A clinical pathway (CP) facilitates the delivery of quality nursing care; enhance outcomes and reduce cerebrovascular stroke (CVS) patients' hospital stay. This study aims to evaluate the impact of a CVS clinical pathway on elderly patients' outcomes. Design: A quasi-experimental/Non-equivalent control groups (time series) design was utilized. Sample: A purposive sample of 60 elderly CVS patients; 30 study and 30 control group. Setting: the study was conducted at Stroke Unit, Neurological Department and Outpatient Clinics at El Kasr El Aini teaching hospital. Study tools: Personal and medical data form, PrePosttest CVS knowledge questionnaire, Barthel Index scale (BI) to assess functional health status, National Institutes of Health Stroke Scale (NIHSS), Glasgow Coma Scale (GCS) to assess neurological health status, and Compliance therapeutic regimen assessment form. Results: the mean age of elderly patients was 69.13±7.16. All elderly patients had unsatisfactory level of CVS knowledge during pretest which was improved to satisfactory in the study group after implementation of CP. A highly statistically significant differences were found between the total BI, NIHSS, GCS and compliance to therapeutic regimen assessment form in the study group in the pre, post, follow up test (P= 0.00). Conclusion: CP has a positive effect on CVS elderly patients' outcomes (knowledge, BI, NIHSS, GCS, compliance therapeutic regimen assessment form & hospital stay). Recommendation: application of CP on a large sample to gain more generalization & endorsement of CP as a routine nursing care in CVS stroke units.