Trellis Paradise: Medical Records Violation - NV
Federal inspectors found the facility's medical record contained no change-of-condition report for the resident's elevated temperature, no nursing notes about interventions taken, and no evidence that physicians were notified as required.
The breakdown contradicted the facility's own detailed procedures. Staff explained they would typically check temperatures twice daily, consider anything above 100.3 degrees Fahrenheit as high, and immediately begin cooling interventions including Tylenol, cold compresses, hydration, and removing blankets.
A registered nurse told inspectors that high temperatures raised concerns about infection and possible sepsis, requiring laboratory bloodwork and immediate physician notification. The director of nursing said doctors should be called for any temperature above 99.1 degrees.
But none of that happened for this resident.
The facility physician explained that simply writing "Tylenol as needed" in progress notes doesn't constitute a proper medication order, which must specify type, route, dosage, frequency and strength. Verbal orders over the phone or direct physician entry were the standard practice for condition changes.
Trellis Paradise's own policy, dated February 2021, required staff to promptly notify attending physicians and resident representatives of any medical condition changes. Nurses were supposed to make detailed observations, gather relevant information, and except in emergencies, notify providers within 24 hours.
The policy also mandated that all related information be documented in the medical record.
The director of nursing confirmed to inspectors that the resident's medical record lacked all three critical elements: the change-of-condition documentation, nursing intervention notes, and physician notification records.
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.
The breakdown contradicted the facility's own detailed procedures.
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.