Starlight Hospice, Inc.
Las Vegas, Nevada · CCN 291595
3920 E. Patrick Lane Suite 130
21 federal deficiencies across 3 surveys, February 27, 2025 to June 27, 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-level419.0%
- 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-level1781.0%
- 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, State Agency.
Federal surveys are carried out by the state agency or a CMS-approved accrediting organisation.
Most-cited requirements
- E0039EP Testing Requirements2
- L0530Content of Comprehensive Assessment2
- L0536Idg, Care Planning, Coordination of Services2
- L0548Content of Plan of Care2
- L0561Program Scope2
Survey record
Condition-level
| Survey | Type | Deficiencies | Condition-level |
|---|---|---|---|
| Jun 27, 2025 | Initial with CCN | 3 | — |
| Apr 25, 2025 | Complaint, Recertification | 9 | 2 |
| Feb 27, 2025 | Complaint, Recertification | 9 | 2 |
In the inspector’s words
The complete written findings for this hospice, in the inspector’s own words.
Read all 12 findings in full →
CMS publishes written findings for 12 of the 21 deficiencies on this hospice’s record.
Hospice findings published by CMS on QCOR, covering surveys from February 27, 2025 to June 27, 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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