South Central · Pennsylvania
Home Care in Adams County, PA
Adams County is rural, historic, and older than most of Pennsylvania: nearly 22 percent of its roughly 106,000 residents are 65 or over. It's Your Home Care provides licensed, non-medical in-home care throughout the county, from Gettysburg and the orchard country around Biglerville to Littlestown, New Oxford and the eastern boroughs near Hanover.
Why Adams County families call us
Adams County’s older population is large relative to its size. About 106,000 people live here and nearly 22 percent are 65 or over, more than 23,000 older adults in a county with one community hospital and no interstate. Gettysburg is the county seat and the center of services; Littlestown, New Oxford and McSherrystown to the east lean toward Hanover; Biglerville, Arendtsville and Bendersville sit in the apple orchards to the north; Fairfield and Cashtown are at the foot of the South Mountain to the west.
The families we meet here are often caring for a parent who has lived on the same property for decades, sometimes on a working farm or orchard. They want to keep the parent home, and they are usually managing a lot of the care themselves. What they need from us is dependable, scheduled help that lets them keep working and stay well: morning personal care, meals, a few hours of respite, and someone to be present after a hospital stay.
How care starts in Adams County
- Call (717) 695-2704. Tell us the township; it helps us think about which caregivers are close.
- in-home consultation, wherever in the county home is.
- A written care plan outlining the schedule and support before care begins.
- Caregiver introduction, matched on care needs, personality, schedule and proximity.
- Ongoing check-ins and an on-call line for active clients.
Care situations we see most often in Adams County
- An older couple outside Gettysburg where one spouse is the caregiver and needs regular respite.
- A parent in Littlestown or New Oxford whose children live in York or Hanover and need weekday coverage.
- Discharges from WellSpan Gettysburg Hospital, or from UPMC Hanover just over the county line, where the family wants someone home for the first nights.
- Long-distance families with a parent in Fairfield, Biglerville or East Berlin who want daily visits and a regular report.
- Veterans and surviving spouses exploring whether VA Aid and Attendance can support care at home.
Adams County’s hospital
WellSpan Gettysburg Hospital is the county’s community hospital; families in the eastern county also use UPMC Hanover and WellSpan York Hospital. We are a non-medical agency and do not provide skilled nursing or medical treatment; we coordinate with the home health and hospice providers who do, and we focus on making home safe and manageable day to day.
Communities we serve in Adams County
Our caregivers cover Gettysburg and the surrounding boroughs and townships, including:
- Gettysburg
- Littlestown
- New Oxford
- Biglerville
- East Berlin
- McSherrystown
- Abbottstown
- Fairfield
- Bendersville
- Arendtsville
- York Springs
- Bonneauville
Looking for a specific town? See our city pages for Gettysburg.
Coming home from the hospital in Adams County
Many families call us the day a discharge planner says "someone needs to be home with them." We regularly support clients returning from WellSpan Gettysburg Hospital. Tell us the expected discharge date and we will try to have a caregiver ready for the first day home, help with the transition (getting settled, meals, medication reminders per the discharge instructions, and follow-up appointment logistics), and coordinate with any home health nurses or therapists the physician has ordered. We provide non-medical support; skilled services come from the home health agency your doctor chooses.
Paying for home care in Adams County
- Long-term care insurance. We provide the care plan, daily notes, and itemized invoices most carriers require. How LTC insurance claims work.
- VA benefits. Aid and Attendance and Housebound pension add-ons can support care at home for eligible veterans and surviving spouses.
- OPTIONS program (age 60+). Contact the Adams County Office for Aging at (717) 334-9296 or online.
- Medicaid and state programs. Community HealthChoices (CHC) waiver, OBRA waiver, and the Act 150 Program. We are an enrolled provider; you have the right to choose any willing and qualified provider, so you can ask your service coordinator for It's Your Home Care by name.
Read the full guide: How to pay for home care in Pennsylvania.
Local resources for Adams County families
- Adams County Office for Aging · (717) 334-9296 — OPTIONS program intake, Caregiver Support Program, senior centers, protective services and the long-term care ombudsman.
- PA Link to Aging and Disability Resources · 1-800-753-8827 — Statewide help line for aging and disability services.
- Independent Enrollment Broker (Community HealthChoices) · 1-877-550-4227 — Begins Medicaid waiver eligibility for personal assistance services.
- Pennsylvania Department of Health home care complaint line · 1-866-826-3644 — State hotline for concerns about any licensed home care agency.
Situations we help Adams County families with
After a fall
A fall changes everything in a day. Whether it ended in the ER or just a scare on the kitchen floor, the question is the same: how do we keep this from happening again without taking away their independence?
Coming home from the hospital
The hospital wants the bed. The discharge planner says someone needs to be home. You have a job, kids, and maybe a two-hour drive. This is the situation we are built for.
Dementia and memory loss
The repeated questions. The stove left on. The night you found the front door open. You want to keep them home, and you are starting to wonder how much longer you can.
You need a break (respite)
You have not slept through the night in months. You have canceled your own doctor's appointments twice. You love them and you are running on empty. Respite is not giving up; it is how you keep going.
Long-distance family
You call every day. You visit when you can. But the weekly drive is not enough anymore, and every unanswered phone call sends your stomach through the floor. You need someone local you can trust.
They refuse help
"I don't need a babysitter." You have heard it a dozen times. Meanwhile the fridge is empty, the pill bottles are a mess, and you are lying awake. There is a way through this, and it usually starts smaller than you think.
What families say
“I am very thankful for this nursing company. They have treated me very well. Cassandra is the lady who gets the nurses and has done very well by me. Michael is the owner of the company, and how many owners of a company will call you on a Sunday afternoon when they are having problems getting you a nurse and apologize? I don’t know of any, and I’ve been getting nursing care for years. This is the first time I’ve ever gotten an apology from an owner because the nurse missed the shift. Well, if you need kind care, call these people.”
Debbie H.
"The support I received from It's Your Home Care was life-changing. They not only cared for my physical health but also provided emotional support that helped me through tough times."
Eleanor, 83, Cumberland County
"I trust the It's Your Home Care staff completely. Their reliability and dedication to care is evident in everything they do. Love you guys!"
Frances Guerrero, Lancaster, PA
Testimonials reflect the individual experiences of clients or family members who gave permission to share them; experiences vary.
Questions Adams County families ask us
Do you serve the rural townships, not just Gettysburg?
Are Littlestown, New Oxford and McSherrystown served from Hanover?
How does the Adams County Office for Aging help?
Can you help after a discharge from WellSpan Gettysburg Hospital?
Do you provide 24-hour or overnight care in Adams County?
Sources
- Adams County, PA — ACS 2020–2024 5-year estimates — U.S. Census Bureau via Census Reporter
- Apply for the OPTIONS Program — Pennsylvania Department of Aging
This article is general information for Pennsylvania families and is not medical, legal, financial, or insurance advice. It's Your Home Care is a non-medical home care agency licensed by the Pennsylvania Department of Health; we do not provide skilled nursing or medical services. Program rules and eligibility change; confirm details with the agency or program named, your physician, or a qualified advisor before making decisions.
Talk to a care coordinator who knows Adams County
Tell us what is happening at home. We will explain your options, including what private pay, long-term care insurance, VA benefits, and Pennsylvania waiver programs may cover, and schedule an in-home care consultation when you are ready.