A comprehensive regulator audit of the Florida Agency for Health Care Administration (AHCA) facility registry confirms that Jefferson County (Monticello 32344, Lloyd 32337, Wacissa 32361, and Lamont 32336) currently has zero (0) active licensed Assisted Living Facilities (ALFs) and zero (0) active licensed Adult Family Care Homes (AFCHs)—following the permanent closure of Monticello's historic 4-bed Family Friend Respite ALF (8436 Gamble Rd, Monticello, FL 32344, closed March 2010) and confirming that third-party online directory names (such as 'The Abbey at Monticello' or 'Heritage House') hold no active AHCA license. Consequently, Jefferson County seniors who require residential assisted living or SMMC Long-Term Care (LTC) Medicaid Waiver ALF placement rely on the immediate US Highway 90 border corridor: (1) 20 miles west of Monticello on the East Tallahassee / US-90 medical corridor are Sodalis Tallahassee (2110 Fleischmann Rd, Tallahassee, FL 32308, (850) 553-9120, AHCA License #AL9700, File #11965291, 120 licensed beds with Limited Nursing Services [LNS] and SMMC LTC Medicaid Waiver contract) and The Opal on Hermitage (formerly Brookdale Hermitage Boulevard, 1780 Hermitage Blvd, Tallahassee, FL 32308, (850) 422-3397, AHCA License #AL9181, File #11964708, 75 licensed beds with LNS specialty license and SMMC LTC Medicaid Waiver contract); and (2) 14 miles east of Monticello (and just 7 miles east of Aucilla and Lamont 32336) on the US-90 / US-221 Madison County border is Rosa's Caring Heart, LLC (2873 NW US Hwy 221 / 587 SW Bunker St, Greenville, FL 32331, (850) 948-2054, AHCA License #AL11706, File #11967720, 6 licensed beds with Limited Nursing Services [LNS] and Limited Mental Health [LMH] specialty licenses, CMS NPI #1619797693, Sunbiz Doc #L15000066626, accepting SMMC LTC Medicaid Waiver and Optional State Supplementation [OSS]).
Official Verification Sources: Florida AHCA FloridaHealthFinder — Assisted Living Facility Registry (#AL9700, #AL9181 & #AL11706); Sodalis Senior Living — Sodalis Tallahassee Assisted Living (2110 Fleischmann Rd)
Issuer: Florida Agency for Health Care Administration (AHCA)
Notes: Verified 2026-10-26 via AHCA FloridaHealthFinder: Confirms 0 active ALFs and 0 active AFCHs in Jefferson County (former 4-bed Family Friend Respite at 8436 Gamble Rd, Monticello closed in 2010), pairing western/central Jefferson County families with Sodalis Tallahassee (#AL9700, 120 LNS beds, (850) 553-9120) and The Opal on Hermitage (#AL9181, 75 LNS beds, (850) 422-3397).
Issuer: Florida Agency for Health Care Administration (AHCA) & CMS NPPES
Notes: Verified 2026-10-26: Rosa's Caring Heart, LLC (2873 NW US Hwy 221, Greenville, FL 32331, (850) 948-2054) holds active AHCA License #AL11706 (File #11967720) with LNS and LMH specialty licenses, accepting SMMC LTC Medicaid Waiver and Optional State Supplementation (OSS).
Factual details and direct answers about Jefferson County Assisted Living & AFCH Supply Gap Hub (0 In-County ALFs) — Sodalis Tallahassee (#AL9700 — 120 Beds), The Opal on Hermitage (#AL9181 — 75 Beds) & Rosa's Caring Heart (#AL11706 — Greenville Border)'s services, licensing, and credentials.
Why do some commercial senior living websites list assisted living facilities in Monticello when AHCA shows zero?
Many commercial referral websites scrape outdated records or misattribute out-of-state facilities (such as 'The Abbey at Monticello', 'Heritage House', or the permanently closed 4-bed 'Family Friend Respite' on Gamble Rd). Official Florida Agency for Health Care Administration (AHCA) licensing records confirm that Jefferson County currently has zero (0) active licensed Assisted Living Facilities (#AL) and zero (0) active Adult Family Care Homes (#AFCH). Only two Skilled Nursing Facilities (Brynwood #SNF10680961 and Cross Landings #23301) hold active residential long-term care licenses inside ZIP 32344.
Can a Jefferson County resident use PSA 2 Medicaid Long-Term Care Waiver benefits at an assisted living facility in Leon or Madison County?
Yes. Jefferson, Leon, and Madison counties all belong to DOEA Planning and Service Area 2 (PSA 2 — Advantage Aging Solutions) and AHCA SMMC Region 2 / Region A. Once a Jefferson County senior is enrolled in a Region 2 SMMC Long-Term Care plan (Sunshine Health, Humana Medical Plan, or Simply Healthcare), their Medicaid LTC waiver benefits are fully portable to contracted ALFs in Tallahassee (such as Sodalis Tallahassee #AL9700 and The Opal on Hermitage #AL9181) or Greenville (Rosa's Caring Heart #AL11706).
Connect with complementary legal, financial, and residential providers serving seniors in Monticello and Jefferson County.
Floyd Faglie, P.L., Morris Law Firm & Collins Law Firm — Floyd B. Faglie, Esq., Robert E. Morris, Esq., David W. Collins, Esq. & Charles M. Collins, Esq. (Monticello Resident Elder Law, Probate & Real Property Counsel)
Monticello, Jefferson County
(850) 997-6300
Farmers & Merchants Bank (FMB — Historic Monticello Domestic Charter #169 / #11286) & Successor Renasant Bank (f/k/a The First Bank — Monticello Main Office)
Monticello, Jefferson County
(850) 997-2591
Heritage Manor Apartments — 36-Unit Dedicated 62+ / Disabled USDA Section 515/521 & FHFC LIHTC Senior Community (Monticello)
Monticello, Jefferson County
(850) 997-4727
Expert guidance, benefit eligibility rules, and state protections for older Florida residents and family caregivers.
Brynwood Health and Rehabilitation Center (#SNF10680961 / CCN #105514 — 97 Beds) & Cross Landings Health and Rehabilitation Center (File #23301 / CCN #105832 — 60 Beds) — Monticello In-County Skilled Nursing & Memory Care Hub
Monticello, Jefferson County
Jefferson County Senior Citizens Center & DOEA PSA 2 Lead Agency Network — CCE In-Home Personal Care, ADI Dementia Respite, HCE Subsidies & 701B Medicaid LTC Intake
Monticello, Jefferson County
Big Bend Hospice, Inc. (#HOSPICE5006096 / CCN #101506) — Jefferson County Office in Monticello (615 N Jefferson St) & First Commerce Center for Compassionate Care Inpatient Unit
Monticello, Jefferson County
Tallahassee Memorial HealthCare (TMH — #4194 / CCN #100135), TMH Rehabilitation Center (#105579), HCA Florida Capital Hospital (#4246 / CCN #100254) & Madison County Memorial Hospital (#4155 / Swing-Bed CCN #101301)
Monticello, Jefferson County
Disclaimer: This directory listing is for informational purposes only. Florida Senior Support does not endorse or guarantee the quality of services. Please verify information and services directly with the organization.