Other senior care options in Pennsylvania:

Page 26 of Best Assisted Living in Pennsylvania

Why trust this guide? Our editorial team analyzed 443 assisted living communities in PA using PA Depts. of Human Services & Health data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in PA
Reviewed by
Last updated
Jul 2026
We analyzed
443 homes
Other senior care options in Pennsylvania:
Avg Monthly Cost: $6,468The average monthly cost across facilities in Pennsylvania. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 46/ 100The average Walk Score across facilities in Pennsylvania. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 94The average licensed bed capacity across facilities in Pennsylvania. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Pennsylvania

Info below is compiled from the PA Depts. of Human Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Homestead Village
AL
IL
MC
NH
SNF
Lancaster (Rohrerstown)
100
Facility 100
PA AVG 94
Rank #202 / 553
Yes
16
Facility 16
PA AVG 46
Rank #558 / 667
Homestead Village Inc
91
Facility 91
PA AVG 83
Rank #112 / 460
5
0
Facility 0
PA AVG 4
Rank #1 / 478
40%
Facility 40%
PA AVG 72.7%
Rank #39 / 478
6
Facility 6
PA AVG 63
Rank #27 / 478
1.2
Facility 1.2
PA AVG 5.7
Rank #32 / 478
Non-Profit-- 57.0% Private Rooms-
Messiah Lifeways at Messiah Village
AL
ADC
IL
MC
NH
RESC
RC
SNF
Mechanicsburg
190
Facility 190
PA AVG 94
Rank #21 / 553
No
22
Facility 22
PA AVG 46
Rank #520 / 667
Messiah Home Inc
89
Facility 89
PA AVG 83
Rank #152 / 460
9
1
Facility 1
PA AVG 4
Rank #107 / 478
78%
Facility 78%
PA AVG 72.7%
Rank #345 / 478
32
Facility 32
PA AVG 63
Rank #205 / 478
3.6
Facility 3.6
PA AVG 5.7
Rank #221 / 478
Non-Profit
144
Facility 144
PA AVG 76.9
Rank #21 / 356
1.21 78.4% -A+
Beaumont At Bryn Mawr
AL
IL
NH
PC
RC
SNF
Bryn Mawr (North Ithan Avenue)
18
Facility 18
PA AVG 94
Rank #551 / 553
Yes
8
Facility 8
PA AVG 46
Rank #610 / 667
Beaumont Retirement Community Inc
96
Facility 96
PA AVG 83
Rank #38 / 460
6
1
Facility 1
PA AVG 4
Rank #107 / 478
83%
Facility 83%
PA AVG 72.7%
Rank #392 / 478
17
Facility 17
PA AVG 63
Rank #96 / 478
2.8
Facility 2.8
PA AVG 5.7
Rank #161 / 478
Non-Profit
13
Facility 13
PA AVG 76.9
Rank #352 / 356
1.00 72.2% 1 Bed / 2 Bed-
Riverton Enhanced Senior Living
AL
IL
MC
NH
RC
SNF
Allentown (Rittersville)
90
Facility 90
PA AVG 94
Rank #250 / 553
No
56
Facility 56
PA AVG 46
Rank #236 / 667
Riverton Operator LLC
91
Facility 91
PA AVG 83
Rank #112 / 460
12
2
Facility 2
PA AVG 4
Rank #184 / 478
58%
Facility 58%
PA AVG 72.7%
Rank #150 / 478
44
Facility 44
PA AVG 63
Rank #266 / 478
3.7
Facility 3.7
PA AVG 5.7
Rank #227 / 478
Profit
85
Facility 85
PA AVG 76.9
Rank #132 / 356
1.23 76.7% 1 Bed / 2 Bed-
The Hill at Whitemarsh
AL
MC
NH
RC
SNF
Lafayette Hill
52
Facility 52
PA AVG 94
Rank #430 / 553
No
-
Facility -
PA AVG 46
Rank #663 / 667
Whitemarsh Continuing Care Retirement Community
91
Facility 91
PA AVG 83
Rank #112 / 460
7
1
Facility 1
PA AVG 4
Rank #107 / 478
71%
Facility 71%
PA AVG 72.7%
Rank #286 / 478
22
Facility 22
PA AVG 63
Rank #126 / 478
3.1
Facility 3.1
PA AVG 5.7
Rank #189 / 478
Non-Profit
31
Facility 31
PA AVG 76.9
Rank #314 / 356
1.24 48.1% Studio / 1 bed / 2 bed / 3 bed-
Dock Woods
AL
IL
MC
NH
RC
SNF
Lansdale
80
Facility 80
PA AVG 94
Rank #292 / 553
No
21
Facility 21
PA AVG 46
Rank #523 / 667
Hatfield Mennonite Homes Inc
86
Facility 86
PA AVG 83
Rank #193 / 460
10
2
Facility 2
PA AVG 4
Rank #184 / 478
50%
Facility 50%
PA AVG 72.7%
Rank #77 / 478
29
Facility 29
PA AVG 63
Rank #188 / 478
2.9
Facility 2.9
PA AVG 5.7
Rank #168 / 478
Non-Profit
92
Facility 92
PA AVG 76.9
Rank #123 / 356
1.35 85.0% Studio / 1 Bed / 2 Bed-
Kendal-Crosslands Communities
AL
IL
MC
NH
SNF
Kennett Square
51
Facility 51
PA AVG 94
Rank #436 / 553
Yes
9
Facility 9
PA AVG 46
Rank #602 / 667
Kendal-Crosslands Communities, Inc
99
Facility 99
PA AVG 83
Rank #17 / 460
6
1
Facility 1
PA AVG 4
Rank #107 / 478
33%
Facility 33%
PA AVG 72.7%
Rank #27 / 478
8
Facility 8
PA AVG 63
Rank #40 / 478
1.3
Facility 1.3
PA AVG 5.7
Rank #39 / 478
Non-Profit
34
Facility 34
PA AVG 76.9
Rank #304 / 356
1.00 66.7% Studio / 1 Bed / 2 Bed-
Garden Spot Village
AL
ADC
IL
MC
NH
SNF
New Holland
110
Facility 110
PA AVG 94
Rank #164 / 553
No
32
Facility 32
PA AVG 46
Rank #444 / 667
Garden Spot Village
92
Facility 92
PA AVG 83
Rank #98 / 460
4
1
Facility 1
PA AVG 4
Rank #107 / 478
50%
Facility 50%
PA AVG 72.7%
Rank #77 / 478
6
Facility 6
PA AVG 63
Rank #27 / 478
1.5
Facility 1.5
PA AVG 5.7
Rank #46 / 478
Non-Profit
59
Facility 59
PA AVG 76.9
Rank #220 / 356
1.00 56.4% Studio / 1 Bed / 2 Bed / 3 Bed / Cottage-
Moravian Village of Bethlehem
AL
IL
MC
NH
SNF
Bethlehem (Central Bethlehem)
250
Facility 250
PA AVG 94
Rank #9 / 553
No
59
Facility 59
PA AVG 46
Rank #216 / 667
Moravian Village Of Bethlehem
90
Facility 90
PA AVG 83
Rank #132 / 460
9
0
Facility 0
PA AVG 4
Rank #1 / 478
56%
Facility 56%
PA AVG 72.7%
Rank #123 / 478
10
Facility 10
PA AVG 63
Rank #49 / 478
1.1
Facility 1.1
PA AVG 5.7
Rank #29 / 478
Non-Profit
22
Facility 22
PA AVG 76.9
Rank #339 / 356
1.220--
Willowbrook Place
AL
MC
NH
RC
Clarks Summit
80
Facility 80
PA AVG 94
Rank #292 / 553
Yes
45
Facility 45
PA AVG 46
Rank #341 / 667
Clarks Summit Aid II Opco LLC
82
Facility 82
PA AVG 83
Rank #257 / 460
13
2
Facility 2
PA AVG 4
Rank #184 / 478
85%
Facility 85%
PA AVG 72.7%
Rank #415 / 478
68
Facility 68
PA AVG 63
Rank #352 / 478
5.2
Facility 5.2
PA AVG 5.7
Rank #332 / 478
Profit
48
Facility 48
PA AVG 76.9
Rank #259 / 356
1.20 52.5% Studio / 1 Bed-
Juniper Village at Bucks County
AL
IL
MC
NH
SNF
Bensalem
60
Facility 60
PA AVG 94
Rank #398 / 553
Yes
46
Facility 46
PA AVG 46
Rank #328 / 667
Juniper Village At Bensalem Operations LLC
59
Facility 59
PA AVG 83
Rank #458 / 460
12
7
Facility 7
PA AVG 4
Rank #401 / 478
92%
Facility 92%
PA AVG 72.7%
Rank #453 / 478
150
Facility 150
PA AVG 63
Rank #436 / 478
12.5
Facility 12.5
PA AVG 5.7
Rank #449 / 478
Profit
68
Facility 68
PA AVG 76.9
Rank #186 / 356
1.66 66.7% Studio / 1 Bed / 2 Bed-
Fellowship Community
AL
IL
MC
NH
SNF
Whitehall (Fellowship Community)
121
Facility 121
PA AVG 94
Rank #121 / 553
Yes
4
Facility 4
PA AVG 46
Rank #644 / 667
---------- 97.0% 1 Bed / 2 Bed-
Freedom Village at Brandywine
AL
IL
MC
NH
RC
SNF
Coatesville
60
Facility 60
PA AVG 94
Rank #398 / 553
Yes
9
Facility 9
PA AVG 46
Rank #602 / 667
---------- 76.8% 1 Bed / 2 BedA+
Spring House Estates
AL
NH
HC
HOS
IL
MC
PC
SNF
Lower Gwynedd Township (Spring House)
16
Facility 16
PA AVG 94
Rank #552 / 553
No
43
Facility 43
PA AVG 46
Rank #362 / 667
---------- 53.8% 1 Bed / 2 Bed / 3 BedA+
Paul’s Run Retirement Community
AL
IL
NH
RC
SNF
Philadelphia (Bustleton)
170
Facility 170
PA AVG 94
Rank #36 / 553
No
66
Facility 66
PA AVG 46
Rank #166 / 667
Pauls Run Inc------Non-Profit---Studio / 1 Bed / 2 BedA
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Spring Village at Pocono

329 East Brown Street, East Stroudsburg, PA 19301
Overview of Spring Village at Pocono

Operating with a 105-bed capacity, Spring Village at Pocono is a nursing community in East Stroudsburg, Pennsylvania, that provides rehabilitation services, respite care, short-term rehabilitation, and personal care support, all backed by 24-hour staffing. Currently operating at an 83% occupancy rate in a neighborhood with strong walkability, the community allows residents and visiting family members convenient access to many nearby services and amenities.

A broad range of amenities and activities supports daily engagement and well-being. Nutritious meals and snacks are provided through a full-service dining program, while housekeeping, laundry, transportation coordination, beauty and barber services, and continence management further support everyday living. Enrichment opportunities also include exercise classes, trivia and word games, current events discussions, live entertainment, arts and crafts, special dining experiences, scenic outings, bingo, and daily social gatherings. Studio and suite accommodations are furnished and complemented by comfortable common areas and wide hallways designed for accessibility.

Inspection reports have identified recurring operational concerns involving medication management, staff qualifications, and safety practices, including environmental hazards and the storage of hazardous materials. Documentation standards and resident confidentiality have also been areas of focus. Although corrective action plans have been implemented, these issues have continuously appeared in subsequent inspections, which warrants careful consideration.

Spring Village at Pocono offers a variety of care services, amenities, and enrichment opportunities for older adults. However, families are encouraged to discuss the recurring regulatory concerns with the management.

Contact Spring Village at Pocono

Overview of Rivercliff Terrace

Rivercliff Terrace is a personal care home located on Allegheny Avenue in Kittanning, Pennsylvania, that focuses on personal care. This 34-bed community maintains an 82% occupancy rate and is home to 28 residents. Situated in a neighborhood with a walkability score of 73, it offers convenient access for visiting family members, with some destinations available within walking distance.

Along with personal care and medication management, support services that include laundry and assistance with daily living activities are provided. Three home-cooked meals are also served daily in the dining room. Amenities such as a beauty shop, outdoor porches, and shared gathering spaces also provide opportunities for relaxation and social interaction.

Over the past several years, state inspections have identified concerns related to building maintenance and medication management, including equipment storage and temperature control practices. Complaint investigations have not been substantiated, and findings were addressed through corrective action plans. For families considering Rivercliff Terrace, the community’s history of responding to identified concerns reflects an ongoing commitment to maintaining care and operational standards.

Contact Rivercliff Terrace

Sunny Crest Home

2587 Valley View Road, Morgantown, PA 19543
Overview of Sunny Crest Home

Providing residential care, Sunny Crest Home is a 71-bed personal care home in Morgantown, Pennsylvania, with a 76% occupancy rate. Located on Valley View Road, the community has a Walk Score of 42, suggesting that nearby services are accessible on foot, but transportation is required for most errands and appointments.

Skilled nursing care and daily support are provided for older adults who need ongoing medical attention and assistance with activities of daily living. Moreover, its moderate size allows it to offer the resources associated with a larger care setting while maintaining a more intimate environment.

Earlier findings highlighted resident incident reporting, medication management, staff safety certifications, and equipment safety practices. However, these were addressed through corrective actions, and regulators have monitored their progress. The most recent inspection also reported no deficiencies, indicating compliance with current regulatory standards and demonstrating progress in addressing previously identified issues.

To best evaluate Sunny Care Home, an in-person visit can provide valuable insight into the community’s daily environment, care services, dining options, activities, and overall approach to resident support. Meeting with nursing and administrative staff can also help families better understand the care philosophy and services available.

Contact Sunny Crest Home

The Residence at Whitehall

4750 Clairton Blvd, Pittsburgh, PA 15236
Overview of The Residence at Whitehall

Serving older adults in the Clairton Boulevard area of Pittsburgh for seven years, The Residence at Whitehall is a 46-bed assisted living community operated by CPF Living Communities. It also offers personal care, along with respite care for short-term stays. The community currently maintains a 74% occupancy rate and has monthly rates starting at $2,665.

Residents have access to GracefulDining™ for daily meals, along with amenities that include a fitness center, spa, restaurant, café, garden, and scheduled transportation for appointments and outings. The community also offers the Vibrant Living Program, health and wellness activities, Graceful Respite Stays, and a Veterans Benefits program for those who have served in the military.

The surrounding neighborhood has a walkability score of 38, allowing access to a few nearby destinations on foot, although most errands require a vehicle. State inspections have identified deficiencies related to medication management, staff training, resident care, safety practices, and documentation, with correction plans submitted and implemented in response to regulatory findings.

Contact The Residence at Whitehall

Overview of Maidencreek Place

Maidencreek Place is a remarkable senior living community in Berks County, Reading, PA, offering exceptional personal care and respite & short-term care services. Residents are guaranteed peace of mind with a highly trained team available 24/7 to provide nursing care and respond to residents’ needs any time of the day. The community provides a haven of comfort and security with their conveniently designed studios and one-bedroom apartments with large closets, individual temperature control, and modern kitchenettes.

The community offers a full calendar of engaging opportunities to stimulate residents physically, mentally, emotionally, and socially. With its convenient location, residents can easily participate in the city’s spirited festivities and access vibrant local amenities. In addition to round-the-clock nursing care, residents also benefit from healthcare management, therapeutic rehabilitation programs, and nightly, hourly room checks. Here, residents are empowered to live vibrantly while also receiving an array of excellent supportive and care services that support their overall wellbeing.

Contact Maidencreek Place

Overview of The Addison of Lowrie Place

Situated in Butler, PA, The Addison of Lowrie Place is an excellent senior living community that offers gracious Personal Care and Short Term Care, providing a warm and friendly environment for vibrant retirement. Residents can enjoy a relaxed lifestyle with 24-hour care available, ensuring they maintain their independence while having support when needed. The community’s inviting atmosphere encourages residents to partake in various activities, making it easy to live a fuller life with the convenience of nearby amenities and services.

The community at The Addison of Lowrie Place is designed to keep residents engaged and comfortable. It features amenities such as an activity room, hair salon, outdoor courtyard, and a pet-friendly environment. Residents can enjoy chef-prepared meals in the dining room or opt for in-room dining for more privacy. Services like housekeeping, laundry, transportation, and on-site maintenance take care of daily tasks, allowing residents to focus on enjoying their social and recreational programs.

Contact The Addison of Lowrie Place

Overview of Oakwood Terrace

Oakwood Terrace stands as a haven for seniors embracing a vibrant and fulfilling lifestyle. Offering independent, assisted, and memory care services within a personalized care home setting, Oakwood Terrace adheres to the elegantly simple philosophy that “Getting older means getting better.”

With a commitment to fostering independence, blossoming friendships, and a renewed sense of purpose, each day at Oakwood Terrace unfolds with new experiences, insights, and added value for its cherished residents. The dedicated staff at Oakwood Terrace recognizes that senior care transcends addressing symptoms; it encompasses the entirety of each individual. Specializing in memory loss and dementia care, the staff at Oakwood Terrace guides residents on a personal journey, minimizing the impact of their conditions while inspiring a life filled with profound meaning and boundless joy. At Oakwood Terrace, getting older isn’t just a process; it’s an opportunity for residents to embrace a richer, more fulfilling chapter in their lives.

Contact Oakwood Terrace

Overview of Columbia Cottage Hanover

Offering assisted living, short-term rehabilitation, and respite care, Columbia Cottage Hanover is an assisted living community in Hanover, Pennsylvania. This 48-bed community maintains a 77% occupancy rate and a staff-to-resident ratio of approximately one staff member per eight residents. 24-hour nursing support is also available.

Focusing on wellness, social connection, and personalized support, the community provides freshly prepared meals. These are served communally at breakfast, lunch, dinner, and snack times to promote both good nutrition and social interaction. Recreational, educational, and wellness-focused programs are provided through a diverse calendar of activities designed to appeal to a variety of interests. Transportation services and housekeeping assistance also help simplify daily routines and support resident independence.

With its location on Grandview Road, the community is in a highly walkable neighborhood with a Walk Score of 84. This provides convenient access for visiting family members and allows residents opportunities to remain connected to the surrounding community.

The community highlights care protocols related to fall prevention and medication administration practices. In response, updated policies, staff training initiatives, and ongoing audits have been implemented to strengthen compliance and support resident safety.

Columbia Cottage Hanover provides assisted living, rehabilitation, and respite services for older adults. Additionally, interested families may benefit from touring the community, meeting staff members, and learning more about daily routines and available services to ensure it meets their standards.

Contact Columbia Cottage Hanover, LLC

Overview of Juniper Village at Brookline – Wellspring Memory Care

Operating under the Wellspring Memory Care program, Juniper Village at Brookline – Wellspring Memory Care is a specialized memory care nursing home in State College, Pennsylvania. The community also maintains an occupancy rate of 82% with its 38-bed capacity. With a person-centered approach to care, it is intentionally designed to support older adults living with Alzheimer’s and other forms of dementia.

Aside from its memory care services, short-term rehabilitation and long-term skilled nursing care are provided for those recovering from surgery or illness and have complex medical needs. The community also ensures residents receive care even as their needs evolve through personal care services. It is also located in a highly walkable neighborhood, providing convenient access to nearby dining, services, and local amenities.

Structured fitness programs, engaging activities, technology-based offerings, and dining experiences tailored to memory care residents also enrich residents’ daily living. On the other hand, inspections have reflected an ongoing commitment to quality improvement, with continued progress in regulatory compliance and care practices. Families seeking specialized memory care and nursing support will find a comprehensive range of services at Juniper Village at Brookline – Wellspring Memory Care.

Contact Juniper Village at Brookline – Wellspring Memory Care

Overview of Oak Leaf Manor Personal Care Retirement Home

Situated in a moderately walkable neighborhood in Millersville, Pennsylvania, Oak Leaf Manor Personal Care Retirement Home is a nursing home that offers rehabilitation services. With an 82-bed capacity, the community has a current occupancy rate of approximately 67%, typically housing around 55 residents. With its location on Wabank Road, the community provides access to services for daily errands within a walkable distance.

To support daily care needs, 24-hour staffing is provided. Chef-prepared meals and a robust schedule of activities and social events are provided to enhance older adults’ day-to-day living. A wraparound porch is also available, providing a pleasant outdoor gathering space for residents and visiting families. The pet-friendly policy also ensures that beloved companion animals can move in as well.

State inspections have highlighted areas requiring ongoing attention, specifically regarding medication administration and safety protocols. However, corrective actions have been implemented, and it has recently maintained a clear record free of license suspensions or enforcement actions.

For families researching Oak Leaf Manor Personal Care Retirement Home, this pet-friendly community has an intimate, manageable atmosphere. An in-person tour is also highly recommended to observe the dining services, view the event calendar, and experience the daily rhythm firsthand.

Contact Oak Leaf Manor Personal Care Retirement Home

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Assisted Living in Pennsylvania

What's the difference between assisted living and memory care in Pennsylvania?

Assisted living in Pennsylvania supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Pennsylvania?

Assisted living in Pennsylvania is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Pennsylvania Medicaid cover assisted living?

Pennsylvania Medicaid does not directly pay room-and-board for assisted living, but most states (including Pennsylvania) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 443 assisted living facilities in Pennsylvania. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Pennsylvania?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Pennsylvania, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Pennsylvania?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.