Pathwell Home Health & Hospice
A hospice in Winchester, Virginia 22602
118 Creekside Lane, Winchester, Virginia 22602. (703) 956-9585.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 10 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
10 deficiencies cited in the last three years
The middle of the 4 hospices serving ZIP code 22602 had 9.
The last inspection on record was on Jun 10, 2026: a reaccreditation inspection by the Accreditation Commission for Health Care.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
10 deficiencies in 1 month of the last 36. Last cited Jun 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Jun 10, 2026: reaccreditation inspection by the Accreditation Commission for Health Care10 deficiencies
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EP Training Program (42 CFR 418.113(d)(1))
“Upon personnel record review, 1 of 13 (Personnel # 5) did not have evidence Emergency Preparedness training including: Personnel 5: The aide is contracted and there was no evidence of proof of Emergency Preparedness training.”
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
“Upon patient record review, 2 of 14 (Patient #3,10) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: Patient 3: The agency medication profile contains an order for lactulose prn and there is no evidence of lactulose order on ALF medication list. Patient 10: The medication profile contains an order for MiraLAX on 1/23/26 with no evidence of diluent instructions.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 97 words
“Upon patient record review, 1 of 14 (Patient # 6) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient 6: There is an order for Eliquis with no evidence of risk for bleeding noted on the updated POC 6/8/26.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 14 (Patient #10) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient 10: The updated POC on 5/2726 contains an order for MiraLAX ordered on 1/23/26 with no evidence of diluent instructions.”
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Counseling services (42 CFR 418.64(d)(1))
The inspectors’ words, 94 words
“Upon patient record review, 2 of 14 (Patient # 13 and 14) did not have evidence the hospice offers bereavement counseling that includes: Patient 13: There is no evidence of the development of a bereavement plan of care. The SN remained in contact with family and sent condolence notes and made phone calls post death. Patient 14: There is no evidence of the development of a bereavement plan of care that notes the kind of bereavement services to be offered and the frequency of service delivery and services reflect the needs of the bereaved.”
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Competency evaluation (42 CFR 418.76(c))
“Upon personnel record review, 1 of 13 (Personnel # 5) did not have evidence in the personnel file that the following competency assessment was performed by the aide with a patient: (This standard applies to all Hospice Aides providing care/service who are directly employed by the hospice or through a contractual agreement.) Personnel 5: There is no evidence of skills competency assessment completion in contracted aide file.”
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Cost saving (42 CFR 418.78(d))
“Upon observation, there was no evidence the hospice documented the cost savings achieved through the use of volunteers. Documentation must include the following: • The identification of each position that is occupied by a volunteer • The work time spent by volunteers occupying those positions • Estimates of the dollar costs that the hospice would have incurred if paid employees occupied the positions identified in paragraph (d)(1) of CFR 418.78 for the amount of time specified in paragraph (d)(2) of CFR 418.78”
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Level of activity (42 CFR 418.78(e))
“Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel. There is no evidence of volunteers providing administrative and/or direct patient care services. Agency reports 0% volunteer hours utilized.”
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Training (42 CFR 418.100(g)(1))
“Upon personnel record review, 1 of 13 (Personnel #5) did not have evidence the hospice employees and contract employees have received orientation on the hospice philosophy.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 106 words
“Upon patient client record review, 1 of 14 (Patient # 10) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 10: There is evidence of a communication note on 01/27/26 that indicates “patient passed prior to our ability to reach family to schedule MSW and Chaplain assessments.” The medical record indicates patient was transferred to another Hospice due to unavailable coverage in patients area.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 10, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Apr 3, 2020.
- Ownership: for-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 12.5 nurse care minutes per routine home care day, 4.2% of skilled nursing minutes at weekends and a visit near death for 86.4% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 96% at home, 4% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.5 min |
| Skilled nursing minutes at weekends | 4.2% |
| Visits near death | 86.4% of patients who died |
Who owns it?
- Pathwell Health Inc. owns 100% directly since Apr 7, 2023.
- Pathwell Health Inc. runs it.
- 10 owners or officers are people: Ramandeep Brar (owns 5% or more through other companies, 33.7%); Ramandeep Brar (corporate officer, 33.7%); Ramandeep Brar (corporate director, 33.7%); Ramandeep Brar (runs it (operational or managerial control), 33.7%); Andrew Quinn (owns 5% or more through other companies, 30.2%); Andrew Quinn (corporate officer, 30.2%); Andrew Quinn (corporate director, 30.2%); Andrew Quinn (runs it (operational or managerial control), 30.2%); Kelly Boneker (managing employee (on the payroll), 2.4%); Rajiv K Aggarwal (managing employee (under contract), 0%).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Pathwell Health Inc. | Owns 5% or more directly | 100% | Apr 7, 2023 |
| Pathwell Health Inc. | Runs it (operational or managerial control) | 100% | Apr 7, 2023 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.1% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not rated |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 8 of 10 |
How does it compare nearby?
- Of the 4 hospices CMS’s data show serving patients in ZIP code 22602, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 9; this one had 10.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Pathwell Home Health & Hospice This hospice | 10 |
| Blue Ridge Hospice, Inc. | 3 |
| Gentiva II | 9 |
| Legacy Hospice | 9 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
-
Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.