Traditions Health
A hospice in Las Vegas, Nevada 89103
4560 S Decatur Blvd Ste 301, Las Vegas, Nevada 89103. (702) 220-7109.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 10 deficiencies cited in the last three years
- Not rated family caregiver rating
- 8of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
10 deficiencies cited in the last three years
The middle of the 85 hospices serving ZIP code 89103 had 6.5.
The last inspection on record was on Jun 5, 2025: a reaccreditation inspection by The Joint Commission.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
10 deficiencies in 1 month of the last 36. Last cited Jun 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Jun 5, 2025: reaccreditation inspection by The Joint Commission10 deficiencies
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EP Training Program (42 CFR 418.113(d)(1)(iii))
“Observed in HR File Review. In 2 of 9 HR files reviewed, the organization failed to document ongoing emergency management training for its volunteers. During tracer activities for Competence Assessment, the Hospice Nurse Surveyor observed HR file #7 and #8 ( both volunteers) did not have documentation of emergency management training at least annually per organizational policy. This was discussed and reviewed with the Hospice Leadership Team.”
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Content of comprehensive assessment (42 CFR 418.54(c)(5))
“Observed in Record Review. In 1 of 17 patient records reviewed, the organization failed to assess and reassess according to policy. During record review for HOSRRHV#3, the patient had a coccyx wound had not been assessed for 3 1/2 weeks. It was assessed once noticed but was not assessed until it was inactivated 3 1/2 weeks later. The organizational policy stated the wound would be assessed at least weekly. This was discussed and reviewed with the Hospice Leadership Team.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 120 words
“Observed in Record Review. In 6 of 14 patient records reviewed, the organization failed to complete all necessary initial comprehensive assessments during the required timeframe. During record review for HOSRRHV#3, HOSRRNHV#4, HOSRRNHV#5 and HOSRRNHV#6, HOSRRBR#1 and HOSRRBR#2, the patient’s initial bereavement assessments were not completed at all or were not completed timely. For example in HOSRRHV#3, the bereavement assessment was completed one month late. In HOSRRNHV#4, the bereavement assessment was completed two months late. In HOSRRNHV#5, the bereavement assessment was not documented by survey date. In HOSRRNHV#6, the bereavement assessment was approximately two months late. In HOSRRBR#1 and HOSRRBR#2, both records the initial bereavement assessment was completed two months late. This was discussed and reviewed with the Hospice Leadership Team.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 402 words
“Observed in Record Review. In 10 of 10 patient records reviewed, the organization failed to plan the patient’s care. During record review for all records, the Hospice Nurse Surveyor observed the goals on the plan of care did not contain timeframes required to meet those goals. For example in HOSRRHV#1, the plan of care had a goal of having an acceptable level of pain of 4/10 ongoing with no measurable timeframe to meet that goal. The SW had a goal of decreasing anxiety and depression with no measurable timeframe. In HOSRRHV#2, the patient had a colostomy for many years and had managed it himself. He had a hospice goal of will have proper care of pt ostomy by end of life. The timeframe was not individualized or measurable. In HOSRRHV#3, the patient had a goal for control of constipation with the target date being ongoing which was not measurable. In HOSRRNHV#1, the patient had a goal of to have funeral arrangements in place with no goal date. In HOSRRNHV#2, the patient had a goal of decrease fear and anxiety throughout the dying process and end of life journey. The goal date of throughout the dying process and end of life journey was not individualized. In HOSRRNHV#3, the patient had a goal of will have funeral arrangements in place with no goal date. In HOSRRNHV#4, the patient had a goal of will verbalize understanding of skin care practices to preserve skin integrity on an on going basis throughout the end of life journey. The patient had been on service for over a year and this goal was not updated with a individualized timeframe. In HOSRRNHV#5, the patient had a goal of pt to achieve optimal pain relief throughout end of life journey. The patient had been on service for 10 months and this goal timeframe was not individualized or updated to reflect current patient needs. In HOSRRNHV#6, the patient had a goal of Pt will report an understanding of causes and treatment of anxiety within 2 weeks. This goal was entered one year prior to survey and the timeframe was not updated to reflect current patient needs. In HOSRRNHV#7, the patient had a goal of Pt/ CG will understand the purpose of advanced directives within 4 weeks. This goal was added 4 months prior to survey and the goal timeframe was not updated. This was verified and discussed with the Hospice Leadership Team.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 1 of 14 patient records reviewed, the organization failed to plan the patient’s care. During record review for HOSRRNHV#6, the Hospice Nurse Surveyor observed the organization had orders for oxygen for the patient but there was no route included. This was discussed and reviewed with the Hospice Leadership Team.”
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Program data (42 CFR 418.58(b)(2)(ii))
“Observed in Tracer Activities. The organization failed to use data analysis results to identify improvement opportunities. During tracer activities for Data Management, the Hospice Nurse Surveyor observed the organization had not identified or documented process improvement opportunities for 2023 or 2024. This was discussed and reviewed with the Hospice Leadership Team.”
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Control (42 CFR 418.60(b)(2)(ii))
“Observed in Tracer Activities. The organization failed to improve compliance with hand hygiene. During tracer activities for Data Management, the Hospice Nurse Surveyor observed the organization had been collecting hand hygiene data and had a goal for hand hygiene of 100% but had not documented analysis of the data to assess compliance. This was discussed and reviewed with the Hospice Leadership Team.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. The organization failed to provide day to day administrative or direct patient care in an amount that equaled at least 5%. During tracer activities for Volunteer Services, the Hospice Nurse Surveyor observed the volunteer percentage for 2024 was 3.69%. For the current year the percentage continues to average less than 5%. This was discussed and reviewed with the Hospice Leadership Team.”
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Training (42 CFR 418.100(g)(2))
“Observed in HR File Review. In 2 of 9 HR files reviewed, the organization failed to document orientation for volunteers. During tracer activities for Competence Assessment, the Hospice Nurse Surveyor observed HR file #7 and #8 ( both volunteers) did not have documentation of orientation to the organization or to the policies. This was discussed and reviewed with the Hospice Leadership Team.”
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Content (42 CFR 418.104(a)(3))
The inspectors’ words, 123 words
“Observed in Patient Home. In 1 of 1 home visits conducted, where a medication reconciliation was completed, the organization failed to maintain a complete and accurate record. During home visit HOSRRHV#1, the Hospice Nurse Surveyor observed the RN did a medication reconciliation according to policy but the medication list in the home, the one in the EMR and the patient bottles did not match. The patient had been on service for 4 weeks. For example the patient was no longer taking the Ferrous Sulfate. But she was taking Women’s vitamin, Healthy eyes supplement, Prevagen, Kidney support supplement, Valacyclor, Trazadone, Fish oil, Melatonin, Buspirone, Memantine and Rosuvastatin which were not included in the EMR. This was verified and discussed with the Hospice Leadership Team.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 5, 2025 | Reaccreditation inspection by The Joint Commission | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Oct 6, 2010.
- Ownership: for-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 16 nurse care minutes per routine home care day, 7.5% of skilled nursing minutes at weekends and a visit near death for 97.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 31% at home, 50% in assisted living, 16% in a nursing facility, 2% elsewhere.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 16.0 min |
| Skilled nursing minutes at weekends | 7.5% |
| Visits near death | 97.6% of patients who died |
Who owns it?
- Bhc Holdco, LLC owns 100% directly since Dec 3, 2025.
- 4 owners or officers are people: Chris Walker (corporate director); Chris Walker (managing employee (on the payroll)); Daniel Itano (managing employee (under contract)); Iwalani Andres (managing employee (on the payroll)).
- A private-equity firm is among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Tvg Np Homecare Acquisition Holdings, Inc. | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Bhc Holdco, LLC | Owns 5% or more directly | 100% | Dec 3, 2025 |
| Tvg Np Homecare Acquisition Intermediate, Inc. | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Tvg Np Homecare Acquisition, Inc. | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Tvg Np Homecare Topco, LP | Owns 5% or more through other companies | 100% | Dec 3, 2025 |
| Tvg Np Homecare Sponsorco, LP | Owns 5% or more through other companies | 80.4% | Dec 3, 2025 |
| Anthony Family Investments, Ltd | Owns 5% or more through other companies | 26.8% | Dec 3, 2025 |
| Vistria Fund III LP | Owns 5% or more through other companies | 18% | Dec 3, 2025 |
| Nautic Partners Ix, LP | Owns 5% or more through other companies | 16.9% | Dec 3, 2025 |
| Kihm Holdings, Inc. | Owns 5% or more through other companies | 11.1% | Dec 3, 2025 |
| Nautic Partners Ix-A LP | Owns 5% or more through other companies | 9.9% | Dec 3, 2025 |
| Vistria Fund III (Ft) LP | Owns 5% or more through other companies | 8.8% | Dec 3, 2025 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 81% rated it 9 or 10 out of 10, and 82% would definitely recommend it.
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 70.2% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not rated |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 8 of 10 |
How does it compare nearby?
- Of the 85 hospices CMS’s data show serving patients in ZIP code 89103, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6.5; this one had 10.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Traditions Health This hospice | 10 |
| Comprehensive Hospice Care LLC | Not given |
| Eldercare Hospice | 43 |
| Globalcare Health Services LLC | 10 |
| Avra Hospice Care Inc. | 0 |
| Puricare Health Services LLC | 16 |
| Family Comfort Care LLC | 3 |
| Golden Care Hospice, LLC | 0 |
| Harmony Hospice and Palliative Care Inc. | 1 |
| Care Oasis Hospice | 2 |
| Life Care Hospice, LLC | 2 |
| Nathan Adelson Hospice | 15 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.