Being able to be paid to care for my dad through the Medicaid program changed everything for our family. Cottage walked us through every step.
Hollywood, FL
Rosa N.Verified
The team went above and beyond to make sure I understood every option. Patient, kind, and genuinely caring — five stars without hesitation.
Hialeah, FL

St. Johns County home care — your questions answered

Quick answers about Florida Medicaid, private pay, and getting started with in-home care in St. Johns County.

Yes. We coordinate in-home care for families throughout St. Johns County, from St. Augustine and St. Augustine Beach to Ponte Vedra Beach, Nocatee, Fruit Cove and the smaller communities like Hastings. Our offices are in South Florida, but our Florida care team arranges and oversees care here in Northeast Florida.

Get in touch

Visit our Miami & Fort Lauderdale offices

Stop by, call, or send us a message. Our local team is here to answer your questions and help you get started.

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