State plate · PA

Assisted living in Pennsylvania

Pennsylvania licenses assisted living through DHS, Office of Long-Term Living / Bureau of Human Services Licensing, under the license types Personal Care Home; Assisted Living Residence. The state's own list, as of October 24, 2026, counts 991 licensed facilities with 61,866 beds; 795 of them have 20 or more, the smallest size HUD's Section 232 program insures. HUD's active-loan file shows 17 FHA-insured assisted living loans in Pennsylvania with $151.2 million outstanding as of September 30, 2026.

Licensing

Licensing agency
DHS, Office of Long-Term Living / Bureau of Human Services Licensing
License types
Personal Care Home; Assisted Living Residence
Official program page
pa.gov
Facility list
CSV (2026-10-22)

Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.

Licensed supply, from the state's list

Facilities on the list991
Licensed beds61,866
Facilities with 20 or more beds795 (80% of facilities, 97% of beds)
Homes with 6 or fewer beds24
Median size54 beds

Covers: Personal care homes (assisted living residences not included). Source: data.pa.gov, as of October 24, 2026.

CDC survey profile (2020)

The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.

MeasurePennsylvaniaUS
Communities94030,600
Beds57,5001,197,600
Average beds per community6139
For-profitn/a%81.9%
Chain affiliated62.6%61.4%
Medicaid certifiedn/a%43.6%
Dementia-only communitiesn/a10.5%
Dementia-only or with a dementia unit28.0%20.5%
Residents 85 and older48.4%49.9%
Residents with Alzheimer disease or other dementias37.2%42.1%

Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.

HUD Section 232 assisted living loans

Active FHA loans
17
Outstanding
$151.2 million
Median note rate
3.75%
Endorsed since FY2001
63

Since fiscal 2001 HUD has endorsed 63 FHA-insured assisted living loans in Pennsylvania for $531.9 million of original principal, 8 of them for new construction or substantial rehabilitation, and 5 since fiscal 2021. 3 of today's active loans carry a note rate of 5% or more. The active file also lists 3 board and care loans in the state.

Property (HUD name)CityUnitsEndorsedRateBalanceMatures
Country Meadows of Leader HeightsFHA 03422181York169Jun 20223.99%$21,518,767Jul 2057
Oak Leaf Manor NorthFHA 03422151Landisville232Aug 20193.53%$13,969,175Sep 2054
Country Meadows of BethlehemFHA 03422113Bethlehem368Jul 20143.10%$13,614,811Aug 2049
The Fountains & Gardens at IndianaFHA 03322160Indiana42Mar 20265.98%$12,851,173Apr 2061
Country Meadows of WyomissingFHA 03422182Wyomissing197Jun 20223.99%$11,947,922Jul 2057
Providence Place of PottsvilleFHA 03422116Pottsville178Feb 20153.05%$8,915,100Mar 2050
Autumn House EastFHA 03422147York278Dec 20183.75%$8,885,616Jan 2049
Amoroso Wellness at YorkFHA 03422202York200Sep 20256.21%$7,895,253Oct 2060
Oak Leaf Manor SouthFHA 03422152Millersville122Aug 20193.53%$7,193,453Sep 2054
Grand Resid of Upper St.clairFHA 03322076Pittsburgh70Oct 20113.94%$6,846,016Nov 2046
Sayre Personal Care CenterFHA 03410014Sayre50Sep 20203.50%$6,434,223Jan 2062
Mountain View Senior LivingFHA 03322138Greensburg65Sep 20236.00%$6,254,144Oct 2058
Autumn House WestFHA 03422148York236Dec 20183.75%$6,084,897Jan 2049
Oakwood TerraceFHA 03422130Moosic58Sep 20173.49%$6,080,069Oct 2052
Providence Place of HazletonFHA 03422052Drums138Jun 20113.05%$4,963,652Jul 2046
Fritzingertown Senior LivingFHA 03422032Drums182Feb 20104.75%$4,065,853Mar 2045
Serenity Gardens at Mount CarmelFHA 03422153Kulpmont124Aug 20193.53%$3,660,448Sep 2054

Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.

Own or are buying an assisted living or memory care building in Pennsylvania? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.

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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.