Deficiency Index

Pathways Healthcare, LLC

Westwood, Massachusetts · CCN 221614

101 Station Drive, Suite 240

8 federal deficiencies across 4 surveys, January 12, 2022 to January 8, 2025.

Deficiencies8

Excludes the inspector’s preamble, which is not a finding

Surveys4

Federal surveys with at least one deficiency

Condition-level0

Findings against a Condition of Participation — a compliance grade, not a measure of harm

What level the findings sit at

Standard-level8100.0%
A requirement within a Condition of Participation. The Condition itself was not cited.

These are compliance grades, not harm grades: how deep in the regulation a finding sits, not whether anyone was harmed.

Who conducted the surveys

ACHC, State Agency.

Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.

Most-cited requirements

Survey record

Federal surveys of Pathways Healthcare, LLC
SurveyTypeDeficienciesCondition-level
Jan 8, 2025Reaccreditation1—
Oct 3, 2023Complaint1—
Aug 30, 2023Complaint1—
Jan 12, 2022Initial5—

In the inspector’s words

The complete written findings for this hospice, in the inspector’s own words.

Read all 7 findings in full →

CMS publishes written findings for 7 of the 8 deficiencies on this hospice’s record.

Hospice findings published by CMS on QCOR, covering surveys from January 12, 2022 to January 8, 2025. The inspectors’ written findings come from a single CMS survey-report extract.

Federal survey findings only. State licensure findings for hospices are not shown.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction