Crossroads Hospice of Philadelphia
A hospice in Plymouth Meeting, Pennsylvania 19462
523 Plymouth Road Suite 225, Plymouth Meeting, Pennsylvania 19462. (215) 956-5110.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 2of 5 family caregiver rating
- 8of 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?
2 deficiencies cited in the last three years
The middle of the 28 hospices serving ZIP code 19462 had 2.
The last inspection on record was on Feb 21, 2025: a reaccreditation inspection by the Community Health Accreditation Partner.
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
2 deficiencies in 1 month of the last 36. Last cited Feb 2025. 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.
Feb 21, 2025: reaccreditation inspection by the Community Health Accreditation Partner2 deficiencies
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Role (42 CFR 418.78(b))
The inspectors’ words, 155 words
“It is required that volunteers are used in day-to-day administrative and/or direct patient care roles. Volunteer services provided to patients/families are in a defined role and under the supervision of a designated hospice employee. Volunteer services are: Noted in the plan of care; and Documented in the patient record, including the time spent. This standard was not met as evidenced by clinical record review and interview. In 1 of 2 (50%) records reviewed of patients that receive Volunteer services revealed the agency did not ensure that the volunteers were following the frequency order in the plan of care CLINICAL RECORD 3: The patient election of benefit was 02/17/2024. A review of the clinical record revealed an order dated 06/26/2024 for volunteer services with a frequency of one (1) time a month. There was no documented evidence for volunteer visits for October and December of 2024 and no documentation for the reason for the missed visits.”
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 268 words
“It is required that hospice volunteers provide day-to-day administrative or direct patient care services in an amount that, at a minimum, equals five percent (5%) of the total patient care hours of all paid hospice employees and contract staff. The hospice documents the cost savings achieved through volunteers. Documentation includes: The identification of each position that is occupied by a volunteer. The work time spent by volunteers occupying those positions; Estimates of the dollar costs that the hospice would have incurred if paid employees occupied the positions noted in Item 1 and for the durations noted in Item 2. This standard was not met as evidenced by document review and interview which revealed during the review of the agency volunteer cost savings report with the Executive Director and the Volunteer Coordinator, it was found that the agency did not ensure that hospice volunteers provided administrative or direct patient care services in an amount that, at a minimum equals 5% of the total patient care hours of all paid hospice employees and contract staff. The agency totaled 4.5% for the calendar year 2024. The Executive Director and the Volunteer Coordinator both agreed the agency did not meet the required 5% for 2024. During review of the volunteer cost savings report with the Executive Director and the Volunteer Coordinator, it was found that the agency did not ensure that hospice volunteers provided administrative or direct patient care services in an amount that, at a minimum equals 5% of the total patient care hours of all paid hospice employees and contract staff. The agency totaled 4.5% for the calendar year 2024.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 21, 2025 | Reaccreditation inspection by the Community Health Accreditation Partner | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 7, 2006.
- Ownership: for-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): 6.4 nurse care minutes per routine home care day, 8.3% of skilled nursing minutes at weekends and a visit near death for 90.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 74% at home, 10% in assisted living, 14% in a nursing facility, 1% in a skilled nursing facility, 1% in a hospital.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 6.4 min |
| Skilled nursing minutes at weekends | 8.3% |
| Visits near death | 90.1% of patients who died |
Who owns it?
- George Farmer Rvoc Tr owns 19% directly since Nov 10, 2022; Read & Melissa Pearson Family Trust owns 5% directly since Jan 1, 2022; Perry&jessica Farmer Investments Flp owns an unstated share directly since Jun 6, 2005; CAR Holdings LLC owns an unstated share directly since Jun 6, 2005.
- Crossroads Hospice of Oklahoma City, LLC runs it.
- 16 owners or officers are people: Jamie Tower (owns 5% or more directly, 9%); Jimmie Ray Breashears (owns 5% or more directly, 9%); Christine Vincent (managing employee (on the payroll), 0%); Dannell Miller (managing employee (on the payroll)); George Perry Farmer (managing employee (under contract)); George Perry Farmer (owns 5% or more directly); George Perry Farmer (corporate director); Deanna Looper (managing employee (on the payroll)); Clayton Lee Farmer (managing employee (under contract)); Clayton Lee Farmer (owns 5% or more directly); Clayton Lee Farmer (corporate director); Leigh Walden (managing employee (under contract)); Laura Buxton (managing employee (on the payroll)); Raymond Freeman (owns 5% or more directly); Raymond Freeman (corporate director); Jimmie Ray Breashears (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 |
|---|---|---|---|
| George Farmer Rvoc Tr | Owns 5% or more directly | 19% | Nov 10, 2022 |
| Read & Melissa Pearson Family Trust | Owns 5% or more directly | 5% | Jan 1, 2022 |
| Perry&jessica Farmer Investments Flp | Owns 5% or more directly | Jun 6, 2005 | |
| Crossroads Hospice of Oklahoma City, LLC | Runs it (operational or managerial control) | Jun 6, 2005 | |
| CAR Holdings LLC | Owns 5% or more directly | Jun 6, 2005 |
What do families say?
- Family caregivers rate it 2 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 78% rated it 9 or 10 out of 10, and 76% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 51.2% 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 | 2 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 | 8 of 10 |
How does it compare nearby?
- Of the 28 hospices CMS’s data show serving patients in ZIP code 19462, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 2.
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 |
|---|---|
| Crossroads Hospice of Philadelphia This hospice | 2 |
| Suncrest Hospice | 0 |
| Bristol Hospice - Blue Bell LLC | 0 |
| Penn Medicine Hospice | 8 |
| Jefferson Health at Home By Bayada | 2 |
| Heartland Hospice (Philadelphia) | 7 |
| Vitas Healthcare Corporation Atlantic | 5 |
| Main Line Health Homecare & Hospice - Hospice | 0 |
| Keystone Hospice | 5 |
| Amedisys Hospice of Greater Philadelphia | 1 |
| Caring Hospice Services | 4 |
| Gentiva I | 13 |
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.