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Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.

The 7 Best In-Home Care Agencies in Lancaster, PA

The 7 top-ranked in-home care agencies serving Lancaster, PA, ordered by the Care Close to Home Score. Each holds an active Pennsylvania Home Care Agency license and has at least 10 public reviews. Home Helpers Home Care of York County ranks first with 4.7 stars from 255 reviews.

Updated November 2026 · Data: state license rosters, checked October 1, 2026 · How we list agencies

7 top-ranked agencies · by Care Close to Home Score
Partner · Paid placement
In-home caregiver helping an older woman put away groceries
Lancaster City Partner

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These are the top 7, ranked by the Care Close to Home Score. 54 other licensed agencies serve Lancaster, PA and are not listed. How we rank

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Cost of care in Pennsylvania

Median hourly rate$34
20 hrs / week$2,947/mo
40 hrs / week$5,893/mo

Non-medical in-home care. Source: CareScout 2025 Cost of Care Survey.

Paying for in-home care in Pennsylvania

Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.

Ways to pay

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Licensed in-home care in Lancaster, PA: how to compare agencies

We ranked the top seven in-home care agencies serving Lancaster, PA. Every one holds an active Pennsylvania Home Care Agency license in the Pennsylvania Department of Health public roster dated October 1, 2026, and each has at least 10 public reviews. They are ordered by the Care Close to Home Score, which combines the rating (adjusted for how many reviews stand behind it), the number of reviews, and the license check. The other 54 licensed agencies serving Lancaster, PA are not listed here.

In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.

In Pennsylvania, the median rate for in-home care is $34 an hour, about $2,947 a month for 20 hours a week (CareScout 2025).

The 61 agencies on this list are based in 4 ZIP codes; the busiest are 17601 (23 agencies), 17603 (20 agencies) and 17602 (17 agencies). If Lancaster has too few choices for your needs, the closest other cities we list are Mountville (3 agencies, about 6 miles away), Lititz (3 agencies, about 7 miles away) and Manheim (3 agencies, about 9 miles away).

Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay

Aging at home in Lancaster

Lancaster is a compact, historic city of about 58,000 in the heart of Lancaster County, centered on Penn Square and the 1889 Central Market. Its streets mix brick row houses near the former Stehli silk mills, modest homes on Cabbage Hill and arts-district buildings downtown. Only about 11 percent of residents are 65 or older in the city, while surrounding townships hold more retirees, so many families arrange care for a parent living just outside the city line. Walkable blocks and close neighbors shape life at home here.

11.3% of residents are 65 or older. Source: 2020 Census (city), as reported on Wikipedia.

Neighborhoods and nearby towns

In Lancaster, families ask about care in Downtown / Penn Square, Cabbage Hill, Historic East Side, Gallery Row, West End, Chestnut Hill, Prospect Heights and Uptown.

Downtown / Penn SquareCabbage HillHistoric East SideGallery RowWest EndChestnut HillProspect HeightsUptown

Agencies listed here also commonly serve nearby Manheim Township, East Lampeter Township, West Lampeter Township, Landisville, Elizabethtown and Columbia. Confirm each agency's service area before you sign.

Familiar places in Lancaster

Care that fits the routines of home often means getting to the places that matter: Central Market, Fulton Opera House, Wheatland, Historic Rock Ford, Demuth Museum and National Watch & Clock Museum.

Planning care in Lancaster

Lancaster has four real seasons, with about 21 inches of snow in an average year and a record low of minus 16, so winter driveway and step clearing matter for older adults at home. Historic row houses near the old mills often have steps and narrow layouts, which affects how a parent gets in and out. Care needs often extend into nearby townships, so families should ask agencies about travel areas.

Local resources

  • Aging services. The local Area Agency on Aging is a free place to ask about services and programs that help pay: Lancaster County Office of Aging.
  • After a hospital stay. If a family member is discharged from Lancaster General Hospital, ask the discharge planner about private-duty help at home, and choose the agency yourself from this list.

Questions Lancaster families ask

How many licensed in-home care agencies are there in Lancaster?

The state roster dated October 1, 2026 lists 61 agencies in Lancaster with an active Pennsylvania license. Agencies based in nearby towns may also serve Lancaster.

How do I choose an in-home care agency in Lancaster?

Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.

How are these agencies ranked?

Each agency has an active state license and at least 10 public reviews. The Care Close to Home Score is out of 100: 60 points for the review rating, adjusted so a handful of reviews counts for less than a hundred; 20 for the number of reviews; 15 for the license check; and 5 for a verified phone and website. Agencies cannot pay to rank higher.

How do families pay for in-home care in Lancaster?

Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.

What does "licensed" mean?

The agency holds a license from the state health department. Licensing sets minimum standards and allows the state to inspect and act on complaints, but it does not rate how good the care is.

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