Trellis Paradise: No Care Correction Plan - NV
The facility's own policies required nurses to notify physicians within 24 hours of significant condition changes and document all interventions in medical records. Staff violated both requirements.
A registered nurse told inspectors on November 18 that temperatures above 100.3 degrees warranted immediate action: Tylenol, cold compresses, wiping down the resident, hydration, removing blankets, lowering room temperature, and rechecking within an hour. The physician should have been notified initially, with follow-up calls if interventions failed.
"A high temperature raised concern for infection and possible sepsis, which was why laboratory bloodwork would be needed," the nurse explained.
The Director of Nursing said temperatures above 99.1 degrees required physician notification and completion of a change-of-condition report. Family members should have been contacted, though alert residents could make their own calls.
Yet when inspectors reviewed the resident's medical record, they found no change-of-condition documentation, no nursing progress notes about interventions, and no record of physician notification.
A physician interviewed by inspectors emphasized that proper medication orders must include type, route, dosage, frequency and strength. Simply documenting "Tylenol as needed" in progress notes doesn't constitute a valid order.
The facility's February 2021 policy explicitly states that nurses must make "detailed observations" and gather "relevant information for the provider" when residents experience significant physical changes. Staff must document "all related information in the medical record."
The Director of Nursing confirmed the resident's record lacked all required documentation for the fever episode.
Federal inspectors classified the violation as causing minimal harm with few residents affected.
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: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
TRELLIS PARADISE in LAS VEGAS, NV was cited for violations during a health inspection on November 18, 2025.
Staff violated both requirements.
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.