Deficiency Index

Blue Heights Hospice, LLC

North Las Vegas, Nevada · CMS number not yet issued

3925 N. Martin L King Blvd, Ste. 124

39 federal deficiencies across 2 surveys, June 2, 2022 to November 10, 2022.

Deficiencies39

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

Surveys2

Federal surveys with at least one deficiency

Condition-level4

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

What level the findings sit at

Condition-level410.3%
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-level3589.7%
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

CHAP.

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

Most-cited requirements

Survey record

Federal surveys of Blue Heights Hospice, LLC
SurveyTypeDeficienciesCondition-level
Nov 10, 2022Initial192
Jun 2, 2022Initial202

In the inspector’s words

CMS publishes the deficiencies cited at this hospice but not the inspector’s written findings for them.

Hospice findings published by CMS on QCOR, covering surveys from June 2, 2022 to November 10, 2022. 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