Senior Care in Lancaster County, Pennsylvania.
Nurse-Led. Starting at Home.
No Place Like Home Care provides non-medical in-home senior care throughout Lancaster County, Lancaster, Lititz, Ephrata, Elizabethtown, and every community in between. Founded and overseen by Kelly Tyrrell, RN. Private pay and long-term care insurance accepted. Free in-home assessment. No physician's order required.
Senior Care in Lancaster County, Pennsylvania.
Nurse-Led. Starting at Home.
No Place Like Home Care provides non-medical in-home senior care
throughout Lancaster County, Lancaster, Lititz, Ephrata, Elizabethtown, & every community in between.
Founded & overseen by Kelly Tyrrell, RN. Private pay and long-term care insurance accepted. Free in-home assessment. No physician's order required.
Helping Lancaster County Families Keep Their Loved Ones Home
Lancaster County has one of the most developed senior care ecosystems in Pennsylvania, large continuing care retirement communities, memory care neighborhoods, personal care homes, adult day programs, and more.
Families here have options.
But most families who call No Place Like Home Care are not looking for a facility. They are looking for a way to keep their loved one exactly where they are, in the home they know, in the community they belong to, with professional support that makes that possible safely.
That is what we do. Non-medical home care for seniors and adults aged 18 and older who want to remain at home and need support to do it well. No Place Like Home Care serves Lancaster County from our base in Blandon, Pennsylvania, just across the county line in Berks County. We know this region. Our caregivers live here. Our response times are fast. And our nurse-led model means every care plan is overseen by a Registered Nurse, not a scheduler.
What No Place Like Home Care Provides in Lancaster County
Every service listed below is non-medical. No Place Like Home Care is not a home health agency. We do not provide skilled nursing, wound care, physical therapy, or medication administration. We provide the daily living support layer, the care that makes everything else possible.
Personal Care
Bathing, dressing, grooming, toileting, and mobility assistance. Hands-on physical support with the daily routines that have become harder to manage safely. Every personal care placement is reviewed by Kelly Tyrrell, RN and matched to your loved one's specific needs.
Companion Care
Conversation, social engagement, meal preparation, light housekeeping, transportation, and medication reminders. The support that prevents dangerous isolation without requiring physical assistance and the starting point for many Lancaster County families who aren't sure how much help their loved one actually needs.
Cognitive & Memory Care
Specialized in-home support for individuals with dementia, Alzheimer's disease, Parkinson's disease, or other forms of cognitive decline. Our caregivers complete Learn2Care dementia training before any memory care placement. Consistent caregiver assignment, not a rotating cast of strangers, is our standard for every Lancaster County memory care client.
Respite Care
Scheduled relief for family caregivers who have been providing primary care at home. A No Place Like Home Care caregiver comes in for a morning, a full day, or a multi-day block so you can step away without your loved one going anywhere or breaking routine.
Live-In & 24-Hour Care
Continuous coverage for seniors who cannot safely be left alone. Flat daily rate for live-in care. Rotating shift structure for 24-hour awake coverage. Our nurse-led assessment determines which structure is appropriate and we will always tell you honestly when one option is not the right fit.
Hospital-to-Home Recovery
Post-discharge non-medical support for individuals returning home after surgery or hospitalization at Penn Medicine Lancaster General, UPMC Lititz, WellSpan Ephrata Community Hospital, or Penn State Health Milton S. Hershey Medical Center. Same-day starts available. No physician's order required.
In-Home Memory Care In Lancaster County.
The Alternative To $5,991–$9,536 Per Month.
Lancaster County has some of the most respected memory care communities in Pennsylvania, Magnolias of Lancaster, Brethren Village Memory Support, Mennonite Home Communities, Country Meadows, and others. Many of these facilities provide exceptional care.
But residential memory care in Lancaster County costs between $5,991 and $9,536 per month. For many families, that number arrives as a shock.
Here is what those families often do not know: for most individuals in the early to middle stages of dementia or Alzheimer's, home care is not just a less expensive option, it may be the better clinical choice.
Research published in ScienceDirect confirms that structured in-home care successfully delays long-term nursing home institutionalization. The reason is environmental familiarity. A person with cognitive decline is functioning in a brain that depends on the familiar. Their furniture. Their routines. The sound of their own kitchen. Moving that person into an unfamiliar environment, even a high-quality one, can trigger what clinicians call transfer trauma: acute anxiety, agitation, sleeplessness, and accelerated behavioral deterioration that can take 14 to 30 days to stabilize.
In-home care eliminates transfer trauma entirely.
No Place Like Home Care provides non-medical in-home memory care throughout Lancaster County. Our caregivers are matched specifically for dementia temperament, patience, de-escalation instinct, redirection skill. Every caregiver completes Learn2Care dementia training before their first shift. And we send the same caregiver on the same schedule, because consistency is not a preference in dementia care, it is a clinical necessity.
There will come a stage when facility placement is the right answer for a specific family. No Place Like Home Care will always tell families honestly when that threshold has been reached. But for most Lancaster County families who call us, home is further away from that threshold than they feared.
What Home Care Costs in Lancaster County & Why The Numbers You May Have Seen Online Are Wrong.
If you've researched home care costs online, you may have seen hourly rates as low as $18 to $25 per hour cited for Lancaster County. Those figures come from two sources, neither of which represents what a licensed home care agency charges.
The first source is Care.com, which aggregates private hire caregivers. These are individuals setting their own rates as
independent contractors. When you hire privately, your family becomes the caregiver's employer, responsible for payroll taxes, Social Security withholding, federal unemployment taxes, Form W-2 issuance, and all liability if the caregiver is injured in your home. The $18–$22/hr rate reflects that. You're paying less because you're taking on the risk.
The second source is Pennsylvania Medicaid reimbursement rates. The Community HealthChoices (CHC) waiver pays agencies a flat state-set rate, lower than private pay, to serve Medicaid-eligible seniors. No Place Like Home Care does not accept Medicaid.
Licensed private-pay home care agencies in Lancaster County charge $28 to $38 per hour. No Place Like Home Care is at the top of that range, $34 per hour for weekday day shifts, $36 for evenings, nights, and weekends, and $38 for weekend evenings, nights, and holidays. Live-in care is billed at a flat daily rate starting at $544 per day.
Here is what comes with that rate: W-2 employed caregivers, not independent contractors. Comprehensive background checks, drug and TB screening. Learn2Care trained. Every care plan reviewed and overseen by Kelly Tyrrell, RN. Backup caregiver coverage when your primary caregiver is unavailable. And a nurse who answers the phone.
If you are comparing agencies in Lancaster County, you are comparing us against Visiting Angels, Home Instead, Covenant Home Care, By Your Side Home Care, Faithful at Home Care, Senior Helpers, and others. We have reviewed what those agencies offer. None of them are nurse-led. That is the difference.
We accept private pay and long-term care insurance. Most modern LTCI policies cover our services and require a licensed agency, which we are. We can help you understand your policy during the assessment and provide all documentation your carrier needs. Qualifying new Lancaster County clients receive their first 4 hours of care complimentary.
Lancaster County Senior Care Resources
No Place Like Home Care works alongside the broader Lancaster County senior care ecosystem, not instead of it. Here are the local resources families most frequently need to know about.
Lancaster County Office of Aging
The Lancaster County Office of Aging is the primary government hub for senior services in the county.
They administer the state-funded
OPTIONS program, which provides subsidized in-home personal care aides, home modifications, and emergency response systems for
seniors aged 60 and older who do not qualify for Medicaid.
They also coordinate Meals on Wheels, the PA MEDI Medicare counseling program, & the regional Long-Term Care Ombudsman.
Phone: 717-299-7979
The protective services line is available 24 hours a day for elder abuse or safety reports.
PA OPTIONS Program
The OPTIONS program is Pennsylvania's care management framework for middle-income seniors who miss Medicaid financial thresholds.
Unlike Medicaid, there are no strict asset caps, cost-sharing is scaled to monthly income. Services can include personal care aide hours, home modifications, and adult day care placements. Contact the Lancaster County Office of Aging to initiate a financial screening.
VA Aid & Attendance — Lancaster County Veterans
Eligible wartime veterans or surviving spouses may qualify for the VA Aid and Attendance benefit, a tax-free monthly pension increase that can be applied directly to No Place Like Home Care services. No VA contract required. Families can file claims through the Lancaster County Veterans Affairs office in Lancaster City or coordinate through the Lebanon VA Medical Center.
Adult Day Care Options
For families exploring structured daytime care as a complement to or alternative to home care: Landis Homes Adult Day Services on East Oregon Road in Lititz is the primary Lancaster County provider. Lancaster Generations in Leola offers additional programming. Both provide nursing oversight, meals, memory-specific activities, and transportation.
Lancaster County Communities We Serve
No Place Like Home Care serves adults and seniors throughout Lancaster County, Pennsylvania. Our caregivers live and work across the county, which means reliable coverage, fast response times, and familiarity with the local hospital systems, aging resources, and community networks your family will need.
Lancaster · Lititz · Ephrata · Elizabethtown · Manheim Borough · Columbia · Quarryville · Strasburg · Millersville · East Petersburg · Mountville · Leola · New Holland · Mount Joy · Marietta · Akron · Adamstown · Willow Street · Conestoga · Smoketown · Bird-in-Hand · Intercourse · Gap · Peach Bottom · Holtwood
Don't see your community listed? Call us at (610) 492-6632. If you're within Lancaster County, we likely serve your area and can confirm coverage immediately.
No Place Like Home Care coordinates hospital-to-home recovery support for patients discharging from:
Penn Medicine Lancaster General Health, Lancaster
UPMC Lititz, Lititz
WellSpan Ephrata Community Hospital, Ephrata
Penn State Health Milton S. Hershey Medical Center, Hershey
Call us before the discharge date. Same-day starts are available for urgent situations. No physician's order required.
Frequently Asked Questions About Senior Care In Lancaster County, Pennsylvania
What does non-medical senior care cost in Lancaster County?
Licensed private-pay home care agencies in Lancaster County charge between $28 and $38 per hour, not the $18 to $25 figures sometimes cited online. Those lower numbers reflect either Care.com private hire rates (where your family becomes the employer and assumes all tax and legal liability) or Pennsylvania Medicaid reimbursement rates. Neither represents what a licensed, insured agency charges.
No Place Like Home Care rates are $34 per hour for weekday day shifts, $36 for evenings, nights, and weekends, and $38 for weekend evenings, nights, and holidays. Live-in care begins at $544 per day. A one-time care coordination and onboarding fee of $375 applies. We accept private pay and long-term care insurance.
What is the difference between in-home memory care and a memory care facility in Lancaster County?
Residential memory care facilities in Lancaster County, including secured dementia neighborhoods at Magnolias of Lancaster, Brethren Village, Mennonite Home Communities, and others, cost between $5,991 and $9,536 per month. In-home memory care through No Place Like Home Care provides dementia-trained caregiver support in your loved one's current home, without the environmental displacement that can trigger transfer trauma and accelerated behavioral decline.
Research confirms that structured in-home care successfully delays nursing home institutionalization. For most families in Lancaster County navigating early to middle-stage dementia, home is the clinically supported choice, and significantly more affordable. No Place Like Home Care will always tell families honestly when that changes.
Does long-term care insurance cover home care in Lancaster County?
Most modern long-term care insurance policies cover non-medical home care when delivered through a licensed home care agency. Pennsylvania's insurance regulations require that care be provided by a licensed agency to qualify for reimbursement, which No Place
Like Home Care is.
Most LTCI policies activate when a physician certifies the
policyholder needs assistance with at least two of the six
Activities of Daily Living (ADLs), or when the policyholder
receives a diagnosis of cognitive impairment, regardless of physical ADL status. Many Lancaster County families who call us already qualify without knowing it.
Bring your LTCI policy information to the free in-home assessment. We will help you understand your coverage and provide all documentation your carrier needs to activate and maintain your benefit period.
Does Medicare pay for non-medical home care in Lancaster County?
No. Medicare does not cover long-term non-medical home care, personal care, companion care, household support, or daily living assistance, when that is the only service needed. Medicare covers short-term, physician-ordered skilled medical care (visiting nurses, physical therapy, occupational therapy) when a patient is certified homebound.
No Place Like Home Care is private pay and long-term care insurance funded. We do not accept Medicare or Medicaid. Veterans and surviving spouses receiving VA Aid and Attendance can apply those tax-free funds directly toward No Place Like Home Care services. The Lancaster County Veterans Affairs office and the Lebanon VA Medical Center can assist with claim coordination.
What is the Lancaster County Office of Aging and how can they help?
The Lancaster County Office of Aging is the primary government hub for senior services in Lancaster County. They administer the state-funded OPTIONS program, which provides subsidized in-home personal care aides, home modifications, and emergency response systems for residents aged 60 and older who do not qualify for full Medicaid. They also coordinate Meals on Wheels,
the PA MEDI Medicare counseling program, and the regional Long-Term Care Ombudsman, who advocates for the rights of seniors in nursing homes, personal care homes, and assisted living facilities throughout the county.
Phone: 717-299-7979. Protective services available 24 hours.
Can veterans in Lancaster County get financial help for home care?
Yes. Eligible wartime veterans or their surviving spouses may qualify for the VA Aid and Attendance benefit, a tax-free monthly pension increase specifically designed to help cover the cost of in-home care, assisted living, or nursing home placement.
For 2026, the benefit provides up to $1,558 to $2,874 per month depending on the veteran's status and care level. To qualify, a physician must document that the veteran needs assistance with activities of daily living.
No Place Like Home Care accepts VA Aid and Attendance funds directly, no VA contract required. Families can file claims through the Lancaster County Veterans Affairs office in Lancaster City or coordinate through the Lebanon VA Medical Center.
What cities and communities in Lancaster County does No Place Like Home Care serve?
No Place Like Home Care serves families throughout Lancaster County, Pennsylvania, including Lancaster, Lititz, Ephrata, Elizabethtown, Manheim, Columbia, Quarryville, Strasburg, Millersville, East Petersburg, Mountville, Leola, New Holland, Mount Joy, Marietta,
Akron, and all surrounding communities.
We also provide same-day hospital discharge support for patients leaving Penn Medicine Lancaster General, UPMC Lititz, WellSpan Ephrata Community Hospital, and Penn State Health Milton S. Hershey Medical Center. Call (610) 492-6632 to confirm coverage in your specific location.
What makes No Place Like Home Care different from other agencies in Lancaster County?
The difference is nurse-led oversight. No Place Like Home Care was founded by Kelly Tyrrell, RN, a Registered Nurse with nearly 20 years of clinical experience in home health, acute rehabilitation, emergency medicine, and executive healthcare leadership.
Every care plan for every Lancaster County client is personally reviewed and overseen by Kelly. Every caregiver placement is matched by Kelly's team based on your loved one's specific needs, personality, and care requirements, not availability.
The home care agencies serving Lancaster County, including Visiting Angels, Home Instead, Covenant Home Care, By Your Side Home Care, Faithful at Home Care, Senior Helpers, and others, provide caregivers. None of them are nurse-led. That matters most when something changes, when a medical question arises, or when the
care plan needs to adapt.
Our caregivers are also W-2 employees, not independent contractors or registry placements. We handle all payroll taxes, workers' compensation, background checks, Learn2Care dementia training,
and backup coverage. You receive a vetted, trained, insured caregiver without becoming an employer.
How quickly can home care begin in Lancaster County, Pennsylvania?
Most Lancaster County families begin services within 24 to 72 hours of completing the intake assessment and onboarding process.
For hospital discharges or urgent situations, a sudden safety concern, an unexpected fall, a family caregiver who can no longer continue, same-day starts are available. Call us before the discharge date from Penn Medicine Lancaster General, UPMC Lititz, WellSpan Ephrata Community Hospital, or Penn State Health Milton
S. Hershey Medical Center, and we will have a caregiver ready when your loved one arrives home.
No physician's order is required to begin our services.
How do we get started with home care in Lancaster County?
Call or text No Place Like Home Care at (610) 492-6632 or visit noplacelikehomepa.com. We will schedule a free in-home assessment with Kelly Tyrrell, RN or a member of our nurse-led care team.
During the assessment we evaluate your loved one's daily needs, home environment, behavioral patterns, and care preferences. We discuss payment options including long-term care insurance and VA benefits. We develop a personalized care plan and match the right
caregiver. We can typically begin within days.
Qualifying new Lancaster County clients receive their first
4 hours of care complimentary.
Ready to Talk?
Lancaster County Families Call Us Every Day.
You may have been researching for weeks. You may have called other agencies. You may have toured a facility or two and come home feeling like none of it was quite right. Call us. We will tell you honestly whether we are the right fit, and if we're not, we will tell you who is.
(610) 492-6632 — call or text, available 24/7
No Place Like Home Care, LLC is licensed and regulated by the Pennsylvania Department of Health. License No. HC-XXXXXX.
We serve Lancaster County, Pennsylvania from our office at 104 Kensington Blvd., Blandon, PA 19510. We accept private pay
and long-term care insurance. We do not accept Medicaid or Medicare.
Compassionate Care. Right Where You Belong.
Serving families throughout Southeastern Pennsylvania:
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No Place Like Home Care is a Registered Non-Skilled Home Care Agency licensed by the Pennsylvania Department of Health under License No. HC-XXXXXX.
To report a consumer complaint or concern, contact the PA DOH Home Health Hotline: 1-800-254-5164