Red Rock Hospice
A hospice in Las Vegas, Nevada 89146
1811 S Rainbow Blvd Ste 215, Las Vegas, Nevada 89146. (702) 540-7707.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 23 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- 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.
- Condition-level deficiency
- 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.
What did inspectors find?
23 deficiencies cited in the last three years
The middle of the 83 hospices serving ZIP code 89146 had 6.
The last inspection on record was on Mar 5, 2026: a follow-up inspection by The Joint Commission.
2 deficiencies at condition level, the more serious of CMS’s two levels
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
23 deficiencies in 1 month of the last 36. Last cited Jan 2026. Most serious: Condition-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.
Jan 22, 2026: reaccreditation inspection by The Joint Commission23 deficiencies
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Quality assessment & performance improvement (42 CFR 418.58)
The inspectors’ words, 152 words
“Observed in Data Session. During Data session it was noted that the QAPI program did not involve all services provided as evidenced by the HCO was not able to produce this documentation at the time of survey, such as contracted staff. The hospice surveyor noted the QAPI program did not include indicators that were related to improved palliative outcomes as evidenced by the HCO was not able to produce this documentation at the time of survey. This was confirmed with the VP of Clinical Services and Team Coordinator present. Observed in Data Session. During the Data session it was noted that the HCO was not able to demonstrate the operation of its QAPI program as evidenced by the HCO was not able to produce the documentation of the program or speak to the program at the time of survey. This was confirmed with the VP of Patient Services and Team Coordinator present.”
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Governing body and administrator (42 CFR 418.100(b))
“Observed in Data Session. There was no evidence that the governing body and leadership had established requirements to support patient care treatment and services as evidenced by…condition level findings at 418.58, 418.78 and 418.102”
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EP Training Program (42 CFR 418.113(d)(1)(iii))
“Observed in HR File Review. In 2 of 8 HR files reviewed, it was noted that emergency management education and training was not completed every 2 years. For example HHA1 and the MSW HR files had no EM training documented. This was confirmed and discussed with the HR staff and Team Coordinator present.”
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EP Testing Requirements (42 CFR 418.113(d)(2))
“Observed in Emergency Management Session. During the Emergency Management session it was noted that the organization did not test its plan in any of the last 3 years. This was confirmed and discussed with the VP of Clinical Services and the Team Coordinator.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
“Observed in Record Review. In 2 of 10 patient records reviewed, it was noted that the comprehensive assessment was not completed. For example in record RRHV#3 and RRNHV#5 there was no documentation of an initial bereavement or initial spiritual counselor assessment. This was confirmed and discussed with the Team Coordinator present.”
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Update of comprehensive assessment (42 CFR 418.54(d))
“Observed in Record Review. In 1 of 12 patient records reviewed, it was noted that the interdisciplinary group updates were incomplete. For example, in record RRDC#1 the nurse’s IDG documentation prior to discharge for extended prognosis stated Pt due to be discharged for extended prognosis and MD’s area was left blank. This was confirmed and discussed with the VP of Clinical Services and the Team Coordinator.”
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Review of the plan of care (42 CFR 418.56(d ))
The inspectors’ words, 161 words
“Observed in Record Review. In 3 of 4 patient records reviewed, it was noted that not all required core disciplines attended interdisciplinary meetings. The organization’s process to document attendance at the IDGs was to sign into the IDG note in the EHR and on multiple records core disciplines signatures were missing. For example in records RRBR#1, RRBR#2 and RRDC#1 there was no RN signature on the IDG and record RRDC#1 there was no MD signature. This was confirmed and discussed the VP of Clinical Services and Team Coordinator present. Observed in Record Review. During record review it was noted that the organization failed to discuss the patient’s condition for potential extended prognosis and documented at the IDG meeting. For example in record RRDC#1 the patient was discharged for extended prognosis however there was no documentation of discussion at IDG and no discharge order in the record. This was confirmed and discussed with the VP of Clinical Services and the Team Coordinator.”
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Program scope (42 CFR 418.58(a)(1))
“Observed in Data Session. During the Data session it was noted that the QAPI program did not demonstrate improvement in its palliative outcomes and hospice services as evidenced by the HCO was not able to provide documentation at the time of survey. This was confirmed and discussed with the VP of Clinical Operations and Team Coordinator present.”
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Program data (42 CFR 418.58(b)(1))
“Observed in Data Session. During the Data session it was noted that the hospice did not use patient care indicator data in the design of its quality assessment and improvement program as evidenced by the HCO was not able to produce this documentation at the time of survey. This was confirmed and discussed with the VP of Clinical Operations and Team Coordinator present.”
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Program data (42 CFR 418.58(b)(2)(i))
“Observed in Data Session. During the Data session it was noted that the HCO did not use the data collected to monitor the effectiveness and safety of services and the quality of care as evidenced by no documentation. This was confirmed with the VP of Clinical Services and Team Coordinator present.”
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Program data (42 CFR 418.58(b)(2)(ii))
The inspectors’ words, 100 words
“Observed in Data Session. During the Data session it was noted that the HCO did not analyze and compare data over time to identify levels of performance, patterns, trends and variations as evidenced by lack of documentation. This was confimed and discussed with the VP of Clinical Operations and Team Coordinator present. Observed in Data Session. During the Data session it was noted that the HCO did not use the results of data analysis to identify improvement opportunities as evidenced by no records or documentation. This was confirmed and discussed with the VP of Clinical Operations and Team Coordinator present.”
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Executive responsibilities (42 CFR 418.58(e)(1))
“Observed in Data Session. During the Data session it was noted that the hospice did not effectively evaluate its QAPI program annually as evidenced by the Governing board minutes mentioning the QAPI plan and data however the HCO was not able to produce this documentation at the time of survey. This was confirmed with the VP of Clinical Services and Team Coordinator present.”
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Executive responsibilities (42 CFR 418.58(e)(2))
The inspectors’ words, 192 words
“Observed in Data Session. During the Data session it was noted that performance improvement was not organization wide as evidenced by limited data provided and QAPI meeting minutes with verbal discussion of items from greater than 6 months prior with no data support. This was confirmed and discussed with the VP of Clinical Operations and Team Coordinator present. Observed in Tracer Activities. During review of the Volunteer program and discussion with leadership it was noted that leaders failed to identify priorities for performance improvement. For example, the volunteer coordinator left the organization 13 months prior to survey and the only volunteer left the organization 10 months prior to survey. Leadership via the governing board minutes or QAPI committee minutes did not address the volunteer program, the interim plan or ongoing plan for the program. Also during the Data session it was noted that the HCO leadership did not establish priorities for data collection/PI activities as evidenced by review of the Governing board minutes, QAPI committee minutes and review of data. Only 2 items of data were available. This was confirmed and discussed with the VP of Clinical Services and Team Coordinator present.”
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Control (42 CFR 418.60(b))
“Observed in Infection Control System Tracer. During the Infection Control/Data system tracer it was noted that the organization’s infection prevention and control activities did not include any surveillance or recording of patient infections. This was confirmed and discussed with the VP of Clinical Services and the Team Coordinator present.”
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Counseling services (42 CFR 418.64(d)(1)(iv))
“Observed in Record Review. In 2 of 2 patient records reviewed, for bereavement services it was noted that the Bereavement care plans did not include specific, individualized interventions, and 3 care plans were identical. This was confirmed and discussed with the VP of Clinical Services and the Team Coordinator.”
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In-service training (42 CFR 418.76(d))
“Observed in HR File Review. In 2 of 2 HR files reviewed, for hospice aides it was noted that there were no in-service education hours documented. For example HHA1 and HHA2’s HR files did not have any documentation of education hours. This was confirmed and discussed with the HR staff and Team Coordinator present.”
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Recruiting and retaining (42 CFR 418.78(c))
“Observed in Tracer Activities. During discussion with the Vice President of Clinical Operations it was noted that the organization did not have any active volunteers in the last 10 months and had not documented efforts to recruit them.”
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Cost saving (42 CFR 418.78(d))
The inspectors’ words, 99 words
“Observed in Tracer Activities. During review of the Volunteer program it was noted that the organization had not had any volunteers for 10 months and prior to 10 months it was reported that they had 1 volunteer. The organization did not have any documentation of the cost saving achieved through the use of the volunteer, the position occupied by the volunteer, the work time spent by the volunteer occupying the position or the dollar costs that the hospice would have incurred if paid employees occupied the position identified. This was confirmed and discussed with the VP of Clinical Operations.”
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Level of activity (42 CFR 418.78(e))
“Observed in Tracer Activities. During review of the Volunteer program it was noted that volunteers did not provide at least 5% of the total patient care hours of all paid hospice employees and contract staff. The organization has had no volunteer for 10 months and 1 volunteer prior to that with no documentation of the percentage of hours. This was confirmed and discussed with the VP of Clinical Operations.”
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Training (42 CFR 418.100(g)(3))
The inspectors’ words, 126 words
“Observed in HR File Review. In 2 of 8 HR files reviewed, it was noted that staff competency was not assessed as part of orientation. For example the RN file initial competency was completed after 13 months of employment and the Bereavement Coordinator did not have any documented competency. This was confirmed and discussed with the Team Coordinator and HR staff present. Observed in HR File Review. In 1 of 8 HR files reviewed, During HR file review it was noted that the organization’s policy required annual competences and the Medical Director did not have competencies documented per policy for the last three years. The Medical Directors most recent competency was in 2021. This was confirmed and discussed with the HR staff and Team Coordinator present.”
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Initial certification of terminal illness (42 CFR 418.102(b))
“Observed in Record Review. In 4 of 10 patient records reviewed, it was noted that the certification of terminal illness was not completed. For example, in records RRNHV#1, #2 and #4 and RRHV#3 the Medical Director had not documented a review of the clinical information or signed the initial certificate of terminal illness. This was confirmed and discussed with the VP of Clinical Services and Team Coordinator.”
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Recertification of the terminal illness (42 CFR 418.102(c))
The inspectors’ words, 147 words
“Observed in Record Review. In 3 of 4 patient records reviewed, that included patients on service for more than 1 certification period it was noted that the Medical Director failed to review the clinical information and sign the CTI prior to recertification. For example in record RRHV#2 the patient’s 6th recertification period began 19 days ago. The CTI area for the RN was completed, but the physician area was blank with no signature. In record RRHV#1 the patient’s 3rd recertification period began 8 days ago. The CTI area for the RN was completed, but the physician area was blank with no signature. In record RRNHV#7 the patient’s 17th recertification period began 5 days ago and the CTI area for the RN was complete but the physician area was blank with no signature. The was confirmed and discussed with the VP of Clinical Operations and Team Coordinator present.”
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Content (42 CFR 418.104(a)(3))
“Observed in Record Review. In 1 of 2 patient records reviewed, post patient death, it was noted that the death visit document was missing. This was confirmed and discussed with the VP of Clinical Services and the Team Coordinator present.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Mar 5, 2026 | Follow-up inspection by The Joint Commission | No deficiencies cited |
| Jan 22, 2026 | Reaccreditation inspection by The Joint Commission | 23 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 8, 2019.
- Ownership: for-profit.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules.
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): 8.1 nurse care minutes per routine home care day, 20% of skilled nursing minutes at weekends and a visit near death for 82.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 92% at home, 8% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 8.1 min |
| Skilled nursing minutes at weekends | 20% |
| Visits near death | 82.7% of patients who died |
Who owns it?
- CMS’s ownership file has no owners listed for this hospice.
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: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 91.21% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 52.9% 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 | 9 of 10 |
How does it compare nearby?
- Of the 83 hospices CMS’s data show serving patients in ZIP code 89146, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 23.
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 |
|---|---|
| Comfort Hospice | Not given |
| Jireh Healthcare Services, LLC | 12 |
| Dedicated Hospice Care, Inc. | 1 |
| Red Rock Hospice This hospice | 23 |
| Concierge Hospice Care | 8 |
| Comfort Care Hospice Inc. | 46 |
| Compassionate Hospice of Las Vegas | 7 |
| Comprehensive Valley Hospice Care Inc. | 11 |
| Dynamic Hospice Care | 0 |
| Sunset Haven Hospice Care LLC | 12 |
| Sacred Heart Hospice Care | 23 |
| Embrace Hospice & Palliative Care, LLC | 1 |
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.