Home Care in Lancaster County, PA

Based in Mountville, Olivia Home Care Services provides compassionate, non-medical home care for seniors, adults with disabilities and families throughout Lancaster County.

Locally Based Home Care in Lancaster County

Based in Mountville, Olivia Home Care Services provides compassionate, non-medical home care for seniors, adults with disabilities and families throughout Lancaster County. Our caregivers help clients remain safe, comfortable and independent in familiar surroundings through personal care, companionship, respite care, meal preparation, mobility assistance, medication reminders and light housekeeping. Every care plan is developed around the client's routines, preferences, culture and family priorities.

Lancaster County is where Olivia Home Care began, and it remains our home market. Our leadership team and scheduling coordinators work out of Mountville, giving Lancaster County families direct access to local decision-makers rather than a distant call center.

Supporting Rural and Urban Lancaster Families

Lancaster County stretches from the rowhomes of the city of Lancaster to the working farms of Amish and Mennonite communities in townships like Leacock, Salisbury and Providence. That mix means caregiving looks different from block to block and farm to farm. Our caregivers are experienced working around farm schedules, multigenerational households, long rural driveways and close-knit small towns — as well as the pace and density of in-city living. We staff around each family's actual routine, not a one-size-fits-all schedule.

Home Care Services Available in Lancaster County

Every service below is available to Lancaster County clients, coordinated from our Mountville office.

Personal Care

Assistance with daily hygiene and grooming. Learn more

Companionship

Meaningful social interaction and support. Learn more

Respite Care

Temporary relief for family caregivers. Learn more

Meal Preparation

Nutritious meals tailored to dietary needs. Learn more

Medication Reminders

Ensuring timely and accurate medication. Learn more

Mobility Assistance

Safe support with walking and transfers. Learn more

How Olivia Matches Clients With Caregivers

Because Lancaster County is our home market, we know our caregiver roster here better than in any other county we serve. When a new client reaches out, our Mountville-based coordinators review the client's location, care needs, schedule, language and personality, and match against caregivers already working nearby — often within the same township or school district. That local familiarity shortens the time between assessment and the first visit, and it means a substitute caregiver, if ever needed, already understands the neighborhood and the client's routine.

Private-Pay and Medicaid-Waiver Options

Olivia Home Care is a Pennsylvania Medicaid-approved provider. Service availability and coverage depend on program eligibility, authorization and active payer or MCO participation. Private-pay services are also available for families who prefer to arrange care directly, without waiting on an authorization process.

Lancaster County Communities We Serve

Our Mountville-based team regularly serves clients throughout Lancaster County, including:

Local Aging Resources

The Lancaster County Office of Aging is an independent county agency — not affiliated with or a partner of Olivia Home Care — that offers information, protection and services supporting the independence and dignity of older Lancaster County residents.

Visit the Lancaster County Office of Aging

Lancaster County FAQs

Does Olivia provide home care in rural Lancaster County?

Yes. Because we are based in Mountville, we regularly serve rural townships throughout the county, including farm properties and long rural driveways, alongside the city of Lancaster and its surrounding boroughs.

Can care begin after a hospital or rehabilitation discharge?

Yes. We can coordinate a Lancaster County assessment and begin services shortly after a hospital or rehab discharge to help support a safe transition home.

Do you accept private pay and Medicaid waiver authorizations?

Yes. Olivia Home Care is a Pennsylvania Medicaid-approved provider, and we also accept private-pay arrangements. Coverage depends on program eligibility, authorization and active payer or MCO participation.

Are weekend and evening caregivers available?

Yes. We offer 24/7 care availability across Lancaster County, including weekend, evening and overnight scheduling based on the client’s needs.

How quickly can a Lancaster County assessment be scheduled?

Because our team is based locally in Mountville, we can typically schedule a Lancaster County assessment faster than in counties farther from our home office. Contact us to check current availability.