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Pathways Healthcare

(570) 331-3360270 Pierce Street Suite 308, Kingston, PA 18704
CMS Certification Number 397733 · Proprietary · Medicare-certified since 02/23/1999
9deficiencies since 2018
0serious
2inspections
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 2025-01-30

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Infection Control

The agency failed to ensure initial TB screening was conducted in accordance with agency policies/procedures and CDC and PA DOH recommendations for seven (7) of seven (7) active employees whose date of hire was after January 21, 2022. (Employees #1, #3, #6, #7, #8, #9 and #10) Finding include: On…

Source: CMS Form 2567, inspection 2025-01-30, tag G0684 · view on CMS
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Minor Visit Schedule

The agency failed to ensure written instructions regarding the revised skilled nursing (SN) visit frequency were provided to three (3) of four (4) patients for whom a home visit was conducted.

Source: CMS Form 2567, inspection 2025-01-30, tag G0614 · view on CMS
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Minor Patient Medication Schedule/Instructions

The agency failed to ensure written instructions regarding the medication schedule/instructions had been provided to two (2) of four (4) patients for whom a home visit was conducted.

Source: CMS Form 2567, inspection 2025-01-30, tag G0616 · view on CMS
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Inspection 2022-01-21

· Recertification · 6 deficiencies · CMS source report (PDF)
Moderate Plan Based On All Hazards Risk Assessment

The agency failed to ensure two (2) of two (2) hazard vulnerability assessments (HVA) included an event type/category for agency staffing shortages.

Source: CMS Form 2567, inspection 2022-01-21, tag E0006 · view on CMS
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Moderate Program Activities

The agency failed to submit two (2) of two (2) COVID-19 related reports to the PA DOH Event Reporting System (ERS) website prior to January 19, 2022. Findings include: On January 19, 2022 at approximately 3:40 PM, review of agency policy 5-005, titled "Incident Reporting", revealed the following…

Source: CMS Form 2567, inspection 2022-01-21, tag G0646 · view on CMS
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Minor Make Efforts To Resolve The Problem(S)

The agency failed to ensure two (2) of two (2) patients who were discharged for cause (involuntarily) were provided notification that the agency is required to make efforts to resolve the problems prior to discharging a patient due to behavioral issues/non-compliance with the home health plan of…

Source: CMS Form 2567, inspection 2022-01-21, tag G0466 · view on CMS
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Minor Provide Contact Info Other Services

The agency failed to ensure two (2) of two (2) patients who were discharged for cause (involuntarily) were provided notification that the agency was required to provide the names and contact information for other agencies/providers which would be available to provide home health services prior to…

Source: CMS Form 2567, inspection 2022-01-21, tag G0468 · view on CMS
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Minor Rn Performs Assessment

The agency failed to obtain a physician order for a revised start of care date for five (5) of ten (10) patients for whom the initial assessment was completed more than 48 hours after referral or inpatient discharge.

Source: CMS Form 2567, inspection 2022-01-21, tag G0514 · view on CMS
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Minor Ensure Clinical Manager Is Available

Chapter 601, and based on interview with the administrator/clinical manager (employee #1) and the chief operating officer (COO-employee #10), the agency failed to ensure a similarly qualified alternate to supervising RN (clinical manager) was available during the regular operating hours of the…

Source: CMS Form 2567, inspection 2022-01-21, tag G0950 · view on CMS
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