Senior Living in Lancaster, PA: Every Licensed Community & 2026 Costs
Senior living in Lancaster, Pennsylvania spans 54 state-licensed assisted living, memory care, and independent living communities and 31 Medicare-certified nursing homes across Lancaster County in Pennsylvania. 16 area nursing homes hold a 5-star CMS rating. Lilisity publishes no score or ranking for any community that has not earned an award; the licensing and CMS data below are public records.
All senior living in Lancaster: 54 licensed communities by county
Every assisted living, memory care, and independent living community licensed by the state in Lancaster County in Pennsylvania, from state licensing records. Listing here is not a rating: Lilisity publishes no score for any community that has not earned an award. Communities marked verified testimonials have phone-verified resident and family interviews on file.
Also listed from public records: 10 income-restricted senior apartment buildings. Independent living is not licensed by the state, so they are listed apart on each county page.
Lancaster County, PA 54 communities
- Acadia Neurorehab #1Lancaster, PA · Assisted Living
- Acadia Neurorehab #2Lancaster, PA · Assisted Living
- Acadia Neurorehab #3Lancaster, PA · Assisted Living
- Acadia Neurorehab #4Lancaster, PA · Assisted Living
- Acadia Neurorehab #5Lancaster, PA · Assisted Living
- Brethren Village - Terrace CrossingLancaster, PA · Assisted Living · Memory Care
- Brethren Village - Village ManorLititz, PA · Assisted Living
- Cocalico Christian HomeDenver, PA · Assisted Living
- Country View ManorQuarryville, PA · Assisted Living
- Divine Living HomeMountville, PA · Assisted Living
- Elizabethtown Personal CareElizabethtown, PA · Assisted Living
- Emerald Personal CareElizabethtown, PA · Assisted Living
- Ephrata Manor (Assisted Living)Ephrata, PA · Assisted Living
- Evergreen Estates Retirement CommunityLancaster, PA · Assisted Living · Memory Care
- Fairmount Homes - Farm CrestEphrata, PA · Assisted Living
- Fairmount Homes - Wheat RidgeEphrata, PA · Assisted Living
- Faith Friendship Villa of MountvilleMountville, PA · Assisted Living
- Faithful LivingDenver, PA · Assisted Living
- Garden Spot Village (Assisted Living)New Holland, PA · Assisted Living
- Homestead Village (Assisted Living and Memory Care)Lancaster, PA · Assisted Living · Memory Care
- Juniper Village at Mount JoyMount Joy, PA · Independent Living · Assisted Living
- Keystone Villa at EphrataEphrata, PA · Assisted Living · Memory Care
- Landis Homes Retirement CommunityLititz, PA · Assisted Living · Memory Care
- Legend Personal Care and Memory Care of LancasterLancaster, PA · Assisted Living · Memory Care
- Legend Personal Care and Memory Care of LititzLititz, PA · Assisted Living · Memory Care
- Lincoln Christian HomeEphrata, PA · Assisted Living · Memory Care
- Magnolia ManorWillow Street, PA · Assisted Living
- Magnolias of LancasterLancaster, PA · Assisted Living · Memory Care
- Masonic Village at Elizabethtown (Independent Living and Assisted Living and Continuing Care)Elizabethtown, PA · Independent Living · Assisted Living · Continuing Care
- Meadow Ridge at Willow ValleyWillow Street, PA · Assisted Living
- Meadow View at Garden Spot VillageNew Holland, PA · Assisted Living · Memory Care
- Moravian Manor (Assisted Living)Lititz, PA · Assisted Living
- Oak Leaf Manor NorthLandisville, PA · Assisted Living · Memory Care
- Oak Leaf Manor Personal Care Retirement HomeMillersville, PA · Assisted Living · Memory Care
- Our Home of HopeColumbia, PA · Assisted Living
- Paramount Senior Living at Lancaster CountyMaytown, PA · Assisted Living · Memory Care
- Pine Manor HomeLancaster, PA · Assisted Living
- Pleasant View Communities (Assisted Living and Memory Care)Manheim, PA · Assisted Living · Memory Care
- Providence Place of LancasterLancaster, PA · Assisted Living · Memory Care
- Quarryville Presbyterian Retirement Community, Long and Thompson BuildingsQuarryville, PA · Assisted Living · Memory Care
- Red Rose ManorLancaster, PA · Assisted Living
- St Anne's Retirement Community (Assisted Living and Memory Care)Columbia, PA · Assisted Living · Memory Care
- St John's Herr EstateColumbia, PA · Assisted Living
- Sunny Crest HomeMorgantown, PA · Assisted Living
- The Gardens at Stevens (Assisted Living)Stevens, PA · Assisted Living
- The Glen at Willow ValleyLancaster, PA · Assisted Living
- The GrovesEphrata, PA · Assisted Living
- The Long Community at HighlandLancaster, PA · Independent Living · Assisted Living · Memory Care
- The Muhlenberg LodgeLititz, PA · Assisted Living · Memory Care
- The Vineyard Personal Care HomeLancaster, PA · Assisted Living
- Trillium Place (Assisted Living and Memory Care)Lancaster, PA · Assisted Living · Memory Care
- United Zion Retirement CommunityLititz, PA · Assisted Living
- Welsh Mountain HomeNew Holland, PA · Assisted Living
- Zerbe Sisters Nursing CenterNarvon, PA · Assisted Living
How much does senior living cost in Lancaster?
Assisted living in the Lancaster area typically runs $4,500–$6,500 per month, with memory care $1,000–$1,500 above that and independent living below it; skilled nursing is billed through Medicare, Medicaid, or private pay rather than monthly rent. Rates vary widely by apartment size and care level, so ask for the community’s current rate sheet.
| Care type | Typical Lancaster range | What it covers |
|---|---|---|
| Independent living | $3,000 – $4,500 | Private apartment or cottage, meals and services optional |
| Assisted living | $4,500 – $6,500 | Daily personal care, meals, medication management |
| Memory care | $5,500 – $8,000 | Secured neighborhood, dementia-trained staff |
| Skilled nursing | Payer-based | 24/7 medical care; Medicare/Medicaid/private pay |
Ranges reflect operator-published market rates for the region, November 2026. Pennsylvania’s Medicaid waiver programs and VA Aid & Attendance can offset costs — see the FAQ below.
What are the highest-rated nursing homes in Lancaster?
16 of the 31 Medicare-certified nursing homes in the Lancaster metro hold the highest possible 5-star overall rating from CMS — including Masonic Village at Elizabethtown (Skilled Nursing and Continuing Care) in Elizabethtown. Every facility below links to its full inspection history, staffing hours, and deficiency record.
Source: CMS Care Compare, federal five-star quality rating system, retrieved November 2026. Lilisity republishes this government data unmodified; no facility can pay to change its rating.
Which Lancaster areas have senior living?
Senior living in the Lancaster metro is spread across Lancaster County in Pennsylvania. The cities with the most licensed communities and nursing homes are listed below; most sit within a short drive of the region’s hospital systems, which matters for families coordinating specialist care or hospital discharge.
Pennsylvania
- Lancaster (27)
- Lititz (11)
- Ephrata (8)
- Elizabethtown (6)
- Columbia (5)
- New Holland (4)
- Quarryville (3)
- Manheim (3)
- Willow Street (3)
How these testimonials were collected and how we’re paid
- We interview residents and family members by phone, voice to voice — never web forms, never scraped from other sites.
- Every testimonial is named and dated, and verified against the community’s current resident or family list before publishing.
- Testimonials are published as given, including critical ones. The only scores or rankings we publish are the Top Communities list and the Excellence Awards.
How Lilisity is paid: Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. CMS ratings come from the federal government, and testimonials come from residents. Read the full methodology → · How we are paid →
Assisted living and memory care by city
Lancaster senior living questions, answered
Most states, including Pennsylvania, offer a Medicaid waiver that covers care costs (not room and board) at participating assisted living communities for people who qualify financially and medically. Not every community accepts the waiver, so ask early. Veterans and surviving spouses may also qualify for VA Aid & Attendance, worth up to roughly $2,300 per month toward care.
Assisted living provides housing, meals, and help with daily tasks like bathing and medications in an apartment setting, state-licensed and mostly private pay. Nursing homes (skilled nursing) provide 24/7 medical care, are federally certified and CMS-rated, and are typically paid through Medicare, Medicaid, or long-term-care insurance.
Every facility in the table above links to its full record — CMS star ratings, health-inspection findings, staffing hours per resident, and any fines or penalties, sourced from Medicare's Care Compare data. 16 Lancaster-area facilities currently hold a 5-star overall rating.
Assisted living moves can happen in days when a community has availability — after a nurse assessment and paperwork. Memory care placements after a crisis often complete within one to two weeks. Ask each community about openings when you call.
Lilisity publishes scores and rankings only for the Top Communities list and the Excellence Awards, both built from phone-verified interviews. The 54 communities listed by county come from state licensing records; CMS ratings apply only to Medicare-certified nursing homes.
Free help with senior living in Lancaster
Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help. We don’t share your information with any community.
Free guide · 16 pages
Paying for Senior Living
Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.