Blue Heights Hospice, LLC
A hospice in N Las Vegas, Nevada 89032
3925 N Martin Luther King Blvd, Suite 124, N Las Vegas, Nevada 89032. (775) 214-3250.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 9 deficiencies cited in the last three years
- Not rated family caregiver rating
- Not available 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?
9 deficiencies cited in the last three years
The middle of the 66 hospices serving ZIP code 89032 had 6.
The last inspection on record was on Aug 13, 2026: a reaccreditation inspection by the Accreditation Commission for Health Care.
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
9 deficiencies in 1 month of the last 36. Last cited Aug 2026. 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.
Aug 13, 2026: reaccreditation inspection by the Accreditation Commission for Health Care9 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c))
“Upon patient record review 1 of 14 (Patient # 6) did not have evidence in the patient record that the comprehensive assessment identifies the physical, psychosocial, emotional, and spiritual needs related to the terminal illness that must be addressed in order to promote the hospice patient’s well-being, comfort, and dignity throughout the dying process. Patient 6: There is no evidence of an initial psychosocial comprehensive assessment completed by any discipline within 5 days of admission on 07/10/25.”
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Content of comprehensive assessment (42 CFR 418.54(c)(4))
“Upon patient record review, 2 of 14 (Patient # 1, 7) did not have evidence in the patient record that the comprehensive assessment takes into consideration the imminence of death Patient 1: There is no evidence of imminence of death documentation on initial comprehensive assessment on 07/18/25. Patient 7: There is no evidence of imminence of death documentation on initial comprehensive assessment on 07/29/25.”
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Content of comprehensive assessment (42 CFR 418.54(c)(7))
The inspectors’ words, 95 words
“Upon patient record review, 1 of 14 (Patient #3) did not have evidence in the patient record that the comprehensive assessment includes a bereavement component which includes the needs of the patient’s family and other individuals focusing on the social, spiritual, and cultural factors that may impact their ability to cope with the patient’s death. Information gathered from the initial bereavement assessment is incorporated into the plan of care and is considered in the bereavement plan of care. Patient 3: There is no evidence of a bereavement assessment completion at start of care until 02/11/26.”
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Review of the plan of care (42 CFR 418.56(d))
“Upon client record review, 1 of 14 (Patient # 10) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient’s condition requires but no less frequently then every 15 calendar days. Patient 10: There is no evidence of SCP signature on IDG meeting notes on 5/18/26.”
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Level of activity (42 CFR 418.78(e))
The inspectors’ words, 91 words
“Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel. The agency reports there “has not been any direct patient care services provided” by volunteers. No evidence that the agency utilized volunteers for at least 5% of the total patient care hours in 2025. The total usage of volunteers for 2025 was 3.5%”
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Training (42 CFR 418.100(g)(3))
“Upon personnel record review, 1 of 12 (Personnel # 4) did not have evidence that a skills competency assessment, specific to each discipline had been conducted for all personnel including volunteers initially during orientation. Personnel#4: There is evidence the medical director competency assessment is completed by the Administrator instead of the DPCS or another physician.”
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Content (42 CFR 418.104(a)(2))
“Upon patient client record review, 2 of 14 (Patient # 1,10) did not have evidence that each patient record contains: Patient 1: There is no evidence of patient/caregiver selection of request or declination of right to receive notice of Non-covered items. This area is left blank on BFCC-QI0 form on 07/18/25. Patient 10: There is no evidence of a medical record identifier on the election of benefits form at start of care on 05/16/26.”
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Content (42 CFR 418.104(a)(7))
“Upon patient client record review, 1 of 14 (Patient #11) did not evidence that each patient record contains physician orders. Patient 11: There is no evidence of a physician discharge order following discharge on 04/11/26.”
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Authentication (42 CFR 418.104(b))
The inspectors’ words, 114 words
“Upon patient client record review, 2 of 14 (Patient #4, 7) did not have evidence that all entries are legible, clear, complete, and appropriately authenticated and dated in accordance with the organizations policies and procedures and currently accepted standards of practice. Electronic signatures are acceptable as long the hospice is following appropriate safeguards to prevent unauthorized access to the patient records. Patient 4: There is evidence of SCP assessments completed on 4/22/26 and 8/5/26 not signed and dated by SCP. In addition, the bereavement assessment completed on 2/11/26 does not have evidence of a signature and date. Patient 7: Bereavement Assessment initial note is not signed /dated. POC developed and not signed on 7/31/25.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 13, 2026 | Reaccreditation inspection by the Accreditation Commission for Health Care | 9 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 12, 2023.
- CMS doesn’t list its type of ownership.
- 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?
- CMS hasn’t published nursing time from Medicare claims for this hospice.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 63% at home, 37% in assisted living.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
Who owns it?
- 9 owners or officers are people: Roman Marfori (owns 5% or more directly, 20%); Talena C Szymanski (owns 5% or more directly, 20%); Talena C Szymanski (corporate officer, 20%); Talena C Szymanski (corporate director, 20%); Talena C Szymanski (runs it (operational or managerial control), 20%); Talena C Szymanski (other role (CMS gives no detail), 20%); Sergey Santos (owns 5% or more directly, 20%); Julie Anne Marfori (owns 5% or more directly, 20%); Derryk Ludwig (owns 5% or more directly, 20%).
- 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 gives no Hospice Care Index for this hospice.
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
How does it compare nearby?
- Of the 66 hospices CMS’s data show serving patients in ZIP code 89032, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 6; this one had 9.
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 |
|---|---|
| Blue Heights Hospice, LLC This hospice | 9 |
| Nathan Adelson Hospice | 15 |
| Southwest Medical Associates Hospice and Palliative Care | 0 |
| Physicians Choice Hospice | 5 |
| Harmony Hospice | 3 |
| Compassioncare Hospice | Not given |
| Comfort Hospice | Not given |
| Infinity Hospice Care | 2 |
| Enhabit Hospice | 5 |
| Rhythm of Life - G Womens International | 3 |
| Jireh Healthcare Services, LLC | 12 |
| Procare Hospice of Nevada, LLC | 7 |
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.