About Keystone Hospice
Hospice overview and quality summary
Keystone Hospice is a nonprofit hospice care provider in Wyndmoor, PA, serving patients and families in Montgomery County and the surrounding area. Medicare certified since 1995, Keystone Hospice has provided 31 years of end-of-life and palliative care to the community.
Keystone Hospice serves an average of 105 patients per day, covering 105 ZIP codes across its service area. 48% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Keystone Hospice holds a 2-star CMS rating based on caregiver surveys. Families are encouraged to review the detailed quality measures below. The facility's Hospice Care Index score is 8 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Wyndmoor, 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
Below Average
CMS CAHPS Hospice Star Rating
Keystone Hospice has received a 2-star quality rating from CMS, based on caregiver survey results. Families in Wyndmoor, PA considering this hospice should review the detailed survey results below and discuss quality measures with the care team.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
84% of caregivers gave a top rating for emotional & spiritual support, below the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
82% of caregivers gave a top rating for treated with respect, below the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
65% 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
70% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
69% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
61% 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
69% of caregivers gave a top rating for overall rating (9-10), below the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
72% of caregivers gave a top rating for would recommend, below 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
99.1%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
98.1%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.6%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
99.4%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
100.0%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
97.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
97.3%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
96.0%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Keystone Hospice's Hospice Care Index (HCI) score is 8 out of 10, below the national average of 8.8. The HCI evaluates hospices on nursing visit continuity, care transitions, spending efficiency, and presence in the final days.
56.6% of Keystone Hospice'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
94.9%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
8.1
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
6.2%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
41.5%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
20.3%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
33.9%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
4.2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
3.4%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.3%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$13,977
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Keystone Hospice's patient population is primarily composed of individuals with cancer (33%), followed by other conditions (25%), cardiovascular disease (16%), stroke (11%), dementia (9%), respiratory disease (7%). 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
Keystone Hospice delivers 48% of its care in patients' homes, with 25% in assisted living settings, 20% in skilled nursing settings, 3% in nursing facility settings. The significant proportion of facility-based care may reflect patients requiring higher levels of medical support or those without available home caregivers. The hospice serves an average of 105 patients per day.
Patient's Home
Assisted Living
Skilled Nursing
Nursing Facility
Doctors at Keystone Hospice
20 affiliated physicians
Dr. Peter Rajacic, MD
Internal Medicine
Dr. Alexander Kiotis, DO
Family Practice
Dr. Russell Breish, MD
Family Practice
Dr. Samta Amin, MD
Hospice/palliative Care
Dr. Nicole Davis, MD
Family Practice
Dr. Michael Rosen, MD
Family Practice
Dr. Cecilia Shim, MD
Internal Medicine
Dr. Raffi Megerian, MD
Internal Medicine
Dr. Rodney Elkin, MD
Geriatric Medicine
Dr. Larry Doroshow, DO
Family Practice
Dr. Steven Schmidt, DO
Family Practice
Dr. Steven Lewis, DO
Family Practice
+ 8 more physicians
Dr. Zachary Cohn, MD
Hematology/oncology
Dr. Michael Bozzi, MD
Family Practice
Dr. Todd Aaron, MD
Internal Medicine
Dr. Hal Hockfield, MD
Internal Medicine
Dr. Andrew Stanton, DO
Internal Medicine
Dr. Mohanad Fallouh, MD
Internal Medicine
Dr. James Mahoney, MD
Internal Medicine
Dr. Andrew Berta, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Keystone Hospice
What is the CMS rating for Keystone Hospice?
Keystone Hospice has a 2-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 Keystone Hospice primarily treat?
Keystone Hospice's patient population includes cancer (33%), other conditions (25%), cardiovascular disease (16%), stroke (11%), dementia (9%), respiratory disease (7%). This reflects the hospice's experience managing these conditions.
Where does Keystone Hospice provide care?
Keystone Hospice provides care in patient's home (48%), assisted living (25%), skilled nursing (20%), nursing facility (3%).
How large is Keystone Hospice?
Keystone Hospice serves an average of 105 patients per day and covers 105 ZIP codes in its service area.
How many doctors are affiliated with Keystone Hospice?
20 physicians are affiliated with Keystone Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·