PATHWAYS HOSPICE AND PALLIATIVE CARE
Provider Information
- Address
- 14805 NORTH OUTER 40 ROAD, SUITE 160
CHESTERFIELD, MO 63017 - Ownership Type
- For-Profit
- Medicare Certified Since
- September 9, 1996
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 22 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 2 |
46
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what PATHWAYS HOSPICE AND PALLIATIVE CARE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Supplied directly by this hospice
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how PATHWAYS HOSPICE AND PALLIATIVE CARE compares to hospices nationwide.
20.8 minutes
of nurse care per routine home care day, on average
That is the 96th percentile among hospices nationally. The national median is about 12 minutes.
151
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day20.8 min
Ranks better than about 96% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends8.8%
Ranks better than about 60% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life97.1%
Ranks better than about 80% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits5.6%
Ranks better than about 98% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care4%
Ranks better than about 67% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months52%
Ranks better than about 15% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care7%
Ranks better than about 51% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice2%
Ranks better than about 37% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)52nd percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$14,802 · 32nd percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 82.6% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening99.7%
- Breathing difficulty treatment98%
- Treatment preferences discussed100%
- Beliefs and values discussed99.7%
- Bowel care for patients on opioids99.5%
- Visits in the last days of life82.6%
- All care steps completed98.6%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer13%
- Dementia38%
- Heart and circulatory disease18%
- Lung and respiratory disease4%
- Stroke7%
- Other conditions21%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Pathways Hospice and Palliative Care
Pathways Hospice and Palliative Care serves families in Chesterfield, Missouri. They provide end-of-life care and support for patients living in the St. Louis area. This provider has been certified by Medicare since 1996. Their team works to meet medical and emotional needs during a difficult time. Choosing the right care team helps families manage health challenges with more peace of mind. This provider operates as a for-profit hospice organization. They have a long history of serving the community. You can reach them at their office on North Outer 40 Road to ask about their specific services. It is helpful to know they have provided care for many years. That experience helps them understand how to assist patients and their loved ones. They focus on delivering care that meets federal standards for safety and quality. This helps families feel confident in the care their relatives receive at home or in a facility.
Quality and Care Standards
This provider currently holds top marks across all major quality categories tracked by Medicare. They earned the highest possible rating for their quality of care. This is based on the Hospice Care Index. This index looks at how well a provider manages pain and follows clinical rules. They also earned top scores for patient satisfaction. This survey asks families about their experiences with the hospice team. High marks here show that families felt heard and respected. A team of forty-six people runs this location. This group includes twenty-two registered nurses and one licensed practical nurse. They also have two physicians on staff to oversee medical needs. Having many nurses on the team allows for closer monitoring of patient symptoms. This is a key part of why their quality ratings remain strong. The staff size matches the needs of the patients they serve each day in the local area.
High Quality Ratings
What Is Hospice Care Like in Chesterfield?
Hospice care in Chesterfield focuses on comfort and support for the whole family. The goal is to manage pain so patients can spend time with their loved ones. Many providers in this area offer care in private homes or local nursing centers. At Pathways Hospice and Palliative Care, the team includes twenty-two registered nurses. These nurses visit patients to check on their physical comfort and medication needs. They also work with doctors to change care plans when symptoms shift. The small team of two physicians adds another layer of medical oversight. This staffing level helps ensure that help is available when families need it most. Having a local team means they can reach homes quickly in St. Louis County. Good hospice care is about more than just medicine. It is about making sure the patient is comfortable and the family feels supported throughout the process.
What to Ask When Choosing a Hospice Provider
Selecting a care team is a big decision for any family. You should ask questions that help you understand how the provider works. Start by asking how many nurses will be assigned to your loved one. You should also ask how the team handles pain management after normal business hours. It is helpful to know who to call in the middle of the night. Ask about the types of support they offer to family members too. Many hospices provide volunteers or social workers to help with emotional stress. You might also ask how they coordinate care with your primary doctor. Clear communication is the best way to avoid confusion. Good providers will be happy to answer these questions during your first meeting. Take your time to get the answers you need before you make your final choice for care.
Preserve Your Family Stories
Capturing memories is a way to honor those you love. We offer tools to help you save these important stories for future generations.
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