Caring Hospice Services
A hospice in Lancaster, Pennsylvania 17603
101 Good Drive, 1st Floor, Lancaster, Pennsylvania 17603. (717) 560-1700.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- 4of 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?
1 deficiency cited in the last three years
The middle of the 18 hospices serving ZIP code 17603 had 3.
The last inspection on record was on Jul 17, 2025: a complaint 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 Aug 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.
Aug 28, 2024: recertification inspection by the state1 deficiency
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 482 words
“Based on a review of Centers for Disease Control (CDC) guidelines, personnel files (PFs), agency policy/procedure, and interview with agency administrator, it was determined the agency failed to ensure direct care staff, prior to patient contact, that the individual had been screened for and was free from active mycobacterium tuberculosis (TB) for five (5) of seven (7) PFs reviewed (PFs #1, #3-6); failed to complete/maintain onhire TB risk symptom screening assessment (TB-RAQ) for two (2) of seven (7) PFs reviewed (PFs #5-6); and failed to complete/maintain annual TB education for three (PFs #4-5, #7). Review conducted on August 26,2024, at approximately 11:30 AM of Centers for Disease Control (CDC) “Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 revealed: “...Baseline testing for M. Tuberculosis infection is recommended for all newly hired health care workers [HCWs]...If TST [tuberculin skin testing] is used for baseline testing, two-step testing is recommended for HCWs whose initial TST results are negative...If the first-step TST result is negative, the second-step TST should be administered 1--3 weeks after the first TST result was read...A second TST is not needed if the HCW has a documented TST result from any time during the previous 12 months. If a newly employed HCW has had a documented negative TST result within the previous 12 months, a single TST can be administered in the new setting...This additional TST represents the second stage of the two-step testing...” *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 August 26, 2024, at approximately 11:30 AM, of agency’s personnel files (PFs) revealed: PF#1 date of hire (doh) 4/15/24, missing onhire #2 TB TST result. PF#3 doh 8/15/22, missing onhire #2 TB TST result. PF#4 doh 7/24/23, missing onhire #2 TB TST result and annual TB education/TB-RAQ 2024. PF#5 doh 6/1/18, missing onhire #2 TB TST result, missing onhire TB-RAQ, and missing annual TB education/TB-RAQ 2022-2024. PF#6 doh 12/28/23, missing onhire #2 TB TST result and missing onhire TB-RAQ. PF#7 doh 3/3/20, missing annual TB education/TB-RAQ 2022-2023. Review conducted on August 26, 2024, at approximately 12:30 PM, of agency policy/procedure HHr.H10 Health/Physical Requirements revealed: Pages 1-2, “... 5. All employees and volunteers are required to have documented evidence of a tuberculin screening prior to patient contact. All employees and volunteers are required to complete the two-step PPD (Mantoux skin test for Tuberculosis) test or TB blood test with an interferon-gamma release assay (IGRA) prior to being hired/volunteering.; ... b. All staff and volunteers need only complete the tuberculosis screening questionnaire each year after hire or date of initial volunteer service.” Interview conducted on August 26, 2024, at approximately 12:30 PM, with agency administrator confirmed the above findings.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jul 17, 2025 | Complaint inspection by the state | No deficiencies cited |
| Oct 30, 2024 | Recertification inspection by the state | No deficiencies cited |
| Aug 28, 2024 | Recertification inspection by the state | 1 deficiency cited |
Is it certified?
- Medicare-certified hospice since Mar 4, 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): 11.6 nurse care minutes per routine home care day, 4.3% of skilled nursing minutes at weekends and a visit near death for 89.3% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 18% at home, 11% in assisted living, 71% 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 | 11.6 min |
| Skilled nursing minutes at weekends | 4.3% |
| Visits near death | 89.3% of patients who died |
Who owns it?
- 6 owners or officers are people: David Rosenbaum (owns 5% or more directly, 55%); Sara Rosenbaum (owns 5% or more directly, 5%); Rachel Olshin (owns 5% or more directly, 5%); Beth Ann Hilaman (corporate director, 0%); Randolph L Brown (managing employee (on the payroll)); Jeffrey A Yocum (managing employee (under contract), 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.
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 84% rated it 9 or 10 out of 10, and 84% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 96.64% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 59.9% 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 | 8 of 10 |
How does it compare nearby?
- Of the 18 hospices CMS’s data show serving patients in ZIP code 17603, 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 |
|---|---|
| Caring Hospice Services This hospice | 1 |
| Choices Healthcare | 1 |
| Amedisys Hospice of Lancaster | 7 |
| Compassus Hospice and Palliative Care - Philadelphia | 1 |
| Memorial White Rose Hospice | 0 |
| Brandywine River Valley Hospice | 0 |
| Heartland Hospice (York) | 17 |
| Ascend Hospice | 6 |
| Compassus - Greater Philadelphia | 3 |
| Gentiva | 24 |
| Willow Tree Hospice | 0 |
| Accentcare Hospice & Palliative Care of Pennsylvan | 7 |
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.