Echo Hospice of Pennsylvania, LLC
A hospice in Philadelphia, Pennsylvania 19123
421 N 7th Street Suite 602, Philadelphia, Pennsylvania 19123. (267) 551-5708.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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?
4 deficiencies cited in the last three years
The middle of the 15 hospices serving ZIP code 19123 had 3.
The last inspection on record was on Jan 15, 2025: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
4 deficiencies in 1 month of the last 36. Last cited Jan 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | 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 |
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.
Jan 15, 2025: reaccreditation inspection by the Accreditation Commission for Health Care4 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 110 words
“Upon patient record review, 8 of 19 (Patient #1,2,3,4,5,6,7,14) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring #1,2,3,4,5,6,7,14-Admission orders include O2 2L per NC continuously for shortness of breath. Oxygen is not listed on the medication profile. #5-Medication profile lists Mupirocin 2% 1 x day every 2 days. There is no location included in the order.”
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Approach to service delivery (42 CFR 418.56(a)(1))
The inspectors’ words, 111 words
“Upon patient record review, 1 of 19 (Patient #5) did not have evidence that a Registered Nurse is designated to ensure continuous assessment of the patient and family’s needs and to coordinate activities with other members of the interdisciplinary group (IDG). The IDG must work together and is responsible for supervision of the care and service for each patient and family. #5-Wound care ordered on 12/19/24 as follows: Right foot wound, 2nd toe, cleanse with wound cleanser and pat dry, apply triple antibiotic ointment, wrap with gauze daily. There is no evidence in the chart that the wound was assessed or wound care provided after the start date of the order.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 169 words
“Upon patient record review, 1 of 19 (Patient #4) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. #4-Wound care orders dated 12/30/24 as follows: D/C previous wound care orders. Wound care to sacrum: cleanse with NSS,apply Medihoney and calcium alginate to base of wound, secure with border gauze daily and prn if soiled or dislodged. Facility nurse may perform wound care in absence of hospice nurse. Wound care to left heel: cleanse with NSS and pat dry, apply nickel sized amount of Santyl to wound base, cover with dry 4X4, rolled gauze, and secure with tape daily and prn if soiled or dislodged. Facility nurse may perform wound care in absence of hospice nurse. Nursing notes from 1/3/25 and 1/7/25 state “wound care provided”-there is no detail.”
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Hospice plan of care (42 CFR 418.112(d))
The inspectors’ words, 121 words
“Upon patient record review, 1 of 19 (Patient #5) did not have evidence that a written hospice plan of care is established and maintained in consultation with SNF/NF or ICF/IID representatives. All hospice care provided is in accordance with this hospice plan of care. #5-Wound care ordered on 12/19/24 as follows: Right foot wound, 2nd toe, cleanse with wound cleanser and pat dry, apply triple antibiotic ointment, wrap with gauze daily. There is no evidence in the chart that the wound was assessed or wound care provided after the start date of the order. Documentation on 12/23/24 states skin is intact and there is no breakdown, but there is no order showing the wound was healed or wound care was discontinued.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 15, 2025 | Reaccreditation inspection by the Accreditation Commission for Health Care | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 13, 2022.
- 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, 6.2% of skilled nursing minutes at weekends and a visit near death for 77.1% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 17% at home, 36% in assisted living, 1% in a nursing facility, 42% in a skilled nursing facility, 5% elsewhere.
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 | 6.2% |
| Visits near death | 77.1% of patients who died |
Who owns it?
- Lake Ness, Inc. owns 100% directly since Jan 14, 2020.
- 8 owners or officers are people: Tracy Mcraven (managing employee (on the payroll), 100%); Nicole R Smith (corporate director); Nicole R Smith (runs it (operational or managerial control)); Christopher C Doyle (corporate officer); Christopher Lackner (corporate officer); Christopher Lackner (corporate director); Larry S Keller (managing employee (under contract), 0%); Tricia Lynn Arredondo (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 |
|---|---|---|---|
| Lake Ness, Inc. | Owns 5% or more directly | 100% | Jan 14, 2020 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 63% rated it 9 or 10 out of 10, and 68% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 53.5% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 28.4% 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 | Not rated |
| 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 15 hospices CMS’s data show serving patients in ZIP code 19123, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 3; this one had 4.
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 |
|---|---|
| Echo Hospice of Pennsylvania, LLC This hospice | 4 |
| Immediate Homecare and Hospice | 10 |
| Penn Medicine Hospice | 8 |
| Vitas Healthcare Corporation Atlantic | 5 |
| Main Line Health Homecare & Hospice - Hospice | 0 |
| Keystone Hospice | 5 |
| Amedisys Hospice of Greater Philadelphia | 1 |
| Compassus - Greater Philadelphia | 3 |
| Crossroads Hospice of Philadelphia | 2 |
| Accentcare Hospice & Palliative Care of Pennsylvan | 7 |
| Bayada Home Health Care, Inc. | 3 |
| Serenity Hospice | 1 |
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 Oct 27, 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 Oct 27, 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 Oct 27, 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 Oct 27, 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 Oct 27, 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 Oct 27, 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 Oct 27, 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.