Memory care in Lancaster County
State inspection records and citation history for every licensed facility — built from primary CDSS data.
Last updated May 2026
Of the 19 licensed memory care facilities indexed in Lancaster County, 19 (100%) have a Type-A or Type-B deficiency in their state record from the past 24 months.
Source: CA CDSS Community Care Licensing · Refreshed 2026-05-24 · Type-A = immediate health/safety risk; Type-B = lesser violation
Licensed PCH / ALR memory care facilities indexed in Lancaster County County
Total PA DHS citations on record across all Lancaster County facilities
↑ avg 39 per facilitySevere findings (PA DHS severity ≥ 3) on record
↑ avg 2.6 per facilityImmediate-jeopardy findings on record
Highest-performing facilities by state inspection record.
Landis Homes Retirement Community
Lititz
The Muhlenberg Lodge
Lititz
Quarryville Presbyterian Retirement Community
Quarryville
Lincoln Christian Home
Ephrata
Homestead Village
Lancaster
Oak Leaf Manor Personal Care Retirement Home
Millersville
Trillium Place
Lancaster
Brethren Village - Terrace Crossing
Lancaster
Most-cited on record · Lancaster County County · PA DHS OLTL
- 1.Legend Personal Care and Memory Care of Lancaster10 severe
- 2.Magnolias of Lancaster10 severe
- 3.Legend Personal Care and Memory Care of Lititz9 severe
- 4.Oak Leaf Manor North6 severe
- 5.Meadow View at Garden Spot Village4 severe
Lancaster County — every licensed facility ranked by inspection record.
Memory care · 50+ beds
(18)Community-style facilities (purpose-built buildings, common in regional chains).
1 seriousBrethren Village - Terrace Crossing
· limited history1 serious citation on fileLancaster · 98 beds · ALF · Memory care
2 seriousEvergreen Estates Retirement Community
2 serious citations on fileLancaster · 125 beds · ALF · Memory care
Keystone Villa at Ephrata
· limited history27 citations on fileEphrata · 100 beds · ALF · Memory care
10 seriousLegend Personal Care and Memory Care of Lancaster
10 serious citations on fileLancaster · 100 beds · ALF · Memory care
9 seriousLegend Personal Care and Memory Care of Lititz
9 serious citations on fileLititz · 100 beds · ALF · Memory care
Meadow View at Garden Spot Village
4 serious citations on fileNew Holland · 50 beds · ALF · Memory care
Paramount Senior Living at Lancaster County
3 serious citations on fileMaytown · 116 beds · ALF · Memory care
1 seriousPleasant View Communities
· limited history1 serious citation on fileManheim · 65 beds · ALF · Memory care
Providence Place of Lancaster
2 serious citations on fileLancaster · 125 beds · ALF · Memory care
Memory care · 7–49 beds
(1)Small to medium freestanding RCFEs with a memory-care program.
About Lancaster County
Lancaster County is a distinct market — geographically and demographically — from the Philadelphia suburbs. With 19 PA DHS-indexed facilities concentrated in Lancaster city, Lititz, Ephrata, and Manheim, the county's memory care supply reflects its older population, strong faith-affiliated operator presence, and Pennsylvania Dutch country rural character. Many operators here have served the county for decades, with inspection histories that span DHS's shift from older PCH regulations to the current Chapter 2600 and 2800 framework.
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PA DHS OLTL regulates Lancaster County PCHs and ALRs with the same inspection framework as the rest of the state. The county has a notable concentration of Mennonite and faith-affiliated operators — organizations like Landis Homes, Garden Spot Village, and Moravian Manor have long histories and strong community roots. Read DHS inspection records carefully: long-tenured operators with good community reputations still generate citations, and the DHS record is the most reliable signal beyond marketing materials.
Lancaster city itself has a small but dense cluster of facilities close to Penn Medicine Lancaster General Hospital. The Route 501 corridor — Lititz, Manheim, Maytown — serves northern Lancaster County with several mid-sized PCH operators. Quarryville and Millersville serve the southern and western portions of the county. Families from outside Lancaster County should factor distance from Philadelphia or Harrisburg into visit logistics — I-76 provides connection but traffic patterns can affect visit frequency.
Lancaster County's Medicaid landscape is served primarily by HealthChoices MCOs active in the South Central PA region. Faith-affiliated operators in Lancaster County often have specific payer policies shaped by their organizational mission — some participate actively in MA waiver programs, others do not. Confirm payer participation early in your evaluation rather than after a facility has become the family's preferred choice.
The public record behind every profile.
About memory care in Lancaster County.
How much does memory care cost across Lancaster County?
Memory care across Lancaster County typically runs $4,000–$8,500/month for a licensed Personal Care Home or Assisted Living Residence with a DHS Special Care designation. Rates vary by room type, care level, and operator.
What makes a facility "memory care" in Pennsylvania?
Pennsylvania licenses memory care through DHS OLTL as Personal Care Homes (55 Pa Code Ch 2600) or Assisted Living Residences (Ch 2800). Facilities indexed here hold a DHS-recognized Special Care or Secure Dementia Care Unit designation — or an Assisted Living — Special Care license type. These are government-recorded designations, not marketing claims. License type appears on every StarlynnCare profile.
What's the difference between memory care and a nursing home in Pennsylvania?
PA DHS-licensed PCHs and ALRs provide residential personal care and dementia programming. Nursing homes (Skilled Nursing Facilities) are regulated by PA DOH and CMS, provide 24-hour licensed nursing, and operate under a separate inspection framework. If your family member needs continuous skilled nursing, wound care, or IV therapy, a nursing facility may be more appropriate.
How many Lancaster County facilities have a serious deficiency on file?
Of the 19 licensed memory care facilities indexed in Lancaster County, 19 (100%) carry a documented severe finding (PA DHS severity ≥ 3) or Immediate Jeopardy in the indexed inspection record. Specific findings appear on each profile with inspection date and source link. StarlynnCare sources all deficiency data directly from state regulator records — no facility-side surveys or paid submissions are used. See the methodology for how deficiency classes are mapped across states.
How does StarlynnCare rank memory care facilities in Lancaster County?
StarlynnCare does not assign a single letter grade. Instead, each profile shows four independent signals derived from state inspection records: deficiency severity (Type-A vs. Type-B in California, equivalent classes in other states), repeat citation rate, inspection frequency relative to peers, and trajectory over time. Facilities with too few inspections on record show a "limited history" notice rather than a misleading score. All underlying data is sourced from mandatory public records — CDSS for California, HHSC LTCR for Texas, DHS for Oregon, and equivalent agencies for other states. Full methodology is at starlynncare.com/methodology.
What should I look for on a memory care tour in Lancaster County?
What predicts safety usually isn't what admissions directors highlight. From clinician and family interviews, the most under-asked items: staff-to-resident ratio at night and on weekends, skin-check and wound-prevention protocol, medication management and error reporting, shower frequency, and how the facility handles behavioral escalation. We publish a free 37-question tour checklist you can print.
Where can I find inspection reports for memory care facilities in Lancaster County?
Every facility profile on StarlynnCare links directly to its state inspection records — the same documents regulators use to evaluate compliance. For California facilities, reports come from the CDSS Community Care Licensing portal; for Texas, from HHSC LTCR; for Oregon, DHS Long-Term Care Licensing; for Washington, DSHS. On each facility profile, navigate to the "Inspection record" section to see full verbatim citations with dates and regulatory citations. You can also access the underlying raw data (open dataset).
What are the ratings for memory care facilities in Lancaster County?
StarlynnCare uses state inspection data — not self-reported surveys or paid placements — to evaluate facilities. Each profile surfaces four signals: citation severity (e.g. Type-A vs. Type-B in California), citation frequency relative to peers, repeat-finding rate, and inspection recency. Facilities with too few inspections receive a "limited history" label rather than a misleading composite score. You can sort the list of Lancaster County facilities by inspection record using the "By record" sort toggle to see the cleanest inspection histories first. No referral commissions influence how facilities appear.
Does Pennsylvania Medicaid cover memory care in Lancaster County?
Pennsylvania Medicaid (Medical Assistance) does not pay room and board in a PCH or ALR. MA can fund personal care services through HealthChoices managed care organizations for eligible residents, but not the daily base rate. Nursing homes certified for Medicaid do accept MA for clinical care and room and board. Each StarlynnCare profile notes payment acceptance where documented. Contact your county Area Agency on Aging for options in Lancaster County.