Sunset Hospice
A hospice in Las Vegas, Nevada 89102
3305 Spring Mountain Rd, Ste 40, Las Vegas, Nevada 89102. (702) 534-7840.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 23, 2026.
- 6 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?
6 deficiencies cited in the last three years
The middle of the 80 hospices serving ZIP code 89102 had 6.
The last inspection on record was on May 30, 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
6 deficiencies in 1 month of the last 36. Last cited May 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.
May 30, 2025: reaccreditation inspection by The Joint Commission6 deficiencies
-
Update of comprehensive assessment (42 CFR 418.54(d))
The inspectors’ words, 194 words
“Observed in Record Review. In 7 of 10 active patient records reviewed, the organization failed to ensure the plan of care was updated based on the patient’s reassessment and progress toward goals. In RRNHV #1, the plan of care had not been updated to reflect the current assessment, achieving goals that had been achieved. For example, patient has been on service since 2023 there is patient teaching goals that have not been achieved in those two years. In RRNHV #2, it was noted that patient had complaints of dry eyes and was receiving medication for the dry eyes but there was no goals to reflect this problem. In RRNHV #3, it was noted that the patient had Nystop powder started but the Plan of Care was not updated to reflect this new therapy. In RRHV #3, RRNHV #4 and RRNHV #5 it was noted that patient has been on service for several benefit periods and still has teaching goals from admission. On RRNHV #6 it was noted that the patient was started on an antibiotic, but the plan of care was not updated to reflect this change. This finding was reviewed with hospice leadership.”
-
Patient outcome measures (42 CFR 418.54(e)(2))
“Observed in Record Review. In 1 of 10 active patient record reviews, documentation in the patient record is not entered timely. Agency policy is that documentation is completed within 3 days and in the medical record. On RRNHV #5, the nursing documentation has not been completed for the last three weeks, the agency has had some EMR issues but had not implemented the requirement for paper documentation during the down to meet the agency policy. This finding was reviewed and validated agency leadership.”
-
Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 179 words
“Observed in Record Review. In 7 out of 10 patient records reviewed, the goals established on the plan of care were not measurable and specific. On RRNHV #1, it was noted that goals were not measurable and specific to the patient. For example, “Pt will maintain optimum peripheral circulation”, “Facilitate bowel elimination and comfort”. On RRNHV #2 it was noted that goals were not measurable and specific to the patient with example of Keep pain below SIT level for comfort. On RRNHV #4 it was noted that goals were not measurable and specific with an example of “Facilitate bowel elimination and comfort”. On RRNHV #6 and RRNHV #7 it was noted that goals were not specific and measurable with an example of “Maintain BP levels within normal limits”. On RRHV #2 it was noted that goals were not measurable and specific to the patient with an example of “Optimal bowel elimination and comfort”. On RRHV #3, goals were not measurable with the example of “Achieve and maintain peripheral circulation for Pt comfort”. This finding was reviewed with hospice leadership.”
-
Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 2 of 14 active patient records reviewed, the hospice nurse surveyor noted medication orders were not clear and accurate. On RRNHV # 4 there was duplicate PRN medications for constipation, Senna PRN for constipation and Bisacodyl Suppository PRN for constipation and no indication how to handle the duplicate therapies. On RRNHV #5 it was noted that patient had multiple PRN constipation, Lactulose and Bisacodyl, there is no clear indication when to both duplicate therapies. This finding was reviewed with hospice leadership.”
-
Prevention (42 CFR 418.60(a))
The inspectors’ words, 118 words
“Observed in Patient Home. In 2 of 3 home visits conducted, the nurse surveyor observed that the agency did not implement measures to reduce the risk of infection associated with medical equipment. Agency Bag Technique policy (9-014.1) states that equipment will be cleaned with alcohol and/or soap and water. On RRHV #1, the nurse did not follow agency policy, he cleaned her vital sign equipment with Handiwipes to clean equipment and the manufacturer guidelines for use is hand cleaning not equipment. On RRHV #3, the nursed cleaned his vital sign equipment with Clorox and did not follow the manufacturer wet time of 3 minutes prior to returning equipment back to bag. This finding was reviewed with agency leadership.”
-
Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. Identified during the review of the Volunteer Program, the 5 percent of the total patient care hours requirement was not achieved. Year to date for 2025 the agency is only at 1.3% for their volunteer hours. For 2025 the agency was at 4.5% for the year. Agency does have an active plan to improve the rates. This was reviewed with agency leaders.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 30, 2025 | Reaccreditation inspection by The Joint Commission | 6 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Jan 4, 2017.
- 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): 9.9 nurse care minutes per routine home care day, 19.9% of skilled nursing minutes at weekends and a visit near death for 85.2% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 40% at home, 60% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 9.9 min |
| Skilled nursing minutes at weekends | 19.9% |
| Visits near death | 85.2% of patients who died |
Who owns it?
- 4 owners or officers are people: Lorna De Leon (owns 5% or more directly, 100%); Lorna De Leon (corporate officer, 100%); Lorna De Leon (corporate director, 100%); Lorna De Leon (runs it (operational or managerial control), 100%).
- No private-equity firm 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.
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- CMS’s Hospice Care Index: 8 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 77.78% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 15.2% 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 80 hospices CMS’s data show serving patients in ZIP code 89102, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 6.
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 |
|---|---|
| Hospice Services of Nevada, Inc. | 3 |
| Sunset Hospice This hospice | 6 |
| Liberty Creek Hospice, LLC | 11 |
| Grace Hospice of Nevada LLC | 15 |
| Careplus Hospice LLC | Not given |
| Saint Jude Hospice | 5 |
| Prayers Hospice Care Inc. | Not given |
| Amore Hospice Care | 10 |
| Family First Hospice Care LLC | 9 |
| Crosslink Palliative and Hospice Care Inc. | Not given |
| Ample Care Hospice LLC | Not given |
| Icare Health Services LLC | 2 |
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
-
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).
-
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).
-
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).
-
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).
-
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).
-
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).
-
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.