Windber Hospice
A hospice in Windber, Pennsylvania 15963
600 Somerset Ave, Windber, Pennsylvania 15963. (814) 467-3711.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- 5of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
1 deficiency cited in the last three years
The middle of the 13 hospices serving ZIP code 15963 had 3.
The last inspection on record was on May 14, 2024: a recertification inspection by the state.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Feb 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Feb 7, 2024: recertification inspection by the state1 deficiency
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 437 words
“Based on review of hospice bereavement program, clinical records (CR), and staff interviews, the hospice failed to ensure that bereavement services were made available to the family following the death of the patient, in accordance with the bereavement program, for two (2) of two (2) bereavement CR reviewed. (CR #1 & CR#2). Findings included: Review of Bereavement Program conducted on February 2, 2023, at approximately 1:00pm revealed: “... Bereavement-Services, Risk and Care Plan... POLICY: ... The bereavement services provided are based on the assessed needs of the deceased’s survivors and are in accordance with a bereavement plan of care formulated after the patient’s death...Each person designated to receive bereavement services is categorized according to level of risk for complicated grief reactions and receives appropriate interventions according to identified need. The interventions associated with the three levels of risk are as follows: Low Risk...Moderate Risk...High Risk...” “...Bereavement Files, Tracking and Evaluation...POLICY STATEMENT: A bereavement file is developed for each patient admitted to the Windber Hospice Program...PROCEDURES: ...2. The bereavement file contains: a. The bereavement risk assessment(s) and care plan(s) for the person for whom the hospice will provide bereavement services; b. the initial Bereavement Care plan created at the time of the hospice patient’s death; ...3. The Bereavement Counselor or other Bereavement Team members update the information in the file as needed. Including documentation of dates of when each follow-up service is provided, as specified in the bereaved person’s plan of care...6. The Bereavement Team retains and maintains the bereavement files in a secure location for thirteen months following the patient’s death. 7. At the completion of bereavement services, the contents of the file are merged with the patient’s clinical record. A review of clinical records conducted on February 2, 2024, between approximately 11:20am and 2:00pm and February 7, 2024, between approximately 9:30am and 12:00pm revealed the following: CR #1, start of care October 26, 2022, date of death May 6, 2023, CR failed to contain evidence of a post death assessment of the bereaved, the risk level identified, or a bereavement plan of care. Documentation revealed four (4) week follow up call placed 7/31/23, twelve (12) weeks and two (2) days post death. No bereavement file available for review. CR #2, start of care December 12, 2022, date of death April 17, 2023, CR failed to contain evidence of a post death assessment of the bereaved, the risk level identified, or a bereavement plan of care. No bereavement file available for review. Interview with Administrator and Bereavement Coordinator on February 2, 2024, at approximately 1:00pm confirmed findings. Unable to produce files for bereaved individuals to be reviewed.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 14, 2024 | Recertification inspection by the state | No deficiencies cited |
| Feb 7, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Feb 27, 2003.
- Ownership: non-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 17.5 nurse care minutes per routine home care day, 11.3% of skilled nursing minutes at weekends and a visit near death for 97% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 66% at home, 8% in assisted living, 22% in a skilled nursing facility, 4% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 17.5 min |
| Skilled nursing minutes at weekends | 11.3% |
| Visits near death | 97.0% of patients who died |
Who owns it?
- Windber Hospital Inc. runs it.
- 7 owners or officers are people: Gregory Leis (corporate director); Gregory Leis (managing employee (on the payroll)); Manjunath S Heggere (corporate director); Rao H Naseem (corporate director); Richard Sukenik (corporate officer); James Banaag (corporate director); Robert Morse (corporate director).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Windber Hospital Inc. | Runs it (operational or managerial control) | 100% | Jul 1, 1990 |
| Chan Soon-Shiong Nanthealth Foundation | Other role (CMS gives no detail) | Jan 1, 2016 | |
| Chan Soon-Shiong Institute of Molecular Medicine LLC | Other role (CMS gives no detail) | Jan 1, 2016 |
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 89% rated it 9 or 10 out of 10, and 92% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.39% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 78.3% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 5 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 10 of 10 |
How does it compare nearby?
- Of the 13 hospices CMS’s data show serving patients in ZIP code 15963, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 1.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Windber Hospice This hospice | 1 |
| Family Hospice | Not given |
| Conemaugh Regional Hospice | 3 |
| Heartland Hospice | 28 |
| Aseracare Hospice | 3 |
| Gentiva II | 9 |
| Adoration Hospice | 0 |
| Pinnacle Hospice, LLC | 3 |
| Viaquest Hospice, LLC | 12 |
| Interim Healthcare Hospice & Palliative Care | 5 |
| 365 Hospice LLC | 1 |
| Penn Hospice, Inc. | 4 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.