Trellis Paradise: Medical Records Violation - NV
The November 2025 complaint inspection at the Las Vegas nursing home turned up a gap in one resident's medical record: no documented proof that a nurse had notified a provider about changes in the resident's medical condition, and no written record of what that nurse observed or reported. The entry was simply missing.
The facility had a policy meant to govern exactly this kind of situation. It required that physicians be notified within 24 hours of a change in a resident's condition, and that nurses document what they communicated and when. On paper, the system existed. In the chart, it didn't.
When inspectors reviewed the policy itself, they found a second problem. The document was dated 2001. It said nothing about how physicians would be held accountable for electronic entries, or how software transfers of progress notes would be tracked for timeliness. The policy had not caught up to how records are actually kept.
The violation was cited under F0842, the federal tag covering medical record accuracy and completeness. Inspectors assessed the level of harm as minimal or potential, with few residents affected.
That assessment describes the regulatory floor, not the full picture. A medical record that doesn't show whether a doctor was told about a change in a resident's condition isn't just a paperwork problem. It means anyone reading that chart later — a covering physician, an emergency room doctor, a family member trying to understand what happened — is working with an incomplete account. The gap between what occurred and what was written down is exactly where errors in care take root.
The resident at the center of the complaint was not named in the inspection report.
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: August 4, 2026 · Our methodology
TRELLIS PARADISE in LAS VEGAS, NV was cited for violations during a health inspection on November 18, 2025.
The facility had a policy meant to govern exactly this kind of situation.
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.