Deficiency Index

Pathways Hospice, LLC

Monroe, Georgia · CCN 851569

704 Breedlove Drive Suite A

42 federal deficiencies across 5 surveys, March 12, 2025 to August 13, 2025.

Deficiencies42

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

Surveys5

Federal surveys with at least one deficiency

Condition-level7

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

What level the findings sit at

Condition-level716.7%
The agency was out of compliance with a federal Condition of Participation — a requirement it must meet to take part in Medicare at all.
Standard-level3583.3%
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

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 Hospice, LLC
SurveyTypeDeficienciesCondition-level
Aug 13, 2025Complaint, Recertification92
Jul 9, 2025Complaint, Recertification92
Jun 17, 2025Complaint81
Apr 23, 2025Complaint81
Mar 12, 2025Complaint81

In the inspector’s words

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

Read all 17 findings in full →

CMS publishes written findings for 17 of the 42 deficiencies on this hospice’s record.

Hospice findings published by CMS on QCOR, covering surveys from March 12, 2025 to August 13, 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