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Other Senior care options in Pennsylvania:

Best Senior Communities in Pennsylvania

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 639 homes in Pennsylvania

Sources: CMS Centers for Medicare and Medicaid Services, and Pennsylvania Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Senior Communities facilities in Pennsylvania.

Watch this Video to see Pennsylvania's Top-rated Senior Communities

Compare Senior Communities around Pennsylvania The information below is reported by the Pennsylvania Department of Human Services and Department of Health.

Click column headers to sort
Dock Woods
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Lansdale
80No 21 Hatfield Mennonite Homes Inc10250%292.9Non-Profit92 85.0% Studio / 1 Bed / 2 Bed-
Westlake Woods by New Perspective
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Erie (Stonegate)
79Yes 48 Erie Ops Llc12583.3%13611.3Profit58 55.7% Studio / 1 Bed-
Riverton Enhanced Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Allentown (Rittersville)
90No 56 Riverton Operator Llc12258.3%443.7Profit85 76.7% 1 Bed / 2 Bed-
Celebration Villa of Dillsburg
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Dillsburg
80Yes 13 Ec Opco Dillsburg Llc11363.6%393.5Profit- 53.8% Studio / Suite-
The Hearth at Drexel
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Bala Cynwyd (Belmont Avenue)
85No 58 Mary J Drexel Home14471.4%815.8Non-Profit115 87.1% Studio / 1 Bed / 2 Bed-
The Villa St. Elizabeth
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Reading (Museum Road)
92No 30 Evergreen Elder Care Inc15560%322.1Profit53 57.6% Private Rooms / Semi-Private RoomsA+
Brandywine Longwood
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Kennett Square
92No 14 Well Bl Opco Llc13476.9%584.5Profit- 59.8% --
Hawthorne Woods by New Perspective
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Assisted Living In Washington (South Strabane Township)
81Yes 19 Washington Ops Llc13561.5%665.1Profit71 59.3% Studio / 1 BedA+
Brightview Devon
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Wayne
95No 74 Bh Brightview Devon Opco, Llc13276.9%715.5Profit137 73.7% Studio / 1 Bed / 2 Bed-
Juniper Village at Mount Joy
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Mount Joy
72No 9 Juniper Village At Mount Joy Llc10270%444.4Profit58 76.4% Private Rooms / Semi-Private RoomsA+
Mercer Hill at Doylestown
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Doylestown (South Easton Road)
97Yes 16 Csw Arbour Square Iv Doylestown Lp21876.2%1085.1Profit98 78.4% Studio / 1 Bed / 2 Bed-
Celebration Villa of York
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

York (Tyler Run-Queens Gate)
75Yes 50 Ec Opco York Llc10470%585.8Profit- 60.0% Studio / Deluxe Studio / 2 Room Suite-
Plush Mills
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Wallingford
79No 34 Solera/Ship 1 Opco, Llc4-100%92.3Profit- 79.7% Studio / 1 Bed / 2 Bed-
Brookdale Mt. Lebanon
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Pittsburgh (Mcneilly Road)
80Yes 53 Brookdale Living Communities Of Pennsylvania-Ml Inc9-55.6%222.4Profit70--A+
Merrill Gardens at West Chester
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

West Chester (Ward Avenue)
94Yes 14 West Chester Pa Senior Property Llc10290%515.1Profit112 78.7% Studio / 1 Bed / 2 Bed-
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Overview of Home Instead – Philadelphia

Based in Chestnut Suite, Philadelphia, PA, Home Instead is an in-home care provider that offers a variety of care options including personal care, memory care, hospice support, home helper, and companionship. With over three decades of experience in delivering in-home care, Home Instead ensures that seniors receive the care that they need. 

Compassionate care at home, Home Instead provides various care plans for seniors to ensure that their care plans are the right ones. Skilled and well-trained caregivers who deliver personalized care to seniors. As a family-owned in-home care provider, Home Instead highlights personal care in its care programs, ensuring that seniors are in the best hands.

Contact Home Instead – Philadelphia

Overview of Good Shepherd Supported Independent Living – Allentown

Good Shepherd Supported Independent Living is a home-like community with a person-centered approach. The retirement home prioritizes every senior, tending to their every need.

The modest old living environment strives to offer its residents specialized care and attention to each unique individual.

Good Shepherd is a home that cultivates the needs of seniors by providing indoor and outdoor common areas, meals served daily, and housekeeping services.

What does this home offer?

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Building Type: 2-story

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Fitness and Recreation

Contact Good Shepherd Supported Independent Living – Allentown

Willow Valley Communities

450 Willow Valley Lakes Dr, Willow Street, PA 17584
Overview of Willow Valley Communities

Willow Valley Communities represents an extraordinary blend of luxury and purposeful living. This expansive community offers a diverse spectrum of residential options, from elegant cottages to spacious apartments, providing a range of choices for independent living, assisted living, and skilled nursing care.

The community buzzes with a rich tapestry of social events, educational programs, and recreational activities tailored to various interests and passions. From art classes to live performances and community outings, residents are encouraged to lead fulfilling lives while forging meaningful connections with neighbors and staff.

Contact Willow Valley Communities

Overview of Anthology of Mccandless

Anthology of Mccandless combines personal care and memory care services, with the former essentially called assisted living. Anthology proudly excels in providing a lifestyle that is centered around activities while altogether promoting independence. The luxurious community aims to gain a lifestyle that promotes a holistic wellness for every resident. The senior living community gives off a friendly and resort-like atmosphere, there’s always something appropriate for everyone. Anthology of Mccandless ensures a vibrant and inclusive social community for seniors so as to help nurture each senior’s individuality. 

Families can rest easy knowing that the senior living community is part of the renowned and elegant Anthology of Mccandless; one can guarantee only the highest quality of service. With that, some may need assistance with daily activities such as bathing, dressing, medication management, and physical therapy.  Community amenities include five-star dining offering a 4-course dinner; a fully equipped fitness center offering fitness and wellness classes; and a list of engaging recreational programs and activities.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Housing Options: Studio / 1 bed / 2 bed

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Transportation Services

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Fitness and Recreation

Contact Anthology of McCandless

Overview of Cathedral Village

A proud member of the Presbyterian Senior Living communities, Cathedral Village houses independent living, nursing, and rehabilitation care services. The senior living community emphasizes the importance of life enrichment for their seniors; staff ensures residents are living comfortably and still able to maintain a level of independence. They are composed of a team of care staff who are dedicated to offering quality care and meaningful services. Cathedral Village strives to provide a home that is comfortable and hassle-free for its residents to have a wonderful experience. 
Cathedral Village lifestyle is centered on holistic wellness; they offer wellness programs, personal care, emergency help, meals provided, housekeeping, and transportation– for all residents. They are a community that ensures a feasible service for the residents, which is why they also offer at-home services, personalized care, and transitional care. Nursing and rehabilitation residents receive an interdisciplinary care plan that covers therapies, pharmacy, x-ray, spiritual services, wound care, restorative nursing, and hospice. Other community amenities include a chapel, library, and courtyard.

Contact Cathedral Village

Overview of Wesley Enhanced Living Burholme

A community that strives in exceedingly making their residents comfortable, the Wesley Enhanced Living Burholme has everything you or your loved one needs. As their name suggests, Wesley aims to enhance the quality of living for their residents at Burholme.  A member of the Wesley Enhanced Living group, Burholme has been entrusted by many families for quite some time now because of its exclusive and inclusive community that is ready to be called home; as well as families can rest easy knowing that their loved ones are being taken care of professionally and compassionately. 
Their elegant dining room, roof-covered garden patio, coffee bar, and hair salon are among other amenities that residents have seamless access to. Their engaging activities and programs to name a few are the recreational activities, fitness activities, and entertainment programs available for residents to take part. Majority of the community has been renovated to feel more attractive and comfortable. Through their rehabilitation and skilled nursing services, residents who need assistance are guaranteed to receive professional rehabilitation services in Philadelphia; with skilled nursing nursing and nursing staff who are ready to supervise and guide their medical physicians whenever they need. 

Contact Wesley Enhanced Living Burholme

Overview of Holland Village

Holland Village offers independent living, assisted living, memory care, and skilled nursing where exceptional lifestyle is found in Philadelphia. They boast a nurturing and stimulating atmosphere that contribute to the respected experience discovered at Holland Village. They proudly excel with their approach in having a seamless transition for every resident; as they are a community that understands how unique their seniors are and may need specific care for every individual. Holland Village proudly welcomes all differences of every senior who comes from a variety of backgrounds. Holland Village ensures that every senior residing in their community loves the place they live. 

A stunning location for a serene senior living community is tucked in by neighboring nature areas; their Five-Star dining is a testimony to the savory delicious and healthy meals; a complimentary transportation for appointments, shopping, and the like; their personalized care and all-year round of activities promote a balanced lifestyle for the residents to stay active. Holland Village prides itself on the comfort and nurturing environment, which is provided and prioritized by their caring staff and the nursing home itself.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Transportation Services

Contact Holland Village

Overview of Keystonecare Home Health and Hospice

Live your later years with Keystonecare Home Health and Hospice, a committed non-profit community in Wyndmoor, PA, that offers hospice, home health, palliative care, and private duty care. A kind and highly trained team strives to meet older adults’ unique needs, providing top-notch care and support whenever necessary. With comprehensive care options, older adults can rest assured of finding the right care.

Emotional, psychological, and spiritual support are available to ensure older adults’ holistic wellness. The community takes care of older adults’ medical needs by providing medication, supplies, and equipment to lessen their pain. Family members also receive bereavement and grief support to help them cope with the loss of a loved one. The community is ideal for those looking to spend their end of life with less pain while staying in the comforts of their homes.

Contact KeystoneCare Home Health and Hospice

Overview of The Haven at Cranberry Woods

Discover the charm and warmth of The Haven at Cranberry Woods in Cranberry Township, PA, where exceptional support is combined with a compassionate, vibrant atmosphere for a truly fulfilling living experience. This community offers independent living services, ensuring each resident receives tailored care to meet their specific needs. The dedicated team is focused on providing top-notch support while creating a joyful and uplifting environment. Residents can also select from a variety of thoughtfully designed, comfortable studio, one-bedroom, two-bedroom, and three-bedroom apartments that suit their individual preferences.

With a wide range of amenities and activities, including a fitness center and a resort-style saline pool with a cabana, The Haven at Cranberry Woods fosters connections and promotes residents’ emotional, mental, and physical well-being. Every day is thoughtfully planned to bring joy and meaning to residents’ lives, making it a truly wonderful place to call home.

What does this home offer?

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Housing Options: Studio / 1 Bed / 2 Bed / 3 Bed

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Building Type: Mid-rise Building

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Fitness and Recreation

Contact The Haven at Cranberry Woods

Overview of Holiday Walnut Woods

Located at the scenic Walnut Street, Boyertown, PA, Holiday Walnut Woods is an ideal senior living community that offers independent living. The community features a variety of spacious and graceful floor plans including studio, one-bedroom, and two-bedroom apartments. Focusing on the seniors’ well-being, the community collaborates with the seniors and their loved ones to ensure they receive the best-suited care and assistance for their unique needs and preferences.

Holiday Walnut Woods provides an exclusive Engage Life program that enhances the seniors’ quality of life through different classes and activities related to their social, mental, emotional, spiritual, and physical wellness. Forging meaningful connections among its residents, the community encourages its residents to bond over meals. Three healthy homecooked meals are freshly served daily. The community ensures the comfort and safety of its residents with pet-friendly and wheelchair-accessible amenities such as a barber and beauty salon, a community center, a lounge area, an activity room, a game room, a library, a theater, a business center, a country store, an overlooking patio, an aesthetic garden and community grounds, and peaceful walking paths.

What does this home offer?

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Pets Allowed: Yes, Pets Allowed

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Room Sizes: 370 - 387 / 564 - 630 / 838 sq. ft.

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: 3-story

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Transportation Services

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Fitness and Recreation

Contact Holiday Walnut Woods

Ranking Methodology

How we rank these communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

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

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions about Senior Communities in Pennsylvania

What is senior living?

Senior communities are residential settings designed for adults aged 55 or older, with options ranging from active independent living to assisted living and memory care.

How many senior communities are listed on this page?

This page features 4 senior communities in Pennsylvania. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right senior community 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 senior communities 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.