318 West Middle Street Gettysburg, PA 17325
717-334-9296 or 800-548-3240

When Staying Alone Doesn’t Work


Nursing Home Assessment

Any person age 18 and older who desires placement in a nursing facility, personal care home or domiciliary care home can be assessed by the Care Management staff of the Adams County Office for Aging, Inc. The Options Assessment Program helps determine the most appropriate level of care for consumers applying for placement services.  The assessment process takes into account the person’s physical and financial abilities and also identifies informal support systems available to help in supporting the individual.

The assessment is mandatory for any person applying for medical assistance (Medicaid) for nursing facility care, or for placement in a domiciliary or personal care home.  It is also mandatory for those who are eligible for the State Supplement to SSI.

To begin the assessment process, the individual to be assessed, their legal guardian or representative must provide a completed medical evaluation form (MA-51) signed by the physician to ACOFA. The medical assessment forms are available in the physician’s office or by contacting ACOFA. On this form, the physician will indicate their clinical assessment and recommended level of care for the consumer.  The Options assessor from the ACOFA staff will contact the individual and/or their family to arrange for a home visit to complete the assessment form and determine the appropriate placement.

There is no charge for the assessment process.

Domiciliary Care

Domiciliary Care (Dom Care) provides adults 18 years or older, who cannot live independently, with sheltered living in private homes with a family-like atmosphere. It is designed for the person who is having difficulties with accomplishing activities of daily living such as meal preparation, housekeeping and grooming, or who needs supervision with medication.

Individuals considering placement in a Dom Care home are assessed by ACOFA staff. Once a consumer is determined to be eligible for placement in the Dom Care Program, careful consideration is given to select the home which best meets a person’s needs, preferences, and interests. A trial visit to the home helps the person and family in making the proper choice.

Dom Care homes provide room, board and personal care assistance, as well as emotional support. The providers offer 24-hour, supervised, group home living arrangements for eligible adults who are not able to live alone because of physical disabilities, medical problems, or mental impairments.

Domiciliary Care Homes are inspected and certified to meet the required fire safety and health standards by ACOFA .

Personal Care Homes

Personal care homes, sometimes called assisted living facilities, offer room and board and assistance with daily living activities. Staff is available for help with bathing, grooming and meal preparation.

Personal care homes are inspected and licensed by the Department of Public Welfare. Older people or their families who are thinking about moving to a personal care home, should consider only those homes with a current license from the Department of Public Welfare. It is also important to have a contract with the home operator which lists the services to be provided and the cost of each service.

A listing of the licensed personal care homes and the publication “Choosing the Right Personal Care Home” is available on the Department of Human Services web site.

Adult Day Services

The purpose of Adult Day Service is to provide functionally disabled older person with an array of activities in a protected environment which will enable them to maintain independence within the community. Activities are provided within a state-licensed, non-residential facility. The program serves persons age 60 and older who have physical or mental limitations, limited social contacts, need motivation and structured support in order to continue living in the community. The service is also available for the older person who lives with family members who work or need relief from caregiving during the day.

The day care program provides group activities, reality orientation, daily exercise, nutritious snacks and meals, and monitoring of medical needs. Personal care such as bathing is available from a home health aide. Barber, beautician, podiatrist or physical therapy service can be arranged at an additional cost.

Adams County Office for Aging, Inc. contracts with three providers in the area: Share and Care located at Transitions in Gettysburg, Golden Visions located in Hanover, and Cross Keys Village – The Brethren Home in New Oxford. Consumers and their families are encouraged to visit all three centers before choosing a provider.

Transportation is provided to and from the facility through a contract with rabbittransit. Transportation requires advance reservations.