About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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NON -CHALLENGER h1 from CMS10 Best Assisted Living Facilities in Smithville, PA

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If you’re looking for assisted living in Smithville, our local senior living advisors can help you find a safe, welcoming community for you or your loved one. Whether you’re searching for luxury assisted living in Smithville or sticking to a budget, we’ll work with you to understand the cost of assisted living in Smithville.

From there, we’ll show you the best assisted living communities in Smithville for your family member’s budget, lifestyle, and personal care needs. With 19 assisted living facilities in the Smithville area, A Place for Mom makes it easier to find a secure and social community for this next stage of life.

We are also serving Assisted Living facilities in surrounding neighborhoods like Rising Sun, Jennersville and Lititz.
You may also consider nearby communities such as Rising Sun, Jennersville and Lititz.

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top3CommunitiesWithLinks: Evergreen Estates, Oak Leaf Manor South and Legend of Lancaster
zipAveragecost: $4,466

Smithville Assisted Living Facilities | 162 Reviews

Showing 16 communities
Last Updated: 12/23/25
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Photo of Evergreen Estates
88 Photos available
9.2
Review score
34 reviews
9.2
Review score
34 reviews
5 star
56%
4 star
26%
3 star
9%
2 star
3%
1 star
6%
See all reviews
The food is fine. Just need to convince Mom it is not a restaurant and the staff is still learning her likes. So far Mom enjoys the bingo, found a book to read, and likes the puzzle selection. I really...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Evergreen Estates Retirement Community is committed to giving the type of care that we would want and expect in a home where we would place our own parents and loved ones. Evergreen Estates Retirement Community is owned and operated by Titan SenQuest Inc. since 2001. At Evergreen Estates...
See details
Photo of Oak Leaf Manor South
22 Photos available
8.6
Review score
15 reviews
8.6
Review score
15 reviews
5 star
73%
4 star
13%
3 star
7%
2 star
0%
1 star
7%
See all reviews
Everyone is great there. Food, activities, staff are all exceptional. Financial system is very good. Could use another helper. Overall very good. Nice and clean
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
See details
Photo of Legend of Lancaster
2222 Photos available
8.4
Review score
73 reviews
8.4
Review score
73 reviews
5 star
54%
4 star
25%
3 star
12%
2 star
1%
1 star
8%
See all reviews
What we like the most about the community is that the staff is so accommodating and friendly. I love out of state and they are so kind when I call or visit about every little thing. They really care for my...
Provides: Assisted Living, Memory Care
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
We are committed to providing quality services in a caring, comfortable environment. Our professional and personalized services are designed to enhance the quality of life for those we serve. We are dedicated to those who entrust their housing and service needs to us. At Legend of Lancaster, we...
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Photo of Elderwood Senior Living at Lancaster
33 Photos available
5 star
37%
4 star
48%
3 star
11%
2 star
4%
1 star
0%
See all reviews
My 91 year old mother lives at Elderwood and she is quite hapy there. They have good food, nice activities and the staff is very friendly.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
The minute you enter Elderwood Senior Living at Lancaster, you'll recognize our commitment to creating a friendly, comfortable home. Our professional staff will be happy to assist you in making the right choice to match your needs, personal preferences and budget. Elderwood Senior Living at...
Photo of Country View Manor
8.0
Review score
3 reviews
8.0
Review score
3 reviews
5 star
100%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
The whole facility is a family! They go over and above to make sure all the residents have what they need. Whether it’s medical, meals, religious, community or just help hanging a picture in their room,...
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
In 1986, my mother would often visit with her aunt and grandmother at the personal care home they were living in. Unfortunately, it did not take long to discover that the care they were receiving was very disheartening. It was at this time my mother’s love for her family would not allow them to...
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Photo of Meadow Ridge at Willow Valley
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Arbor View At Willow Valley
Provides: Assisted Living, Independent Living, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Provides: Assisted Living, Independent Living, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
5 star
0%
4 star
0%
3 star
0%
2 star
0%
1 star
0%
See all reviews
Provides: Assisted Living, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.
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Photo of Red Rose Manor
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Willow Valley Manor North
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Albright LIFE
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
5 star
60%
4 star
0%
3 star
0%
2 star
20%
1 star
20%
See all reviews
My Mother in Law (MIL) moved into the Lancaster Country Meadows last summer and absolutely loves it there! Nice big room, good food, lots of activities for everyone if you want to participate. Allows pets,...
Provides: Assisted Living, Memory Care, Independent Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Memory Care: Memory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Photo of Village Vista Skilled Nursing
Provides: Assisted Living
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Photo of Homestead Village
Provides: Assisted Living, Independent Living, Nursing Homes
Care types provided by this community
Assisted Living: Assisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.
Independent Living: Independent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.
Nursing Homes: Nursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.

Cost of assisted living in Smithville, PA

The average cost of senior living in Smithville is $4,466 per month. Cheaper nearby regions include Akron, PA with an average of $4,317 per month.

Assisted living costs in Smithville, PA, vs. nearby cities

Smithville, PA
$4,466/mo

Assisted living costs in Smithville, PA, vs. state and national averages

Smithville, PA
$4,466/mo
U.S. national average
$4,612/mo

Assisted living costs in Smithville, PA, vs. other senior living options

Assisted Living
$4,466/mo
$5,683/mo

Assisted living costs in Smithville, PA, by floor plan type

Semi-Private
$5,848/mo
Studio
$5,464/mo
1 Bedroom
$5,622/mo
2 Bedroom
$7,125/mo

Senior living costs in Smithville vs. state and national costs

Cost comparison table showing community type costs by location. This table contains 3 rows of data across 4 columns.
Column communityType: Community type
Column destination: Smithville, PA
Column state: Pennsylvania
Column national: U.S.
Community typeSmithville, PAPennsylvaniaU.S.
Assisted Living$4,466/mo$4,271/mo$4,612/mo
Memory Care$5,683/mo$5,453/mo$5,372/mo
Independent Living$3,956/mo$4,265/mo$4,070/mo
Assisted Living
Smithville, PA:$4,466/mo
Pennsylvania:$4,271/mo
U.S.:$4,612/mo
Memory Care
Smithville, PA:$5,683/mo
Pennsylvania:$5,453/mo
U.S.:$5,372/mo
Independent Living
Smithville, PA:$3,956/mo
Pennsylvania:$4,265/mo
U.S.:$4,070/mo
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Assisted living costs in Smithville, PA, over time

The line graph below shows how monthly assisted living costs have shifted over the past five years in Smithville and how those changes compare with state and national trends. The figures represent quarterly averages of what seniors actually paid after moving into A Place for Mom partner communities.

Smithville, PAPA stateNational

Assisted living cost trends in Smithville, PA

The table below shows how monthly assisted living costs in Smithville have changed in the last two years and how those changes compare with state and national trends. The figures represent averages of actual costs paid by seniors who moved into A Place for Mom partner communities in 2023 and 2024.

Cost comparison table showing 2023 and 2024 median costs by location. This table contains 3 rows of data across 4 columns.
Column location: Location
Column cost2024: 2024 average cost
Column cost2023: 2023 average cost
Column percentChange: Percent change
Location2024 average cost2023 average costPercent change
Smithville, PA$4,654/mo$4,757/mo-2.2%
Pennsylvania$5,288/mo$5,050/mo+4.7%
National$5,322/mo$5,061/mo+5.2%
Smithville, PA
2024 average cost:$4,654/mo
2023 average cost:$4,757/mo
Percent change:-2.2%
Pennsylvania
2024 average cost:$5,288/mo
2023 average cost:$5,050/mo
Percent change:+4.7%
National
2024 average cost:$5,322/mo
2023 average cost:$5,061/mo
Percent change:+5.2%
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Ways to pay for Assisted Living in Smithville, PA

Paying for assisted living may seem daunting, but knowing all your options can be empowering. Read about the many private and public payment options that families use to pay for assisted living in Smithville.

What families are saying about assisted living in Smithville

Recent reviews for assisted living in Smithville

Victorian Villa in Dallastown, PA

4.9
Mom seems to really like it here and I'am pleased with everything they have done for us. She has adjusted well to the community. The community is well-kept, there has been minor concerns about cleaning. The staff is great, they are caring for her very well. They have great activities like ...
Read more

Elderwood Senior Living at Lancaster

4.0
Trying to find the right place is difficult enough but it's nearly impossible when you are in a completely different state. I had to rely on what I saw and read on the internet to make a decision but thankfully my friend had family in the area and that knew about this community so that is the ...
Read more

St John's Herr Estate in Columbia, PA

5.0
I am happy with the care of this community. We like that it is very nice and clean. The staff is very caring and attentive. They like that they can cook on there own. They offer meals to the community if the residents want to participate. They do have a lot of activities when they want to ...
Read more

Smithville review score based on 50 family reviews

8.6
Review score16 facilities50 reviewsWrite a review
This proprietary review score is based on 50 reviews of 16 Smithville assisted living communities. All reviews were submitted in the past two years by verified community residents and family members.
The Smithville review score informs your search by letting you see at a glance how assisted living residents and family members rate assisted living in your area. Compare review scores in multiple locations to understand how overall satisfaction rates differ from city to city. Based on recent reviews, the maximum possible score is 10.Methodology: How we calculate our city review scores

Smithville review score compared against nearby cities

8.6
Smithville, PA16 facilities
8.6
Quarryville, PA26 facilities
7.9
Millersville, PA27 facilities

Review subcategories for Smithville assisted living

When assisted living residents and family members submit a review on our site, they rate each community on categories such as cleanliness, activities, meals, and more. The chart below is based on 50 reviews of 16 Smithville assisted living communities. This chart helps you compare Smithville resident and family assisted living satisfaction rates against national averages. Use it to assess your needs and develop criteria for your own search. If you know that one of these categories is important to you or your loved one, our senior living advisors can help you find communities to match your needs.
Smithville, PA averageNational average
Cleanliness
3.4
4.1
Friendliness
3.7
4.1
Care services
3.4
3.8
Staff
3.5
4.0
Meals & dining
3.4
3.6
Activities
3.5
3.7
Value for cost*
3.3
3.7
0.01.02.03.04.05.0
*Learn more about cost details

Smithville assisted living services and amenities

These charts highlight some of the many care, dining, and entertainment offerings available in Smithville assisted living communities. They don’t represent all possible services and amenities available at assisted living communities in Smithville, but support comparisons against nationwide offerings. Our Senior Living Advisors can help you find communities that fit your preferences.

Availability of select care services in Smithville assisted living

Assisted living communities offer a variety of care services and visiting health care providers to meet seniors’ health needs. The chart below shows the percentage of assisted living partners in Smithville that offer these care services compared to the percentage of partners that offer them nationally.
Smithville, PANational
Full medication management
Full medication management
31.3%
53.2%
Doctor on call
Doctor on call
31.3%
34.1%
24-Hour awake staff
24-Hour awake staff
100%
98.9%
Diabetic care
Diabetic care
100%
99.4%
*Visiting health care professionals
*Visiting health care professionals
31.3%
57.9%
Home care agency on-site
Home care agency on-site
12.5%
30.8%
Non-ambulatory care
Non-ambulatory care
100%
99.1%
Respite or short term stays
Respite or short term stays
18.8%
49.1%
Hospice available on-site
Hospice available on-site
25%
54.5%
0.0%20.0%40.0%60.0%80.0%100%
*Including nurse, dentist, OT, PT, speech or podiatrist

Availability of select dementia care services in Smithville assisted living

Our community partners provide many services to keep residents with dementia or other memory concerns safe and engaged. Below, take a look at what percentage of Smithville Assisted Living partners offer the selected dementia care services compared to the percentage of partners nationally.
Smithville, PANational
Dementia behaviors care
Dementia behaviors care
31.3%
52%
Specialized memory care training for staff
Specialized memory care training for staff
18.8%
32.8%
Secured community and/or wander guard
Secured community and/or wander guard
18.8%
42.1%
Memory care only community
Memory care only community
6.3%
14%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dietary accommodations in Smithville assisted living

Assisted living communities help seniors maintain a balanced diet by accommodating their health needs, allergies, and other restrictions. Below you’ll find the percentage of Smithville partners making specific dietary accommodations for seniors compared to the percentage of assisted living partners making those accommodations nationally.
Smithville, PANational
Nutritionist / dietician
Nutritionist / dietician
6.3%
27.4%
Low / no sodium
Low / no sodium
18.8%
40.6%
No sugar
No sugar
18.8%
37.5%
Vegetarian
Vegetarian
25%
36%
Pureed meals
Pureed meals
6.3%
13.4%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select dining options in Smithville assisted living

Our assisted living communities know that seniors want top-quality meals and options for how they dine. The chart below indicates the percentage of Smithville communities that offer dining options to their discerning residents compared to our partners nationally.
Smithville, PANational
Professional chef
Professional chef
12.5%
31.5%
Restaurant style dining
Restaurant style dining
6.3%
42.6%
Room service
Room service
6.3%
36.3%
Anytime dining
Anytime dining
6.3%
18.1%
0.0%20.0%40.0%60.0%80.0%100%

Availability of select programs and activities in Smithville assisted living

Senior living communities offer a variety of programming to keep seniors socially, mentally, and physically vibrant. The chart below shows what percentage of partnered assisted living communities in Smithville offer the selected activities, amenities, and programs compared to the percentage of partners nationwide.
Smithville, PANational
Activity director
Activity director
18.8%
46.8%
Pet-focused programs
Pet-focused programs
12.5%
31.5%
Community service programs
Community service programs
12.5%
30.4%
Devotional activities on-site
Devotional activities on-site
31.3%
50.7%
Parties / BBQs / happy hour
Parties / BBQs / happy hour
18.8%
49.6%
Outings / off-site activities
Outings / off-site activities
25%
53.5%
Piano or organ
Piano or organ
18.8%
41.7%
Arts and crafts center
Arts and crafts center
12.5%
34.6%
Educational speakers / life long learning
Educational speakers / life long learning
6.3%
38%
Clubs / games / karaoke
Clubs / games / karaoke
18.8%
47.1%
Live performances
Live performances
18.8%
47.4%
Dances
Dances
18.8%
29.9%
Fitness center
Fitness center
6.3%
24.4%
Fitness classes
Fitness classes
18.8%
46.3%
0.0%20.0%40.0%60.0%80.0%100%

State regulations for assisted living in Smithville

Safety is a primary concern when seniors and their families look for assisted living. Each state has its own laws and inspection processes to help ensure seniors reside in a safe environment and receive quality care. Learning about Pennsylvania assisted living regulations will help you understand how assisted living communities in Smithville protect seniors.
Learn about Pennsylvania assisted living regulationsDownload the Guide to Senior Living Licensure and Inspection Reports

Frequently Asked Questions

Evergreen Estates, Oak Leaf Manor South and Legend of Lancaster are the top-rated assisted living facilities near Smithville, Pennsylvania. See full list of communities.
There are 19 assisted living facilities near Smithville, Pennsylvania. See the full list.
The best assisted living facilities near you in Smithville, Pennsylvania are Senior Commons at Powder Mill, Faithful Living and Keystone Villa at Ephrata. These assisted living communities received the highest rankings based on verified family reviews.
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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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