Monarch Hospice
A hospice in Lower Burrell, Pennsylvania 15068
2837 Leechburg Road, Lower Burrell, Pennsylvania 15068. (724) 335-1600.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 1 deficiency cited in the last three years
- 3of 5 family caregiver rating
- 10of 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 27 hospices serving ZIP code 15068 had 0.
The last inspection on record was on Aug 18, 2026: 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 Jun 2026. 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.
Jun 1, 2026: complaint inspection by the state1 deficiency
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Hospice aide assignments and duties (42 CFR 418.76(g)(2))
The inspectors’ words, 597 words
“Based on review of agency policy, clinical records (CR), and staff interviews it was determined that the agency failed to ensure the hospice aide provided services included in the plan of care for three (3) of three (3) CR reviewed (CR1-3). Findings included:Review of agency policy on 6/1/26 at approximately 3:15pm revealed:”IDG Care Planning Process...PROCEDURE...2. The plan of care specifies the care and services necessary to meet the patient and family-specific needs identified in the comprehensive assessment as such needs related to the terminal illness and related conditions....All care and services furnished to patients and their families follows an individualized written plan of care established by the IDG [interdisciplinary group] in collaboration with the attending physician (if any), the patient or representative and the primary caregiver in accordance with the patient’s needs...”CR review conducted on 6/1/26 at approximately 10:45am revealed:CR1, start of service (SOS) 8/6/25, dates reviewed 3/25/26-5/4/26. Patient care plan included Hospice aide 5 times a week for assistance with personal care. Included in the tasks assigned to the aide were: “...Provide complete bed bath (5x/week) ...Provide shower to promote hygiene and self-esteem (5x/week) ...” interdisciplinary group meetings dated 4/14/26, and 4/28/26, both signed by the doctor on the date of the meetings, also included the same aide assignment. Order dated 5/1/26 instructed patient was “to be bed bathed only at this time.” CR review confirmed that the aide did conduct visits 5 times weekly, Mondays-Fridays. There was no documentation of bed bath or shower completed 3/25/36 or 3/26/26. Documentation of a shower provided 3/27/26.The week of 3/29/26-4/4/26: 2/5 bed baths and 1/5 showers documented.The week of 4/5/26-4/11/26: 2/5 bed baths and 1/5 showers documented.The week of 4/12/26-4/18/26: 3/5 bed baths and 1/5 showers documented.The week of 4/19/26-4/25/26: 2/5 bed baths and 1/5 showers documented.The week of 4/26/26-5/2/26: 1/5 bed baths provided. 5/1/26 order written for bed baths only, no documentation of bed bath provided 5/1/26. CR2, SOS 5/14/26, dates reviewed 5/14/26-6/1/26. Patient care plan included Hospice aide 5 times a week for assistance with personal care. Included in the tasks assigned to the aide were: “...Provide partial bed bath (5x/week) ...Provide shower with use of shower chair (5x/week) ...” here was no documentation of bed bath or shower completed 5/14/26. Documentation of a bed bath and shower provided 3/27/36.The week of 5/17/26-5/23/26: 4/5 bed baths and 1/5 showers documented.The week of 5/24/26-5/30/26: 3/5 bed baths and 1/5 showers documented. CR3, SOS 4/8/26, dates reviewed 4/8/26-6/1/26. Patient care plan included Hospice aide 5 times a week for assistance with personal care. Included in the tasks assigned to the aide were: “...Provide complete bed bath (5x/week) ...Provide shower to promote hygiene and self-esteem (5x/week) ...” There was no documentation of bed bath or shower completed 4/8/26 or 4/9/2026. Documentation of a bed bath provided 4/10/36. The week of 4/12/26-4/18/26: 5/5 bed baths and 0/5 showers documented.The week of 4/19/26-4/25/26: 5/5 bed baths and 0/5 showers documented.The week of 4/26/26-5/2/26: 5/5 bed baths and 0/5 showers documented.The week of 5/3/26-5/9/26: 5/5 bed baths and 0/5 showers documented.The week of 5/10/26-5/16/26: 5/5 bed baths and 0/5 showers documented.The week of 5/17/26-5/23/26: 5/5 bed baths and 0/5 showers documented.The week of 5/24/26-5/30/26: 4/5 bed baths and 0/5 showers documented.The week of 5/10/26-5/16/26: 5/5 bed baths and 0/5 showers documented. Exit interview with Administrator, Director of Nursing, and Assistant Director of Nursing on June 1, 2026, at approximately 3:30pm confirmed findings. Administrator reports speaking with developer of software being used as electronic medical record and a glitch in orders pulling to the plan of care from the aide assignment was confirmed.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 18, 2026 | Complaint inspection by the state | No deficiencies cited |
| Jun 1, 2026 | Complaint inspection by the state | 1 deficiency cited |
| Nov 20, 2025 | Recertification inspection by the state | No deficiencies cited |
Is it certified?
- Medicare-certified hospice since Dec 1, 2016.
- 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.
- 1 deficiency cited in the last three years came from an inspection 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): 12.4 nurse care minutes per routine home care day, 5.4% of skilled nursing minutes at weekends and a visit near death for 95.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 21% at home, 60% in assisted living, 13% in a nursing facility, 5% in a skilled nursing facility, 1% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.4 min |
| Skilled nursing minutes at weekends | 5.4% |
| Visits near death | 95.4% of patients who died |
Who owns it?
- 10 owners or officers are people: Lori Hank (owns 5% or more directly, 50%); Richard J Siefert (owns 5% or more directly, 50%); Lori Hank (corporate officer); Lori Hank (corporate director); Lori Hank (managing employee (on the payroll)); Lori Hank (runs it (operational or managerial control)); Richard J Siefert (corporate officer); Richard J Siefert (corporate director); Richard J Siefert (managing employee (on the payroll)); Richard J Siefert (runs it (operational or managerial control)).
- 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 3 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 82% rated it 9 or 10 out of 10, and 85% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 88.89% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 67.5% 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 | 3 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 | 10 of 10 |
How does it compare nearby?
- Of the 27 hospices CMS’s data show serving patients in ZIP code 15068, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 0; 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 |
|---|---|
| Heritage Hospice, LLC | 7 |
| Monarch Hospice This hospice | 1 |
| Family Hospice | Not given |
| Heartland Hospice | 28 |
| Hope Hospice Inc. | 0 |
| Good Samaritan Hospice of Pittsburgh | 9 |
| Vitas Healthcare Corporation Atlantic | 1 |
| Three Oaks Hospice Pittsburgh | 0 |
| Gateway Hospice | 0 |
| Bethany Hospice of Western Pennsylvania | 0 |
| Three Rivers Hospice | 0 |
| Adoration 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.