Accentcare Hospice & Palliative Care of Pennsylvan
A hospice in King of Prussia, Pennsylvania 19406
2200 Renaissance Boulevard Suite 110, King of Prussia, Pennsylvania 19406. (610) 382-1800.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 7 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?
7 deficiencies cited in the last three years
The middle of the 28 hospices serving ZIP code 19406 had 2.
The last inspection on record was on Oct 11, 2024: a reaccreditation inspection by The Joint Commission.
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
7 deficiencies in 1 month of the last 36. Last cited Oct 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.
Oct 11, 2024: reaccreditation inspection by The Joint Commission7 deficiencies
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Rights of the patient (42 CFR 418.52(c)(2))
“Observed in Record Review. In 1 of 2 live discharge records reviewed, the Notice of Medicare Non Coverage was signed the day before the patient discharged. The Medicare Conditions of Participation required that this be done two days prior to discharge. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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Initial & comprehensive assessment of patient (42 CFR 418.54)
“Observed in Record Review. In 14 of 14 active patient records reviewed, the organization did not assess the patient’s need for volunteer services because there were no patient volunteers available. And in records RRHV#2, RRNHV#8, and RRNHV#10 spiritual care was not assessed as part of the initial comprehensive assessment. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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Content of plan of care (42 CFR 418.56(c))
“Observed in Record Review. In 13 of 14 active patient records reviewed, the organization did not ensure that the plan of care identified time frames for goal completion. Target dates were not documented. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 151 words
“Observed in Record Review. In 2 of 14 active patient records reviewed, the organization did not ensure that the plan of care specified medications and treatments necessary to meet the patient’s needs. In record RRHV#1 an order for oxygen was not found in the initial or revised plans of care since the patient’s admission eight months ago, despite the patient having a tracheostomy and requiring continuous oxygen. Additionally, there was medication duplication for the treatment of constipation with orders for Maalox, Gavilax, Dulcolax suppository and Fleet enema. Also, Tylenol and Tramadol were both ordered twice and did not indicate when to use which drug to manage pain. And in RRHV#3 the record in the assisted living facility contained a hand-written order for a comfort kit. However, that same order was not found in the hospice plan of care. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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Coordination of services (42 CFR 418.56(e)(2))
“Observed in Record Review. In 2 of 14 active patient records reviewed, the organization did not ensure that services were provided according to the plan of care. In records RRNHV#4 and RRNHV#5 multiple scheduled visits for the spiritual counselor and social worker were not completed as ordered. This RFI was reviewed with the Executive Director and Director of Clinical Operations.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. Upon interview, the patient experience director confirmed that the volunteers had not provided at least 5% of the total patient care hours of all paid hospice employees and contract staff. From 9/2023 to 8/2024, volunteers contributed 3% of total patient care hours.”
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Training (42 CFR 418.100(g)(3))
“Observed in HR File Review. In 1 of 11 HR files reviewed, the music therapist had not had a competency performed in the last three years. This observation was confirmed with the business operations leader.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Oct 11, 2024 | Reaccreditation inspection by The Joint Commission | 7 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Feb 25, 2009.
- 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): 10.3 nurse care minutes per routine home care day, 4% of skilled nursing minutes at weekends and a visit near death for 88.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 57% at home, 32% in assisted living, 10% in a nursing facility, 1% 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 | 10.3 min |
| Skilled nursing minutes at weekends | 4% |
| Visits near death | 88.7% of patients who died |
Who owns it?
- Accentcare, Inc. owns 100% directly since Dec 21, 2020.
- 6 owners or officers are people: John Guess (corporate officer, 0%); Monique Moore (managing employee (on the payroll), 0%); Heather Siscel (corporate officer, 0%); Andrew Graf (managing employee (under contract), 0%); Andrew Johnston (corporate officer, 0%); Dena Schwartz-Doty (corporate officer, 0%).
- 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 |
|---|---|---|---|
| Horizon Acquisition Co Inc. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Horizon Group Holdings Intermediate 2, Inc. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Horizon Group Holdings Intermediate 1, Inc. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Horizon Group Holdings, L.P. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Accentcare, Inc. | Owns 5% or more directly | 100% | Dec 21, 2020 |
| Pluto Acquisition I Inc. | Owns 5% or more through other companies | 100% | Dec 21, 2020 |
| Seasons Rollover Holdings LLC | Owns 5% or more through other companies | 15.4% | Dec 21, 2020 |
| Advent International Gpe VIII-B, L.P. | Owns 5% or more through other companies | 15.1% | Dec 21, 2020 |
| Advent International Gpe VIII-A LP | Owns 5% or more through other companies | 11.2% | Dec 21, 2020 |
| Advent International Gpe Viii-B-3, L.P. | Owns 5% or more through other companies | 6.3% | Dec 21, 2020 |
| Advent International Gpe VIII-H, L.P. | Owns 5% or more through other companies | 5.5% | Dec 21, 2020 |
| Advent International Gpe Viii-B-1, L.P. | Owns 5% or more through other companies | 5.4% | Dec 21, 2020 |
| Advent International Gpe VIII-I, L.P. | Owns 5% or more through other companies | 5.1% | Dec 21, 2020 |
| Advent International Gpe VIII-J LP | Owns 5% or more through other companies | 5% | Dec 21, 2020 |
What do families say?
- Family caregivers rate it 2 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 75% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 98.38% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 52% 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 19406, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 7.
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 |
|---|---|
| Accentcare Hospice & Palliative Care of Pennsylvan This hospice | 7 |
| Adoration Hospice | Not given |
| Penn Medicine Hospice | 8 |
| Jefferson Health at Home By Bayada | 2 |
| Tower Health at Home - Berks | 0 |
| 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.