Home Healthcare, Hospice & Community Services, Inc.
Comfort, Care and Support When Home Is Where You Want to Be
Programs and results
What we aim to solve
The mission of Home Healthcare, Hospice & Community Services (HCS) is to provide services that enable people to live life at their optimal level of health, well-being and independence, according to their personal beliefs and choices. That's the problem we solve and the need we meet. We help our neighbors have their best possible journey through life, from birth to death - supporting them in their choices, every step of the way. Continuing to expand and increase our capacity with resources needed reliably for not just sustainability, we are working to address every day.
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Visiting Nurses
HCS' Visiting Nurse Program has five components: Nursing Care, Behavioral Care, Palliative Care, Therapies, and Home Support. NURSING CARE-Post-surgery care, medication management, and health monitoring provided by RNs and LPNs. BEHAVIORAL CARE-Specially-trained nurses and occupational therapists assist patients and families who are struggling with mental illness to increase compliance with medication and medical follow-up. PALLIATIVE CARE focuses on relief from symptoms, pain, stressors, helps understand options and resources while lowering stress and improving quality of life. THERAPIES-Physical therapists assess strength and mobility of patients and tailor a recovery plan including exercise programs, education, home safety evaluation, and pain management resulting in improved fine motor skills, and cognitive assessment. HOME SUPPORT providers deliver light housekeeping services that help older adults and individuals with disabilities be safe in their home and remain independent.
Meals on Wheels
HCS' Meals on Wheels program currently delivers to more than 400 seniors and disabled persons in our service area. The program helps clients remain independent, providing nutritious food that is delivered to them in their home. For those with special needs, breakfast bags, weekend meals, and special diets are provided.
The Meals on Wheels program promotes good health in several ways. Nutritious food helps people regain or preserve their physical strength, which reduces the rate of falls and helps them heal and thrive. The program also provides a daily check-in that helps to identify problems and changing care needs, and it supports good mental health as well - providing a human connection and conversations that promote a positive outlook and decrease loneliness and stress.
Hospice
Hospice is a holistic approach to end-of-life care, focusing on enhancing quality of life and offering physical, emotional, and spiritual comfort to patients and their families.
HCS' Hospice Program is provided by a skilled team of hospice and oncology-certified nurses, rehabilitation therapists, medical social workers, spiritual care counselors, and home health aides. Specially-trained hospice volunteers are also available for guidance, support and companionship.
The program also includes live music engagement, massage therapy, legacy program, and bereavement services for families and a Pet Peace of Mind component, which provides assistance with pet food, essential veterinary services and grooming, and volunteers trained to assist with exercise when needed.
Hospice care is provided wherever a client may live; whether that is their home, an assisted-living facility, or a long-term care facility.
Castle Center Life Enrichment Program
HCS' Castle Center is a day program for adults of any age who would benefit from having a safe, supervised environment.It not only gives these clients a welcome change from the routine of home care, it also gives the patient's family or caretaker a chance to catch up on their sleep, attend to household chores, go to medical appointments or meetings, and visit friends.
HCS provides transportation to Castle Center for local residents, as requested.Clients of the Castle Center experience a home-like atmosphere, and they participate in enrichment activities throughout the day. Those activities include yoga, nutritious meals, music, showers, and nursing care as needed.
Healthy Starts
HCS' Healthy Starts Program is designed to help new parents adjust to the needs of their children. We also help them tap their inner resources, and the community resources, that can help them thrive.
Our nurse, social workers, and home visitors meet with parents to help them secure medical coverage, apply for WIC and other community services, and locate housing assistance. We also provide prenatal education, parenting education, postpartum visits, childhood development screenings, and referrals to other services.
Transportation
HCS offers four different transportation services to our community. CITY EXPRESS functions as a typical community bus service. It follows a fixed route, and single and multi-ride tickets available for anyone to purchase. FRIENDLY BUS is a shared ride, door-to-door, community transportation service for those age 60 and over. It enables seniors to get groceries, visit friends, go to medical appointments, and attend community activities. PARA EXPRESS is public transportation for people whose disability prevents them from using the City Express' fixed route service. It provides door-to-door service. MEDICAL TRANSPORTATION service provides shared rides to medical facilities at the VA Medical Center at White River Junction, Vermont, and Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire.bus service provides transportation for those age who are 60 years old and above.
With the exception of the City Express, all of HCS' transportation services are provided at no cost to riders.
Where we work
Awards
Best Local Home Care Agency 2022
Keene Sentinel Readers' Choice GOLD Award
Best Non-Profit Organization 2021
Keene Sentinel Readers' Choice GOLD Award
Volunteer Efforts 2021
Spirit of New Hampshire Award
Event for Charity: HCS Butterfly Release 2021
Monadnock Shopper
Non-Profit Organization - HCS 2022
Monadnock Shopper
Home Care: HCS 2022
Monadnock Shopper
Best Place to Work 2022
Monadnock Shopper
Affiliations & memberships
Meals on Wheels America 2021
External reviews

Photos
Videos
Our results
How does this organization measure their results? It's a hard question but an important one.
Evaluation documents
Download evaluation reportsNumber of patient visits
This metric is no longer tracked.Totals By Year
Population(s) Served
Adults
Related Program
Hospice
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Context Notes
Home Healthcare Hospice and Community Services provided 15, 699 days of service to those on hospice
Our Sustainable Development Goals
Learn more about Sustainable Development Goals.
Goals & Strategy
Reports and documents
Download strategic planLearn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
HCS established goals for the next 24 months centered on continuing to innovate in all programs. HCS is committed to investing in the new model of a continuum of care that integrates home health, palliative, and hospice care. HCS also continues to invest in and reenergize Meals on Wheels, Healthy Starts, transportation, wellness clinics, and homemaking. Simultaneously, HCS continues to maximize technology to improve care and support employees. Attracting and retaining our workforce and preparing for the future assures our leadership place in the community.
What are the organization's key strategies for making this happen?
1. REFERRAL STRATEGY
We will develop a comprehensive referral strategy to proactively respond to our competition, increase cross-program referrals, and ensure our future in the marketplace.
2. WORKFORCE DEVELOPMENT
We will invest in skills training, process improvement, technology, and
competitive compensation, to improve the experience and capacity of our workforce.
3. RESOURCE MANAGEMENT
We will invest in the required infrastructure to ensure scalable, efficient operations.
4. STRATEGIC COLLABORATIONS
We will work to increase community connections, collaborate with key partners, and prepare the organization for deeper affiliations.
Short term strategies for addressing the above goals include strict adherence to best practices. In addition, our profit and loss statement is reviewed monthly by senior staff and our board's Finance Committee. Both positive and negative variances are addressed, and negative variances must be accompanied by a plan of correction from the senior management team.
For our Hospice program, we utilize the Hospice Compare Data published by The Center for Medicare Services (CMS). This report is based upon families' feedback regarding our care and services, including response time, pain management, and a host of other metrics. Our strengths are ranked by state, region, and in the U.S., and this enables us to identify opportunities for development and where we shine.
For our Home Health program, our strategy is to maintain our 5 star ratings. We utilize the Strategic Health Program - Realtime Analytics (SHP reports), which focuses on outcomes and re-hospitalizations.
For both Hospice and Home Health, we regularly participate in mock surveys that replicate the auditing processes of national organizations who evaluate agencies such as ours. These mock surveys are time-consuming and expensive, as we must pay an outside consultant to review documentation, conduct the audit, accompany staff on client visits, and provide a written summary - but we view this as an indispensable investment that helps us accomplish our goals.
Organization-wide, HCS invests in skills training, process improvement, technology, and competitive compensation to improve the experience and capacity of our workforce. And through strategic collaboration with key partners, we are able to identify those who need our services.
What are the organization's capabilities for doing this?
Ongoing Development for Entrepreneurial skills and Clinical Quality
Monthly Board meeting
List of Committees made up of Board, Staff and Community Members Quarterly Meetings
Annual Philanthropy Retreat
Employee participation in culture of philanthropy
Everything Disc for Senior Leadership
Mock Surveys for Quality Care
Fundraising with focus on Meals of Wheels and Congregant Grab and Gos in more and more towns in Cheshire Cty
What have they accomplished so far and what's next?
City Express....................................... 19,276 trips
Friendly Bus....................................... 5,621 trips
Home Health Aide ............................ 10,458 visits
Homemaking ..................................... 14,668 hours
Hospice............................................... 20,471 days
Healthy Starts ................................... 2,398 visits
Meals on Wheels............................... 114,682 meals
Grab and Go ........................................ 7,989 meals
Medical Social Work ........................ 1,537 visits
Nursing Care ..................................... 20,388 visits
Rehabilitation Therapies ................ 15,943 visits
Wellness ............................................. 451 clinics
How we listen
Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.
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How is your organization using feedback from the people you serve?
To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To identify where we are less inclusive or equitable across demographic groups, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals
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Which of the following feedback practices does your organization routinely carry out?
We collect feedback from the people we serve at least annually, We take steps to get feedback from marginalized or under-represented people, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on demographics (e.g., race, age, gender, etc.), We look for patterns in feedback based on people’s interactions with us (e.g., site, frequency of service, etc.), We act on the feedback we receive
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What challenges does the organization face when collecting feedback?
It is difficult to get the people we serve to respond to requests for feedback, The people we serve tell us they find data collection burdensome, Many people are without technology skills or don't have computers
Financials
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Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
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- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
Home Healthcare, Hospice & Community Services, Inc.
Board of directorsas of 02/26/2023
Mr. David Therrien
Edward Jones
Ms. Virginia Jordan
Brand Marketing Consulting
Julie Greenwood
Nathan Wechsler & Co.
Mike Chelstowski
Mary Davis
Julie Green
Eric Horne
Horne&Benik Networks, LLC
Judy Sadoski
Ann Heffernon
Allen Mendelson
David Stinson
Julie Tewksbury
Jane Larmon
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
The organization's leader identifies as:
Race & ethnicity
No data
Gender identity
Sexual orientation
No data
Disability
No data
Equity strategies
Last updated: 01/24/2022GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more
- We review compensation data across the organization (and by staff levels) to identify disparities by race.
- We have long-term strategic plans and measurable goals for creating a culture such that one’s race identity has no influence on how they fare within the organization.
- We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
- We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.
- We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.