Wellspan VNA Home Care
A hospice in Lebanon, Pennsylvania 17042
1503 Quentin Road, Lebanon, Pennsylvania 17042. (717) 270-7672.
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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
- 9of 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 19 hospices serving ZIP code 17042 had 3.5.
The last inspection on record was on Apr 30, 2025: 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 Dec 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Dec 4, 2024: recertification inspection by the state1 deficiency
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Infection control (42 CFR 418.110(j))
The inspectors’ words, 674 words
“Based on review of Center for Disease and Control (CDC) guidelines, review of employee files (EFs), agency policies, and interview with agency Director Nursing Operations, the agency failed to ensure each new employee, office staff, and volunteers with direct patient contact, prior to patient contact, was screened for and is free from active mycobacterium Tuberculosis (TB), requiring completion of an onhire TB risk assessment questionnaire by each individual in seven (7) out of seven (7) EFs reviewed (EFs #1-7); and failed to require annual completion of TB risk assessment questionnaire (TB-RAQ) by each individual in seven (7) out of seven (7) EFs reviewed (EFs #1-7). Review conducted on December 2, 2024, at approximately 1:00 PM, of “Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019” revealed: “1) TB screening with an individual risk assessment and symptom evaluation at baseline (preplacement); 2) TB testing with an interferon-gamma release assay (IGRA) or a tuberculin skin test (TST) for persons without documented prior TB disease or latent TB infection (LTBI); ... 5) annual symptom screening for health care personnel with untreated LTBI; and 6) annual TB education of all health care personnel.; ... Baseline (preplacement) screening and testing. All U.S. health care personnel should have baseline TB screening, including an individual risk assessment (Box), which is neces­sary for interpreting any test result. The 2005 guidelines state that baseline test results provide a basis for comparison in the event of a potential or known exposure to M. tuberculosis, facilitate detection and treatment of LTBI or TB disease in health care personnel before placement, and reduce the risk to patients and other health care personnel (1). The risk assess­ment and symptom evaluation help guide decisions when interpreting test results.”; and “*Baseline (preplacement) screening and testing, in addition to the IGRA (interferon-gamma release assay) or TST, shall include a symptom screen questionnaire and an individual TB risk assessment. Serial screening and testing not routinely recommended. Annual TB education is recommended. (CDC/MMWR/May 17, 2019/Vol. 68/No. 19). Review conducted on December 2, 2024, at approximately 1:30 PM, of employee files revealed: EF #1 date of hire (doh) 9/7/21, no onhire individual TB-RAQ, no annual individual TB-RAQ for 2022 - 2024. EF#2 doh 5/20/19 with transfer-in 11/8/20, no onhire individual TB-RAQ, no annual individual TB-RAQ for 2020 - 2024. EF#3 doh 5/25/14 with transfer in 7/19/20, no onhire individual TB-RAQ, no annual individual TB-RAQ for 2020 - 2024. EF#4 11/19/23, no onhire individual TB-RAQ, no annual individual 2024 TB-RAQ. EF#5 5/8/17 with transfer in 6/30/24, no onhire individual TB-RAQ, no annual individual TB-RAQ 2021-2024. EF#6 doh 8/7/23, no onhire individual TB-RAQ, no annual individual 2024 TB-RAQ. EF#7 doh 9/20/23, no onhire individual TB-RAQ, no annual individual 2024 TB-RAQ. Review conducted on December 4, 2024, at approximately 12:00 PM, of agency policy “Employee Health & Safety New Hire Screening” revealed: A electronic form to be completed by the potential new employee, it includes TB question “*Ever been told you have tuberculosis, had a positive test (PPD) for tuberculosis? If yes, did you have a chest x-ray? Were you treated with any medications? (INH, etc); *Had a temporary or permanent residence 1 month or more in a foreign country?; *Traveled outside of the US in the past 6 months?”; agency policy IC 206 “Prevention of Tuberculosis Transmission” revealed no requirements for onhire and annual individual TB risk assessments completion.; report “Tuberculosis (TB) risk assessment worksheet for WellSpan Facilities in Lebanon County as of December 31, 2023” revealed overall low risk for TB in the county. No requirement for onhire and annual individual TB risk assessments.; If the initial health screening questions results are marked “yes” or positive TB QuantiFERON Gold blood test is positive, a Registered Nurse reviews the individual information and requires the individual to complete the “Wellspan Employee Health & Safety Tuberculosis Surveillance Questionnaire” which includes the TB signs and symptoms questions. Interview conducted on December 3, 2024, at approximately 1:30 PM, with agency Director Nursing Operations revealed confirmation of above findings.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 30, 2025 | Recertification inspection by the state | No deficiencies cited |
| Dec 4, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Aug 28, 1992.
- 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): 19.7 nurse care minutes per routine home care day, 12.3% of skilled nursing minutes at weekends and a visit near death for 96.5% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 74% at home, 2% in assisted living, 24% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 19.7 min |
| Skilled nursing minutes at weekends | 12.3% |
| Visits near death | 96.5% of patients who died |
Who owns it?
- Wellspan Health owns 100% directly since Jan 1, 2022.
- Wellspan Health runs it.
- 22 owners or officers are people: Laura Buczkowski (corporate officer); Laura Buczkowski (managing employee (on the payroll)); Hilda Shirk (corporate officer); Hilda Shirk (corporate director); Roxanna L Gapstur (other role (CMS gives no detail)); Mandy Priest (corporate director); Richard Farr (corporate director); Richard Broadbent (corporate officer); Richard Broadbent (corporate director); Suzanne Mcconkey (corporate director); Roger S Haddon (corporate director); Robert Crosswhite (corporate officer); Robert Crosswhite (corporate director); Elaine Bonneau (corporate director); Jennifer Craighead (corporate director); Timm Moyer (corporate director); Philip Fague (corporate director); Ann Kunkel (managing employee (under contract)); Ann Kunkel (corporate officer); Andy Williford (corporate director); Stephen J Holoviak (corporate director); William C Funk (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 |
|---|---|---|---|
| Wellspan Health | Owns 5% or more directly | 100% | Jan 1, 2022 |
| Wellspan Health | Runs it (operational or managerial control) | Jan 1, 2022 |
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 93% rated it 9 or 10 out of 10, and 89% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.73% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 69.5% 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 | 9 of 10 |
How does it compare nearby?
- Of the 19 hospices CMS’s data show serving patients in ZIP code 17042, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3.5; 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 |
|---|---|
| Wellspan VNA Home Care This hospice | 1 |
| Choices Healthcare | 1 |
| Advantage Home Health and Hospice | 0 |
| Heartland Hospice (Allentown) | 11 |
| Heartland Hospice (York) | 17 |
| Compassus - Greater Philadelphia | 3 |
| Amedisys Hospice of Lancaster | 7 |
| Gentiva | 24 |
| Residential Hospice of Carlisle, LLC | 4 |
| Compassus Hospice and Palliative Care - Philadelphia | 1 |
| Accentcare Hospice & Palliative Care of Pennsylvan | 7 |
| Homeland Hospice | 0 |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.