Hearth Record

Saint Rose Dominican Hospitals - San Martin Campus

An acute care hospital in Las Vegas, Nevada 89113

8280 W Warm Springs Road, Las Vegas, Nevada 89113. (702) 492-8509.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 2 deficiencies in 1 month of the last 36. Last cited Jul 2025. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
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?

The last inspection on record was on Jul 10, 2025: a complaint inspection.

2 deficiencies cited in the last three years, 2 of them under EMTALA, the law requiring an emergency department to examine and stabilise anyone who comes to it.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

2 deficiencies in 1 month of the last 36. Last cited Jul 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

2 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Jul 10, 2025: complaint inspection2 deficiencies

  • Compliance With 489.24

    “COMPLIANCE WITH 489.24 CFR(s): 489.20(l) [The provider agrees,] in the case of a hospital as defined in §489.24(b), to comply with §489.24. This Standard is not met as evidenced by: 21794 Based on findings at A2411, the facility failed to ensure compliance with Code of Federal Regulations (CFR) 489.24.”

    Rule A2400. Standard-level. From a complaint.

  • Recipient Hospital Responsibilities

    The inspectors’ words, 924 words

    “RECIPIENT HOSPITAL RESPONSIBILITIES CFR(s): 489.24(f) A participating hospital that has specialized capabilities or facilities (including, but not limited to, facilities such as burn units, shock-trauma units, neonatal intensive care units, or (with respect to rural areas) regional referral centers, which, for purposes of this subpart, means hospitals meeting the requirements of referral centers found at §412.96 of this chapter) may not refuse to accept from a referring hospital within the boundaries of the United States an appropriate transfer of an individual who requires such specialized capabilities or facilities if the receiving hospital has the capacity to treat the individual. This requirement applies to any participating hospital with specialized capabilities, regardless of whether the hospital has a dedicated emergency department. This Standard is not met as evidenced by: 21794 Based on interview and document review, the facility with specialized capabilities failed to accept an appropriate transfer of 1 of 20 sampled patients (Patient 20), who required such capabilities. The failure to accept an appropriate transfer had potential for further risk or harm due to delay in treatment. Findings include: Patient 20 presented to the Emergency Department (ED) via private vehicle on 05/23/2025 with a chief complaint of left-sided numbness and muscle spasms which have been present since early May 2025. The ED Physician Notes dated 05/23/2025, revealed Patient 20 had a history of multiple sclerosis (MS) and epilepsy and presented with MS flare and incurred a seizure two days prior to this ED visit. It was noted that Patient 20 takes Keppra, and denied medication noncompliance, head trauma or injury following the seizure. The Medical Decision Making (MDM) section of the ED Physician Note, described Patient 20 was experiencing MS flare, mildly hypertensive. Patient out of tPA (Tissue Plasminogen Activator) thrombectomy window and no code white called. It was determined the patient would not require a CT (computerized tomography) scan at the time, since findings from the physical were consistent with the patient’s MS flare and an MRI (Magnetic Resonance Imaging) of the head from March 2025, which revealed lesions that were nonspecific but suggestive of MS. The ED Physician Note revealed a documented timeline in regard to the transfer process for Patient 20. 05/23/2025 at 11:42 AM - transfer center called to initiate transfer. 05/23/2025 at 1:33 PM - calling transfer center to get update, they will try to get in contact with the physician at the accepting hospital. 05/23/2025 at 1:41 PM at 1:41 PM - transfer center reported that the Neurologist (Physician 1) refused the transfer due to Patient 20 having been “fired” by Physician 1. It was documented that the Attending ED Physician alerted the transfer center that refusing a transfer might fall under an EMTALA violation, and a call to Physician 1 was warranted. 05/23/2025 at 2:11 PM - Patient 20 now refused to go to the initial accepting hospital and would be transferred a different ED for further treatment. On 07/09/2025 at 1:00 PM, Attending ED Physician confirmed that Physician 1 had refused to accept the transfer on 05/23/2025, due to Physician 1 had “fired” Patient 20. The Attending ED Physician reported a concern regarding the amount of time that passed and wanted to speak with Physician 1. The Attending ED Physician confirmed that Physician 1 did not call to discuss the refusal. On 07/10/2025 at 9:45 AM, Physician 1 was asked what was meant when Patient 20 was “fired” and refused the transfer. Physician 1 stated, “I did not fire Patient 20” and “I have never fired a patient before.” Physician 1 further acknowledged he spoke with the Attending ED Physician at the transferring hospital. Physician 1 mentioned that there was no indication that Patient 20 has MS. On 07/10/2025 at 12:35 PM, 3rd year resident (Physician 2) confirmed receiving a message of a potential transfer on 05/23/2025. Physician 2 confirmed that a review of the clinical record was completed and the request for transfer of Patient 20 was for further workup by Neurology. Physician 2 acknowledged alerting Neurology of the requested transfer. Physician 2 confirmed that the response from Physician 1 was that Patient 20 was “fired” and would not accept. On 07/16/2025 at 3:18 PM, Patient 20 confirmed that the initial diagnosis of MS was in 2009 at a local acute care hospital. Patient 20 indicated that the MS is remitting and apparently non-progressive and was considered stage 1 out of 4 stages. Patient 20 acknowledged that there was a clinical relationship with Physician 1 for several years and was not made aware of being “fired”. The Transfer Center’s printout for 05/23/2025 confirmed that Physician 1 had not attempted to contact the Attending ED Physician in regards to the refusal to accept Patient 20. Only Physician 2 and the Attending ED Physician’s communication was recorded on the printout. The Administrative Procedure entitled, “Emergency Medical Treatment and Labor Act (EMTALA)” revealed a hospital must accept an appropriate transfer of an individual with an unstablized emergency medical condition if the following both exist: a. The individual being transferred requires such specialized capabilities or facilities that the hospital possesses and that are not offered or not immediately available at the transferring hospital b. The hospital has determined it has the capacity to treat the individual. In Subsection B(3)(g) of the Administrative Policy “EMTALA”, it further noted that an EMTALA violation or potential violation may occur when incidents of non-compliance include a “Refusal of an ED provider or an on-call physician to accept a patient the facility has the capability and capacity to care in the transfer from another facility.””

    Rule A2411. Standard-level. From a complaint.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jul 10, 2025Complaint inspection2 deficiencies cited

How do patients fare?

  • CMS’s overall for it is 4 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 1 worse of 8; safety of care, 1 better and 0 worse of 6; readmission, 1 better and 0 worse of 8.
  • Patients rate it 4 of 5 in CMS’s patient survey (510 surveys completed, Oct 1, 2024 to Sep 30, 2025): 76% rated it 9 or 10 out of 10, and 79% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 11.9%, heart failure 11.3%, pneumonia 15.4%, COPD 7.7%, stroke 11.6%, heart bypass surgery 2.7%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 13.4%, heart failure 19.4%, pneumonia 17.2%, COPD 19.4%, heart bypass surgery 11.4%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 167 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 0% left before being seen.
  • 60% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 1.12 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 54 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 54 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Nov 30, 2006.
  • Ownership: voluntary non-profit - private.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • Voluntary non-profit - Private.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
  • 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
  • 64% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • Dignity Health owns 100% directly since Nov 6, 2006.
  • Dignity Health runs it.
  • 14 owners or officers are people: Marvin O’quinn (corporate officer, 0%); Marvin O’quinn (corporate director, 0%); Scott Carswell (corporate director, 0%); Daniel Morissette (corporate officer); Mitch Melfi (corporate officer, 0%); Mitch Melfi (corporate director, 0%); Elizabeth Shih (corporate officer); Elizabeth Shih (corporate director, 0%); Steven W Scharmann (corporate officer, 0%); Steven W Scharmann (managing employee (on the payroll), 0%); Steven W Scharmann (runs it (operational or managerial control), 0%); John E Petersdorf (corporate officer, 0%); John E Petersdorf (managing employee (on the payroll), 0%); John E Petersdorf (runs it (operational or managerial control), 0%).
  • CMS’s Provider of Services file records no change of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Commonspirit HealthOwns 5% or more through other companies100%Feb 1, 2019
Dignity HealthOwns 5% or more directly100%Nov 6, 2006
Dignity HealthRuns it (operational or managerial control)100%Feb 1, 2019

How does it compare nearby?

  • Of the 26 hospitals CMS lists in Clark County, 14 have an overall star rating from CMS: 1 rated 5 of 5, 3 rated 4 of 5, 4 rated 3 of 5, 6 rated 2 of 5.
  • CMS rates this one 4 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

12 compared
PlaceOverall star rating
Sunrise Hospital and Medical Center2
North Vista Hospital3
University Medical Center2
Saint Rose Dominican Hospitals - Rose De LimaNot given
99th Medical Group (Nellis Afb)Not given
Valley Hospital Medical Center2
Mountainview Hospital4
Summerlin Hospital Medical Center3
Harmon HospitalNot given
Saint Rose Dominican Hospitals - Siena Campus3
Spring Valley Hospital Medical Center3
Southern Hills Hospital and Medical Center4

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

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.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital 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 hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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