Robert, who had a doctorate in dental medicine, is not someone people would expect to be in need of the Lebanon Rescue Mission's services, according to Executive Director Susan Blouch. But in 2013, he slipped on some icy steps and received urgent medical care.
"He sustained fractures in his skull and in his back, and was in a coma for six months," she told community and government leaders at Lebanon City Hall on Sept. 10.
His journey to the mission included a closed dental practice, along with using alcohol as a coping mechanism to handle the pain of his injuries. But Blough described Robert as one of the "kindest, caring, and most respectful men" she has known.
But while the 70-year-old was able to eventually secure housing and support services, his story is one that community leaders are seeing far more frequently in Lebanon County. The supply is not meeting the demand.
"The greatest need for our senior guests is structured housing with heavy support services," Blough said. "What our seniors need is so much more than meals in beds."
The increase of the county's senior homelessness population over the last few years was the subject of the 5th Let’s Talk Housing event hosted by the Community Health Council of Lebanon County on Sept. 10. Officials said that the reasons for this increase vary, and can include personal crisis, need for structured housing and support services, evictions, poor credit, or the effects of losing a spouse.
"Senior homelessness is not something that we can discredit," said Caitlin Lockard, Lebanon County Housing Development Director. "It is something that will increase because the number of seniors in our county is increasing, and the number of seniors on a fixed income is increasing while the rates of everything else is increasing."
The 2020-24 American Community Survey estimated that 12,935, or 43%, of county residents were 75 years old or older, with officials saying the number likely increased in 2026. The survey showed more than 4,097 renter occupied households were headed by somebody 65 years old or older, with 2,234 in this age group living below the federal poverty limit.
Lockard said these figures suggest many seniors are living on "extremely tight budgets," and a growing number of the Lebanon County community will soon face difficult housing decisions.
"It's really this layered problem that is almost a domino effect in itself," she said after the forum. "So I wanted people today to understand that when we're talking about senior housing, it's not going to be a quick fix and we need to understand all of the layers to be able to change it long term."
The Lebanon County Coalition to End Homelessness Housing Needs Assessment, originally introduced in 2023, projected a 10.4% growth in households headed by someone over the age of 65 between 2022 to 2027.
Rescue mission concerns
From Sept. 7, 2025, to the beginning of Sept. 2026, there have been more than 252 unique guests at the Lebanon Rescue Mission, with Blough saying 104 were seniors. More than 41% of those individuals were over the age of 55, while 18% were over 65. More than 34% of seniors were first-time homeless, and 28% were homeless for more than 12 months.
"We have seniors that are coming to us from their car, from storage sheds, from sheds in the back of someone's yard, and they've been staying in motels," Blough said.
Blough added that 17 years ago, the average stay at the rescue mission was 30 days. While 42% of residents are still staying in that time frame in 2026, more than 26% stayed longer than 100 days at the mission.
Serving seniors have changed everything about the Lebanon Rescue Mission, according to Blough. Guests are staying longer and they are bringing a much bigger basket of challenges.
"We're operating 90% to 100% capacity on a consistent basis," Blough said. "This requires us to be at full staff, and requires longer staffing hours."
Along with increasing resident stays, the mission has addressed food services issues to meet the dietary needs of their elderly population. Mission staff has had to become more aware of the signs of early onset dementia and mental health needs.
All of these rising needs is increasing expenses at the mission by 4%, with Blough saying the projected costs for 2026 is $2.9 million. The Lebanon Rescue Mission is funded through donations, grants, contracts, events and program income, but it does not receive city, state or federal funding.
"Our model of care costs about $748 per person, per month," Blough said. "The HUD model of care says it costs between $2,500 to $3,000 per person, per month."
On March 13, The Lebanon Rescue Mission broke ground on its Agape Safe Haven expansion project. The $8.5 million expansion will include 103 beds, a new clinic, classrooms, staff offices and space for emergency stays.
The new facility will include 40 rooms and bring the mission’s total capacity to 185 beds for men, women, children and seniors between the two buildings. The targeted completion date is for the end of April 2027.
But Blough said that everyone who stays at the Lebanon Rescue Mission, while sheltered and getting support services, is still homeless.
"We're not an assisted living facility," she said. "We cannot keep our seniors till the end-of-life care. There has to be a next step beyond the Lebanon Rescue Mission."
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Senior Living
The Housing Needs Assessment identified 25 facilities in Lebanon County with a combined 2,161 beds for licensed senior care. The assessment at the time listed 305 vacancies in independent living, assisted/personal care and nursing care.
"A reported vacancy does not necessarily mean a bed or a unit is available to a person in need," Lockard said. "In addition, providers in our area are reporting a two-and-a half-year wait list of many of the services seniors need."
Officials said that listed vacancies may still be unavailable to seniors for a multitude of reasons, including staffing, level of care, payment source, cost, eligibility or a facility transition.
"Our housing needs study showed that we have low supply, affordability pressures, missing housing types, and constrained movements for residents between housing types," Lockard said. "Our 2026 data update shows the market is still incredibly tight. For seniors, these market conditions mean that there are fewer choices before a crisis, and less ability to absorb rising costs on a fixed income."
A 2024 AARP survey found that 1 in 5 adults over 50 nationally had no retirement savings and 3 in 5 were worried they wouldn’t have enough retirement savings to support themselves.
The Housing Collaborative reported in August that more than 13,807 Lebanon County households spend more than 30% of their total income on housing, including seniors. A survey of 38 multi-family rentals in May and June 2026 revealed that the market is operating at an extremely high occupancy rate of 99.6%.
"Senior housing is not just an issue listed in a housing study," Lockard said. "It's a concrete way that the countywide shortage shows up in people's lives."
Patricia Stine, senior property manager for the Lebanon County Housing Authority, said the authority has a 2,329-waiting list for public housing units of all ages, including a 1,188 wait list for 1-bedroom units. But she recommends those that may need public should not wait to sign up at lebanoncountyhousing.com.
"Get your name on that waiting list," she said.
Lockard said that those in attendance provided suggestions and ideas that the coalition plans to address at their 6th Let’s Talk Housing event on Jan.
"We have to look at creative ways to solve this problem, and that might not be the traditional way people are thinking," she said.
Residents looking for more information about the Lebanon County Community Action Partnership can call the organization at 717-273-0328. More information about the Lebanon County Housing Collaborative can be found at communityhealthcouncil.com/lebanon-county-housing-collaborative.
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Matthew Toth is a reporter for the Lebanon Daily News. Reach him at [email protected] or on X at @DAMattToth.
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