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Pathways Healthcare

(800) 939-1855270 Pierce Street Suite 307, Kingston, PA 18704
CMS Certification Number 398010 · Proprietary · Medicare-certified since 09/09/2004
7deficiencies since 2018
0serious
3inspections
3CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2026-01-15

· Recertification · no deficiencies cited · CMS source report (PDF)

Inspection 2023-01-27

· Recertification · 5 deficiencies · CMS source report (PDF)
Moderate Executive Responsibilities For Qapi

The governing body failed to ensure one (1) of one (1) skilled nursing (SN) services related complaint was investigated prior to January 25, 2023. (Patient #7) Findings include: On January 27, 2023 at approximately 10:12 AM, review of the agency policy titled "Grievance Process-Employee" revealed…

Source: CMS Form 2567, inspection 2023-01-27, tag G0660 · view on CMS
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Minor Coordinate Care Delivery

CM-Employee #7) and the administrator, the agency failed to ensure that agency staff notified the primary care physician/provider (PCP) of a change in patient condition for two (2) of two (2) patients who required hospitalization during the home health certification period.

Source: CMS Form 2567, inspection 2023-01-27, tag G0608 · view on CMS
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Minor Interdisciplinary Assessment Of The Patient

The agency failed to ensure external peripherally inserted central catheter (PICC-intravenous) line length and corresponding arm circumference was measured with each skilled nursing (SN) visit for two (2) of two (2) patients for whom PICC line assessment orders were provided by the primary care…

Source: CMS Form 2567, inspection 2023-01-27, tag G0706 · view on CMS
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Minor Ensure That Hha Employs Qualified Personnel

The agency failed to ensure the two (2) of two (2) registered nurses (RN) completed a hands-on skills tracheostomy (surgically created airway located in the front of the neck) care demonstration/skills evaluation tracheotomy prior to the assignment to provide SN services to a patient for whom SN…

Source: CMS Form 2567, inspection 2023-01-27, tag G0952 · view on CMS
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Minor Interventions And Patient Response

CM-Employee #7) and the administrator, the agency failed to ensure skilled nursing (SN) treatment orders included on the "Home Health Certification and Plan of Care" were consistent with observation or SN assessment findings for two (2) of nine (9) patients.

Source: CMS Form 2567, inspection 2023-01-27, tag G1014 · view on CMS
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Inspection 2020-12-07

· Complaint · 2 deficiencies · CMS source report (PDF)
Moderate Program Activities

The agency failed to submit a report of two (2) of two (2) COVID-19 related events to the PA DOH ERS website.

Source: CMS Form 2567, inspection 2020-12-07, tag G0646 · view on CMS
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Moderate Infection Control

The agency failed to ensure documentation was maintained in the clinical record which provided evidence that two (2) of two (2) patients were notified of an exposure to a person (agency employee) who tested positive for COVID-19. (Patients #1 and #2) Findings included: On December 2, 2020 at…

Source: CMS Form 2567, inspection 2020-12-07, tag G0684 · view on CMS
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