Hospice for All Seasons, LLC
A hospice in Grantville, Pennsylvania 17028
280 S Hill Drive, Grantville, Pennsylvania 17028. (717) 234-2555.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 2 deficiencies cited in the last three years
- 4of 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?
2 deficiencies cited in the last three years
The middle of the 12 hospices serving ZIP code 17028 had 3.
The last inspection on record was on Jan 26, 2026: 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
2 deficiencies in 1 month of the last 36. Last cited Nov 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.
Nov 14, 2025: recertification inspection by the state2 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 294 words
“Based on review of hospice policies/procedures, clinical records (CRs), and interview with the hospice Executive Director (EMP# 1), it was determined the hospice failed to ensure an initial bereavement risk assessment was completed for five (5) of nineteen (19) CRs reviewed. (CR# 1, CR# 8, CR# 9, CR# 17 and CR# 18) and failed to ensure a bereavement risk assessment at the time of death for three (3) of nineteen (19) CRs reviewed. (CR# 17, CR# 18 and CR# 19) Findings include:Review of policy, ‘Bereavement Assessments Policy No. H: 2-053’ on November 13, 2025 at approximately 10:30 a.m., section, ‘Assessment Procedures’ reads, “ Pre-Bereavement Assessment is a paper form completed by the Bereavement Counselor upon request for bereavement services by a patient or family/caregiver....Post-Death Bereavement Assessment is a paper form completed by the Bereavement Counselor upon visitation with bereaved...”Review of CRs conducted on November 13. 2025 at approximately 9:30 a.m. and on November 14, 2025 at approximately 10:30 a.m. revealed the following:CR# 1, Start of Care (SOC): 9/30/2024: Clinical record did not contain documentation that an initial bereavement risk assessment was performed.CR# 8, SOC: 2/25/2025: Clinical record did not contain documentation that an initial bereavement risk assessment was performed.CR# 9, SOC: 10/3/2025: Clinical record did not contain documentation that an initial bereavement risk assessment was performed.CR# 17, SOC: 9/5/2024: Clinical record did not contain documentation that an initial and time of death bereavement risk assessments was performed.CR# 18, SOC: 9/13/2024: Clinical record did not contain documentation that an initial and time of death bereavement risk assessments was performed.CR# 19, SOC: 1/3/2025: Clinical record did not contain documentation that a time of death bereavement risk assessments was performed.An interview with EMP #1 conducted on November 14, 2025 at approximately 3:00 p.m. confirmed the above findings.”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 269 words
“Based on review of hospice policies/procedures, clinical records (CRs), and interview with the hospice Executive Director (EMP# 1), it was determined that the agency failed to provide bereavement services, per policy, for three (3) of three (3) CR bereavement files reviewed (CR# 17, CR# 18 and CR# 19). Findings include:Review of policy, ‘Bereavement Services Policy No. H: 2-008.1’ on November 13, 2025 at approximately 11:30 a.m., section, ‘Post-Death Procedures’ reads, “...2. Sympathy Card will be sent within one week of death occurring to family/caregivers noted on Bereavement Care Plan...3. Mailings sharing regarding Bereavement Services will be sent unless Bereaved explicitly declines, these include: a. 1-Month Letter with grief brochure; b. 3-Month Letter and Brochure; c. 6-Month Letter and Brochure; d. 13-Month Letter and Brochure; e. Christmas Card; f. Memorial Invitation...”Review of CRs conducted on November 13. 2025 at approximately 9:30 a.m. and on November 14, 2025 at approximately 10:30 a.m. revealed the following:CR# 17, Start of Care (SOC): 9/5/2024: Patient deceased 10/10/2024. No documentation provided of a 1-month Letter with grief brochure, 3-month Letter and Brochure and 6-month letter and brochure being sent to the bereaved per policy.CR# 18, SOC: 9/13/2024: Patient deceased 12/10/2024. No documentation provided of a 1-month Letter with grief brochure, 3-month Letter and Brochure and 6-month letter and brochure being sent to the bereaved per policy.CR# 19, SOC: 1/3/2025: Patient deceased 1/5/2025. No documentation provided of a 1-month Letter with grief brochure, 3-month Letter and Brochure and 6-month letter and brochure being sent to the bereaved per policy.An interview with EMP #1 conducted on November 14, 2025 at approximately 3:00 p.m. confirmed the above findings.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 26, 2026 | Recertification inspection by the state | No deficiencies cited |
| Nov 14, 2025 | Recertification inspection by the state | 2 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 2, 2011.
- 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): 12.3 nurse care minutes per routine home care day, 4.8% of skilled nursing minutes at weekends and a visit near death for 91.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 61% at home, 5% in assisted living, 34% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.3 min |
| Skilled nursing minutes at weekends | 4.8% |
| Visits near death | 91.1% of patients who died |
Who owns it?
- 3 owners or officers are people: Lisa R Deornellas (owns 5% or more directly, 100%); David E Toomey (managing employee (under contract), 0%); Joni Olson (managing employee (on the payroll)).
- 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.
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 90% rated it 9 or 10 out of 10, and 90% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 67.35% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 53.6% 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 | 4 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 12 hospices CMS’s data show serving patients in ZIP code 17028, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; 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 |
|---|---|
| Hospice for All Seasons, LLC This hospice | 2 |
| Wellspan VNA Home Care | 1 |
| Heartland Hospice (York) | 17 |
| Compassus - Greater Philadelphia | 3 |
| Gentiva | 24 |
| Residential Hospice of Carlisle, LLC | 4 |
| Accentcare Hospice & Palliative Care of Pennsylvan | 7 |
| Homeland Hospice | 0 |
| Adoration Hospice | Not given |
| Amedisys Hospice of Harrisburg West | 0 |
| Bayada Hospice | 4 |
| Lifesong Hospice and Palliative Care | 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.