Keeping Pennsylvania's seniors at home — not in institutions.
LTCMI operates small, neighborhood shared-living homes for people who would otherwise live in a nursing facility.
- Erie, Pennsylvania
- 20+ years in the Commonwealth
- 13 counties today, expanding statewide
Our storyWho we are, who we serve, and why it matters for Pennsylvania
- Who we are
- LTCMI is an Erie-based company that has created and operated shared housing and home- and community-based services (HCBS) in Pennsylvania for more than 20 years. Care is delivered through Affiliated LTSS (ALTSS), our operations management company.
- Who we serve
- Pennsylvania Medicaid members with the highest care needs — most come to us directly from a nursing facility. More than 95% of the people we serve need help with three to five activities of daily living, such as bathing, dressing, eating and moving around.
- Our goal
- Every Pennsylvanian who qualifies for nursing-home-level care should have a true home alternative: a house in a neighborhood, never more than three Consumers, with support around the clock. We are expanding county by county so that option exists in every part of the Commonwealth.
- Why we're different
- We serve nursing-home-level needs in a real home — helping people leave a nursing facility and return to the community, with fewer hospitalizations, falls and emergency visits, at lower cost to Medicaid.
Nursing home transitionsHelping people leave a nursing facility and return to a home in the community
- 1,000+People moved from a nursing facility back to a home
- 92%Still living at home six months later
- 36 mo.Average time Consumers stay with us
- 95%+Need help with 3–5 daily activities
- 65%Of those who came from a nursing home report a better quality of life
Figures are LTCMI and Affiliated LTSS internal data. See about the data.
A true home for people with the highest care needsThe LTCMI shared-living model
- 3
- Consumers per home, at most
- 24/7
- Staff on site
- 8 hrs
- Average daily personal assistance
What shared housing looks like
- A real house in a residential neighborhood — not a facility, not a campus.
- Never more than three Consumers per home — small enough for family to stay fully involved.
- Part of the community — neighbors, home-cooked meals and activities tailored to each Consumer.
- Care matched to each person — personal assistance averaging eight hours a day, with staff on site 24/7.
- Built for the highest needs — people who would otherwise live in a nursing facility stay in a true home.
ResultsWhat happens when people with the highest care needs live in a real home
Better outcomes, lower cost to the Commonwealth
Small homes let families stay involved in daily life and care, and living in the community reduces loneliness. Fewer avoidable hospital stays, emergency visits and serious falls have saved Medicaid more than $43 million over the past decade.
- ~$4MAvoided hospital costs each year
- $270KAvoided fall-injury costs each year
$43M+
Medicaid costs avoided over the past decade
Program integrityCompliance built into how care is delivered and billed
- 80%+Zero-findings rate across Department of Health and managed care monitoring surveys since 2021
- 90%+Electronic visit verification (EVV) compliance
Audit-ready by design
Federal and state oversight of home- and community-based services keeps rising. Our LEAF platform addresses each area the Centers for Medicare & Medicaid Services identifies as a program integrity risk.
- Documentation
- Complete digital service records
- Time & attendance
- Real-time clock-in and clock-out with GPS location verification
- Authorizations
- Service delivery matched against authorized care plans
- Encounter data
- Integrated billing and claims, so managed care organizations receive clean data
- Audit readiness
- Timestamped records available on demand
Where we serve
We currently serve 13 Pennsylvania counties and are expanding across the Commonwealth.
- Beaver
- Berks
- Bucks
- Butler
- Clarion
- Crawford
- Erie
- Forest
- Northumberland
- Schuylkill
- Snyder
- Venango
- Warren
Get in touch
For partnerships, referrals and general inquiries.
James Fetzner, Presidentinfo@ltcmi.com
5 W. 10th Street, Suite 300, Erie, PA 16501