Located in eastern Franklin County along the Crooked River and US Highway 98 corridor at 239 Crooked River Road (historically cross-referenced at 230 Hwy 98 E), Carrabelle, FL 32322 ((850) 697-2020), St. James Health and Rehabilitation Center—now officially operating as Arabella Health & Wellness of Carrabelle under licensee Arabella Health & Wellness of Carrabelle Opco LLC (active Florida Foreign Limited Liability Company, Florida Sunbiz Document #M23000005911)—is Franklin County's sole brick-and-mortar AHCA-licensed and CMS Medicare/Medicaid-certified 24-hour residential long-term care facility. Licensed by the Florida Agency for Health Care Administration under Skilled Nursing Facility License #130471042 / #SNF130471042 (AHCA File #35961023) for 90 total licensed beds (with 74 to 90 beds dually certified under CMS Certification Number [CCN] #106081, legacy regional reference #105613, and CMS NPI #1194970137), the center provides 24/7 RN/LPN/CNA clinical nursing supervision, Alzheimer's and dementia cognitive care, complete assistance with Activities of Daily Living (bathing, dressing, grooming, mobility, continence), an in-house physical, occupational, and speech-language therapy rehabilitation gym, complex wound care, IV antibiotic infusion, tracheostomy/respiratory care, and short-term family caregiver respite stays. Comprehensive Regulator Audit of Franklin County ALFs & AFCHs: A 2026-10-26 audit of AHCA FloridaHealthFinder confirms zero (0) active licensed Assisted Living Facilities (#AL) and zero (0) licensed Adult Family Care Homes (#AFCH) physically operating anywhere in Franklin County (Apalachicola 32320, Carrabelle 32322, Eastpoint 32328, St. George Island 32328, Lanark Village 32322, or Alligator Point 32346; historical or out-of-county directory references such as 'Magnolia House' are inactive or located in other Florida counties), making St. James Health and Rehabilitation Center / Arabella Health & Wellness of Carrabelle the primary in-county residential care anchor for Forgotten Coast seniors (acceptsMedicaid: true).
Official Verification Sources: CMS Medicare Care Compare — Arabella Health & Wellness of Carrabelle / St. James Health and Rehab (CCN #106081); AHCA FloridaHealthFinder — St. James Health and Rehabilitation Center / Arabella (#130471042, File #35961023); CMS NPI Registry — Arabella Health & Wellness of Carrabelle Opco LLC (NPI #1194970137 / Sunbiz #M23000005911)
Issuer: Florida Agency for Health Care Administration (AHCA), U.S. Centers for Medicare & Medicaid Services (CMS) & FL Division of Corporations
Notes: Verified 2026-10-26: St. James Health and Rehabilitation Center / Arabella Health & Wellness of Carrabelle (239 Crooked River Rd / 230 Hwy 98 E, Carrabelle, FL 32322, (850) 697-2020; Licensee: Arabella Health & Wellness of Carrabelle Opco LLC, Sunbiz Doc# M23000005911) holds active AHCA SNF License #130471042 (File #35961023) for 90 licensed beds under CMS CCN #106081 (legacy cross-ref #105613) and CMS NPI #1194970137 (acceptsMedicaid: true).
Issuer: Florida Agency for Health Care Administration (AHCA)
Notes: Verified 2026-10-26 via AHCA FloridaHealthFinder: Confirms zero (0) active Assisted Living Facilities (#AL) and zero (0) Adult Family Care Homes (#AFCH) physically located inside Franklin County (Apalachicola, Carrabelle, Eastpoint, St. George Island, Lanark Village, Alligator Point). Seniors requiring assisted living rely on in-home Medicaid LTC waiver services or nearest border ALFs in Port St. Joe (22 miles west) and Tallahassee/Leon County.
Factual details and direct answers about St. James Health and Rehabilitation Center (Now Operating as Arabella Health & Wellness of Carrabelle — AHCA #SNF130471042 / 90 Beds) — Franklin County's Sole Licensed Long-Term Care Facility's services, licensing, and credentials.
Is St. James Health and Rehabilitation Center in Carrabelle now operating as Arabella Health & Wellness of Carrabelle, and what is its bed capacity?
Yes. The facility at 239 Crooked River Road (off US Highway 98 East), Carrabelle, FL 32322 ((850) 697-2020), historically known as St. James Health and Rehabilitation Center, now operates as Arabella Health & Wellness of Carrabelle under licensee Arabella Health & Wellness of Carrabelle Opco LLC (Sunbiz #M23000005911). It holds active Florida AHCA Skilled Nursing Facility License #130471042 (File #35961023) for 90 licensed beds (with 74–90 Medicare/Medicaid certified beds under CMS CCN #106081 and NPI #1194970137) and accepts Medicare Part A, Florida Institutional Care Program (ICP) Medicaid, and SMMC Long-Term Care Medicaid (acceptsMedicaid: true).
Are there any active AHCA-licensed Assisted Living Facilities (ALFs) or Adult Family Care Homes inside Apalachicola, Carrabelle, or Eastpoint?
No. A regulator verification of the Florida Agency for Health Care Administration (AHCA) database confirms zero (0) active licensed Assisted Living Facilities (#AL) and zero (0) Adult Family Care Homes (#AFCH) inside Franklin County (historical or out-of-county references such as Magnolia House are not active in Franklin County). St. James Health and Rehabilitation Center / Arabella Health & Wellness of Carrabelle (#130471042) is the county's only 24/7 licensed residential care facility, while seniors seeking assisted living apartments utilize nearby Our Home at Beacon Hill (#AL10713) 22 miles west in Port St. Joe or Tallahassee corridor ALFs (acceptsMedicaid: true).
Connect with complementary legal, financial, and residential providers serving seniors in Carrabelle and Franklin County.
US-98 / US-319 Northeast Wakulla (Crawfordville) & Leon County Probate, Trust & Coastal Homestead Succession Corridor — Ausley McMullen (Frances 'Francie' C. Lowe, Esq., LL.M., Sarah S. Butters, Esq. & Robert A. Pierce, Esq.), Liberty Coastal Law PLLC, Corkill Law Firm & Thompson, Crawford & Smiley, P.A.
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US-98 / US-319 North Crawfordville & Tallahassee CFP® & SEC Fee-Only RIA Fiduciary Hub — English Financial Group (ChFC®, CASL®, CLTC®), Smith Bruer Advisors (Fee-Only RIA), Seven Hills Financial, Mariner Wealth, Morgan Stanley, Merrill Lynch & Raymond James
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(850) 926-7487
Lanark Village Historic Gulf Coast Retirement Community & Carrabelle / Alligator Point 55+ Coastal RV Resort Corridor
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Expert guidance, benefit eligibility rules, and state protections for older Florida residents and family caregivers.
Franklin County Senior Citizens Council, Inc. (Carrabelle) & Elder Care Community Council of Franklin County (Apalachicola) — DOEA PSA 2 CCE, ADI, HCE, Meals on Wheels & Senior In-Home Support
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George E. Weems Memorial Hospital (AHCA #4173 — Critical Access Swing-Bed Skilled Nursing, 24/7 Emergency & Weems Medical Centers East & West) & Ascension Sacred Heart Gulf Border Hospital
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US-98 West Port St. Joe (22 Mi. W of Apalachicola) & US-319 North Crawfordville / Tallahassee Nearest ALF & SNF Corridor — Our Home at Beacon Hill (#AL10713), Eden Springs (#SNF1582096), Azalea Gardens (#AL13050), Canterfield (#AL13336) & Villas at Killearn Lakes (#AL13303)
Apalachicola, Franklin County
Franklin County AHCA-Licensed Hospice, Inpatient Respite & Palliative Care Hub — Big Bend Hospice (AHCA #5002096 / Ref #5008096, Margaret Z. Dozier Hospice House) & Western Border Covenant Care / VITAS
Apalachicola, Franklin County
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