Comfort Care Hospice Inc
Las Vegas, Nevada · CCN 291596
6140 Coley Avenue
46 federal deficiencies across 2 surveys, August 29, 2024 to October 15, 2024.
Excludes the inspector’s preamble, which is not a finding
Federal surveys with at least one deficiency
Findings against a Condition of Participation — a compliance grade, not a measure of harm
What level the findings sit at
- Condition-level48.7%
- 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-level4291.3%
- 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
ACHC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- L0545Content of Plan of Care2
- L0550Content of Plan of Care2
- L0625Hospice Aide Assignments and Duties2
- E0001Establishment of the Emergency Program (EP)1
- E0004Develop EP Plan, Review and Update Annually1
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Oct 15, 2024 | Follow-Up | 3 | — |
| Aug 29, 2024 | Reaccreditation | 43 | 4 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Hospice findings published by CMS on QCOR, covering surveys from August 29, 2024 to October 15, 2024. The inspectors’ written findings come from a single CMS survey-report extract.
Federal survey findings only. State licensure findings for hospices are not shown.
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