Trellis Paradise: No Care Correction Plan - NV
Federal inspectors visited the Las Vegas facility on November 18, 2025, following a complaint, and found that the medical record for at least one resident lacked documented evidence that a nurse had notified a provider about changes in the resident's medical condition or status. The nurse had documented information about the changes themselves. What was missing was any record that a physician had been reached.
The gap matters because a physician who doesn't know a resident's condition has changed can't order new treatment. The record is the only way to verify the call happened.
Inspectors also reviewed the facility's own Physician Services policy. It was dated 2001. That policy covered physician orders and progress notes, but it contained nothing to hold physicians accountable for electronic entries, and nothing to ensure that software transfers of documentation, such as progress notes, moved through the system on time.
A policy more than two decades old, with no mechanism to track whether electronic records were completed or transferred, was the standard the facility was operating under when the complaint arrived.
The violation was cited under F0842, which covers medical record accuracy and completeness. Inspectors assessed the level of harm as minimal or potential, with few residents affected.
The resident whose record triggered the complaint had their condition change documented. What the record could not show was whether anyone in a position to act on that change was ever told.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Trellis Paradise from 2025-11-18 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
TRELLIS PARADISE in LAS VEGAS, NV was cited for violations during a health inspection on November 18, 2025.
The nurse had documented information about the changes themselves.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.