About Hospice & Community Care
Hospice overview and quality summary
Hospice & Community Care is a nonprofit hospice care provider in Lancaster, PA, serving patients and families in Lancaster County and the surrounding area. Medicare certified since 1985, Hospice & Community Care has provided 41 years of end-of-life and palliative care to the community.
Hospice & Community Care serves an average of 404 patients per day, covering 140 ZIP codes across its service area. 64% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Hospice & Community Care a 3-star quality rating based on caregiver survey feedback, indicating average satisfaction with the hospice's care. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Lancaster, PA, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Average
CMS CAHPS Hospice Star Rating
Hospice & Community Care has received a 3-star quality rating from CMS, based on the CAHPS Hospice Survey. This average rating reflects caregiver satisfaction across communication, symptom management, timely care, and emotional support. CMS publishes these ratings to help families in Lancaster, PA compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
91% of caregivers gave a top rating for emotional & spiritual support, consistent with the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
90% of caregivers gave a top rating for treated with respect, consistent with the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
71% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
79% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
76% of caregivers gave a top rating for getting timely care, consistent with the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
71% of caregivers gave a top rating for training for family caregivers, below the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
81% of caregivers gave a top rating for overall rating (9-10), consistent with the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
87% of caregivers gave Hospice & Community Care a top rating for would recommend, above the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
97.1%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
96.7%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
98.3%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
98.0%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.4%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
98.7%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
96.3%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
91.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Hospice & Community Care's Hospice Care Index (HCI) score is 10 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
59.6% of Hospice & Community Care's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
95.7%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
16.2
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
11.9%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
51.9%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
5.9%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
41.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
1.5%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.3%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
1.9%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$10,563
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Hospice & Community Care's patient population is primarily composed of individuals with cancer (32%), followed by other conditions (20%), cardiovascular disease (18%), respiratory disease (13%), dementia (12%), stroke (10%). While cancer has historically been the most common hospice diagnosis, the proportion of non-cancer patients has grown substantially over the past decade.
Care Settings
Where hospice care is delivered
Hospice & Community Care delivers 64% of its care in patients' homes, with 32% in nursing facility settings, 2% in inpatient hospice settings, 1% in hospital settings. The hospice serves an average of 404 patients per day.
Patient's Home
Nursing Facility
Inpatient Hospice
Hospital
Doctors at Hospice & Community Care
20 affiliated physicians
Dr. Michael Wilson, MD
Family Practice
Dr. Spencer Phillips, MD
Family Practice
Dr. Fotini Debonera, MD
Family Practice
Dr. Kelly Reese, MD
Family Practice
Dr. Elyse Goveia, MD
Family Practice
Dr. Ridgley Salter, MD
Family Practice
Dr. Bradford Granger, MD
Internal Medicine
Dr. John Ginder, MD
Family Practice
Dr. John Schmitt, MD
Family Practice
Dr. Robert Sallavanti, MD
Family Practice
Dr. David Hartley, MD
Family Practice
Dr. Joseph Kannarkatt, MD
Hematology/oncology
+ 8 more physicians
Dr. Earl Edwards, MD
General Practice
Dr. Saran Patel, DO
Internal Medicine
Dr. Naeem Latif, MD
Medical Oncology
Dr. Nicholas Lumsden, MD
Family Practice
Dr. Scott Conley, MD
Family Practice
Dr. Mark Cohen, DO
Family Practice
Dr. Daniel Eckert, DO
Family Practice
Dr. Michael Shirk, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Claim & Manage ProfileFrequently Asked Questions
About Hospice & Community Care
What is the CMS rating for Hospice & Community Care?
Hospice & Community Care has a 3-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does Hospice & Community Care primarily treat?
Hospice & Community Care's patient population includes cancer (32%), other conditions (20%), cardiovascular disease (18%), respiratory disease (13%), dementia (12%), stroke (10%). This reflects the hospice's experience managing these conditions.
Where does Hospice & Community Care provide care?
Hospice & Community Care provides care in patient's home (64%), nursing facility (32%), inpatient hospice (2%), hospital (1%).
How large is Hospice & Community Care?
Hospice & Community Care serves an average of 404 patients per day and covers 140 ZIP codes in its service area.
How many doctors are affiliated with Hospice & Community Care?
20 physicians are affiliated with Hospice & Community Care.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·