South Central · Pennsylvania
Home Care in York County, PA
York County is Pennsylvania's largest county outside its two big metros by population, and it stretches from the Maryland line to the Susquehanna. It's Your Home Care provides licensed, non-medical in-home care throughout the county, with established city pages for York, Hanover, East York, Shiloh and Weigelstown.


Why York County families call us
About 463,000 people live in York County and nearly 19 percent are 65 or older, which means roughly 87,000 older adults spread across a county that takes more than an hour to drive end to end. The city of York and its first-ring suburbs (East York, Shiloh, Weigelstown, West York, Spring Garden and Manchester townships) hold the largest share, and that is where our York County caregiver team is concentrated. Hanover, in the southwest corner, functions as its own small metro with its own hospital and its own caregivers.
York County families tend to be practical and thoughtful about care. Many of the questions we get are about how to arrange the right support: how many hours actually make a difference, whether a few days a week of personal care is enough, how VA benefits or a long-term care policy will pay, and when the York County Area Agency on Aging’s OPTIONS program might help. We answer those questions in writing, with a care plan and a weekly schedule, before anyone signs anything.
How care starts in York County
- Call (717) 695-2704 or send the contact form. Tell us the town; it helps us think about which caregivers are nearby.
- in-home consultation. We come to the house, meet the person who will receive care, and talk through routines, safety, and what the family will keep doing.
- A written care plan outlining the schedule and support before care begins.
- Caregiver introduction. We match on care needs, personality, language, and distance.
- Check-ins and an on-call line for active clients after hours.
Care situations we see most often in York County
- Adult children in the York suburbs arranging morning personal care for a parent who lives alone in the city or in Red Lion, Dallastown or Dover.
- Hanover-area families whose parent is coming home from UPMC Hanover and needs help for the first week or two while home health nurses visit.
- Commuter households along I-83 in Shrewsbury, New Freedom and Glen Rock who need daytime coverage for a spouse or parent.
- Farm families in the northern and eastern townships, from Dillsburg to Wrightsville, where the nearest relative is a long drive away and consistent weekday visits keep a parent at home.
- Family caregivers who want respite and are also exploring the county’s Caregiver Support Program reimbursement.
York County’s hospitals
WellSpan York Hospital is the county’s largest hospital and trauma center; UPMC Memorial opened its new campus on the west side of York in 2019; and UPMC Hanover serves the southwestern county and neighboring Adams County. We are a non-medical agency and work alongside, not in place of, the home health and hospice providers these hospitals refer to. What families need from us in those first days is simpler and just as important: someone reliable in the house.
Communities we serve in York County
Our caregivers cover York and the surrounding boroughs and townships, including:
- York
- Hanover
- Red Lion
- Dallastown
- Dover
- Shrewsbury
- New Freedom
- Spring Grove
- Wrightsville
- Glen Rock
- Dillsburg
- Manchester
- Mount Wolf
- West York
- Shiloh
- Weigelstown
- East York
Looking for a specific town? See our city pages for Hanover, East York, Shiloh and Weigelstown.
Coming home from the hospital in York 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 York Hospital, UPMC Memorial (York), UPMC Hanover. 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 York 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 York County Area Agency on Aging at (717) 771-9610 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 York County families
- York County Area Agency on Aging · (717) 771-9610 — OPTIONS program intake, Family 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 York 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 York County families ask us
Do you cover southern York County near the Maryland line, like Shrewsbury, New Freedom and Glen Rock?
How does York County's Area Agency on Aging fit in?
Can you start care the day my father leaves WellSpan York Hospital or UPMC Memorial?
Is Hanover served from York or from Harrisburg?
Do you offer 24-hour care in York County?
Sources
- York County, PA — ACS 2020–2024 5-year estimates — U.S. Census Bureau via Census Reporter
- Pennsylvania Caregiver Support Program — York County — York County
- 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 York 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.