Serenity Hospice, LLC
Las Vegas, Nevada · CCN 291527
4560 S. Decatur Blvd. Ste. 301
31 federal deficiencies across 2 surveys, June 24, 2022 to June 5, 2025.
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-level39.7%
- 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-level2890.3%
- 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
TJC.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0037EP Training Program2
- L0531Content of Comprehensive Assessment2
- L0545Content of Plan of Care2
- L0549Content of Plan of Care2
- L0564Program Data2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jun 5, 2025 | Reaccreditation | 10 | — |
| Jun 24, 2022 | Reaccreditation | 21 | 3 |
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 June 24, 2022 to June 5, 2025. 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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