Home care · Franklin County, FL
Home care in Franklin County
One in four residents of Franklin County is 65 or older — about 3,100 people. In a county that age-heavy, the question is rarely whether a family will need help at home. It is when, and who.
Below is what we'd tell a friend in Franklin County: what care costs here, who provides it, what the facility alternative actually looks like, and which programs pay.
Franklin County, in numbers
Full Florida guide →Residents 65+
3,103
25.3% of the county — the 17th-highest share of Florida's 67 counties.
Live with a disability
23.3%
About 2,507 people — the population most likely to need help at home.
Median household income
$52,180
20 hrs/week of care would run about 64% of it.
Certified agencies
21
Medicare-certified home health agencies serving local ZIPs; 20 rated, averaging 4.1★.
Sources: CDC/ATSDR Social Vulnerability Index 2022 (ACS 2018–2022), County Health Rankings 2024, and CMS Care Compare provider files.
What home care costs in Franklin County
Florida's going rate for agency home care is around $32/hr. Twenty hours a week — four hours a day, five days a week, the most common schedule families start with — comes to roughly $2,800 a month, or $33,300 a year.
Median household income in Franklin County is $52,180, so that schedule would consume about 64% of a typical household's entire income. This is the number that sends most families looking for help paying, and it is why the programs below matter more than any brochure.
33.5% of people in Franklin County live below 150% of the federal poverty line — a share high enough that a real portion of local families will qualify for Florida's Medicaid programs rather than pay privately. If money is the obstacle, start with eligibility, not with rates.
Who provides care in Franklin County
21 Medicare-certified home health agencies serve ZIP codes in Franklin County. 20 of them carry a CMS quality star rating, averaging 4.1 out of 5. 14 report offering home health aide services.
That is above the Florida average of 3.48 — the agencies working here rate better than the state's typical. Worth knowing, because it means the local floor is higher than average, not that any single agency is a safe bet.
One distinction worth getting straight before you call anyone: those are Medicare-certified home health agencies — skilled, doctor-ordered, intermittent care, usually a nurse or therapist visiting for a few weeks after a hospital stay. That is not the same as the hourly, non-medical help most families are actually looking for: bathing, dressing, meals, driving, company. Medicare pays for the first. It does not pay for the second.
The alternative, locally
Franklin County has 1 certified nursing home holding 74 certified beds, averaging 5 out of 5 on CMS's overall rating. About 79 people live in them on an average day.
The Florida programs that pay for care at home
- Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC)
Florida runs one Medicaid pathway that pays for care at home instead of a nursing home. Each has its own income, asset, and care-need rules, and approval takes weeks to months — so the application is worth starting before the need becomes urgent.
How each Florida program works →Caregiver training in FL
75 hrs
Minimum for certified aides (the federal minimum). Agencies are licensed by the FL Agency for Health Care Administration.
Choosing an agency in Franklin County
- Ask for the license. Florida licenses home care agencies through the FL Agency for Health Care Administration. A legitimate agency shows its license without hesitating. One that changes the subject has told you something.
- Ask what the rate covers. Around $32/hr is typical in Florida. A real agency's rate covers a trained, background-checked, insured caregiver plus supervision and backup staffing when your regular person is sick. A rate well under the local range usually means one of those is missing.
- Start the clock early. Franklin County is served by 21 certified agencies, so the honest answer to "when can you start?" is often two to three weeks. If you're planning around a discharge date, call before the discharge, not after.
- Ask about Medicaid now, not later. If money is going to be the constraint, ask about Statewide Medicaid Managed Care Long-Term Care at the first call. Approval takes weeks to months, and private pay is what bridges the gap — so the sooner the application starts, the smaller that bridge is.
Want to talk it through?
We provide care in the Milwaukee, WI area — but we’re glad to help any family think through the options in Franklin County.
Franklin County home care questions, answered
How much does home care cost in Franklin County, FL?
Agency home care in Florida runs around $32/hr for private pay. At 20 hours a week that is about $2,800 a month. For context, median household income in Franklin County is $52,180. Rates move with the level of care and the schedule — short daily visits cost more per hour than long shifts.
Does Medicare pay for home care in Franklin County?
Medicare pays for skilled home health — a nurse or therapist, doctor-ordered, for a limited stretch, usually after a hospital stay. 21 Medicare-certified agencies serve Franklin County. Medicare does not pay for the hourly, non-medical help most families want — bathing, dressing, meals, driving, company. For that, the money comes from private pay, long-term care insurance, VA benefits, or Florida Medicaid.
Does Medicaid pay for home care in Franklin County?
Yes — for people who qualify. Florida runs a Medicaid program that pays for care at home instead of a nursing home: Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC). Income, asset, and care-need rules apply, and approval usually takes weeks to months, so apply before you need it. With 33.5% of Franklin County below 150% of the poverty line, a meaningful share of local families do qualify.
How are caregivers trained and vetted in Florida?
Certified home health aides in Florida complete at least 75 hours of training, the federal minimum. The state licenses home care agencies through the FL Agency for Health Care Administration, so ask to see an agency's license before you hire.
Is home care better than a nursing home in Franklin County?
It depends on the level of care needed, not on which one sounds nicer. Franklin County's 1 certified facility averages 5 out of 5 stars on CMS ratings, against a Florida average of 3.27. Round-the-clock skilled nursing is something a facility does that home care cannot. But for help with bathing, meals, medication reminders, and company, care at home usually costs less and keeps someone in their own bed — and most people, asked plainly, say that is what they want.
Does Juniper at Home provide caregivers in Franklin County?
Not directly — our own caregivers serve the Milwaukee area of Wisconsin. This page is a free guide for Franklin County families: what care really costs here, who provides it, and which programs can help pay.
Bordering counties in Florida