formerly Southern Tier Hospice and Palliative Care


Making a Referral

  • "Our family would like to thank everyone involved in my husband's care. You helped us to fulfill his final wish and make his final journey from home. You are all amazing and special; you took great care of him as well as his family."

  • "Your caring staff is so valuable to families during critical times. Your support is very comforting and appreciated. We are truly grateful."

  • "We were blessed with the loving care you gave our Dad. The nurse was great and treated him like he was part of her family. We are forever grateful for all of you. Thank you."

  • "To the Hospice folks, words cannot express our thanks and appreciation for your tender touch and loving professionalism during our Dad's illness. We will always remember our nurse's expert skills and abilities as well as her personal touch. "

  • "We want to thank everyone who cared for our Mother. Everyone was so nice and caring and went over and beyond what we could have hoped for. Thank you all."

The first step
The initial call to CareFirst for any of our service options can come from any source -- a member of the healthcare team, the patient, the family, a friend. If the call comes from someone other than the healthcare team or the patient, we must ensure that the patient is aware and approves that the referral is being made.

Call early
You may call us at any point, even if the referral or admission may not be immediate. For the most part, involving CareFirst before curative treatment ends or before caregiving arrangements are complete makes the transition time much easier. The patient and family appreciate and benefit from having time to learn what support systems will be in place after the changes occur. We can also often assist in making these arrangements.  Call the CareFirst Admission Team at 607.962.3100.

Determining Eligibility
A preliminary question to ask yourself when deciding if a patient may be eligible for hospice is this: “If the disease runs its normal course, would I be surprised if this patient died of this diagnosis within the next year?”  If the answer to this is “No”, and curative treatment such as chemotherapy and radiation are finished, the patient may very well be eligible for hospice care.

Medicare and Medicaid have developed guidelines for many diagnoses that are used by physicians to substantiate hospice eligibility.  Completion of these diagnostic eligibility guidelines is a part of the admission process and will either be done by the patient’s physician or the CareFirst Admission Team.  Review of these guidelines provides providers a good sense of which patients could benefit from Hospice services.

With the right documentation in place, admissions can happen the same day that we receive the referral.  Admissions can occur 7 days a week.  The following items will be requested from a primary physician or his or her team for a Hospice admission in a skilled nursing facility:

  • Commitment from a physician or nurse practitioner to follow the patient on Hospice, including writing orders and supervising care (this commitment can either be in writing or verbal)
  • Physician order for the Hospice Referral in the facility
  • Determination that the resident is not currently using Medicare coverage for rehabilitation services
  • History and physical from the past 6 months that substantiates patient’s condition
  • Diagnostic eligibility guidelines as described above (this may be completed by the CareFirst Team)
  • Demographics of the patient, including insurance information and social security number, if available


If available, the following items facilitate Hospice admission:

  • Documentation of biopsy results, x-rays, scans, lab work and other clinical substantiation of the patient’s condition
  • Hospital in-patient stay documentation, such as admission notes, ED visit notes or discharge summaries
  • Advanced directives if in place


NOT required for admission:

  • Advanced directives are NOT required
  • Insurance is NOT required (a sliding fee scale is available for uninsured)

The CareFirst Admission Team and Medical Director stand ready to work with you to ensure that your patients get the best care possible.  Call them at 607.962.3100 or fax at 607.937.8188.

Stay Connected

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Tonight members of our team attended a fundraising dinner for Bampa's House - Corning Comfort Care, Inc.! What a fun event celebrating life!

Posted 2 days, 11 hours ago

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We might be biased, yet we think our team of doctors, nurses, social workers, spiritual care coordinators, volunteers, and administration are pretty special!

Posted 2 days, 16 hours ago

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3805 Meads Creek Road • Painted Post, NY 14870-9509 •P: 607.962.3100 •T: 800.734.1570 •F: 607.962.4300