Trellis Paradise
TRELLIS PARADISE in LAS VEGAS, NV — inspection on November 18, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
within 15 minutes and reported the findings back to the nurse.On 11/18/2025 at 1:20 PM, a Registered Nurse (RN), explained that vital signs were checked in the morning and again later in the day if needed before medications were administered. A temperature above 100.3 F was considered high, and interventions would have been done, including giving Tylenol, applying a cold compress, wiping the resident down, providing hydration, removing blankets, lowering the room temperature, and rechecking the temperature in one hour.
The physician would have been notified initially, and if the interventions did not work, the nurse would have contacted the physician again for further orders such as Tylenol or laboratory bloodwork.
The situation would have been documented as a change of condition, the resident's family notified, and the temperature rechecked within the hour.
The RN added that a high temperature raised concern for infection and possible sepsis, which was why laboratory bloodwork would be needed.On 11/18/2025 at 2:55 PM, the Director of Nursing (DON) explained a temperature above 99.1 degrees (F) was considered high, and a physician would have been notified. A change of condition would be completed, and the facility would get a physician order and place it in the system.
The resident's family would have been notified but if the resident was alert and oriented the resident would be told to contact the family with their information.
While waiting on the physician's order, interventions and cooling measures would have been done.
The temperature would be rechecked within the hour.
The DON stated there was no facility standing order for temperature medications.On 11/18/2025 at 3:43 PM, a Physician explained, documenting Tylenol as needed in a physician progress note should not be considered a Tylenol order, because an order must include the type, route, dosage, frequency and strength of the medication.
The physician stated the facility nurses called directly or contacted the answering service after hours to make physician notifications for changes in conditions.
Physicians would have given verbal orders over the phone or placed the orders themselves. In a change-of-condition event, the expectation was to document the fever and the nursing interventions, and the temperature rechecked.On 11/18/2025 at 4:08 PM, the DON confirmed R1's medical record lacked a change of condition for the high temperature, nursing progress notes regarding interventions, and physician notification.The facility's Change in a Resident's Condition or Status policy dated 02/2021 documented the facility promptly notified the resident, the attending physician, and the resident representative of any changes in the resident's medical or mental condition.
The nurse notified the physician or on-call physician when there was a significant change in the resident's physical condition or a need to significantly alter medical treatment.
The policy indicated nurses made detailed observations, gathered relevant information for the provider, and, except in emergencies, made notifications within 24 hours of the change.
Regardless of the residents' condition, staff informed the resident of changes in care and documented all related information in the medical record.
Complaint #2591137
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/18/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Trellis Paradise
4375 S.
Eastern Avenue Las Vegas, NV 89119
SUMMARY STATEMENT OF DEFICIENCIES
and/or resident representative within 24 hours.
The nurse documented in the resident's medical record information relative to changes in the resident's medical condition or status.R1's medical record lacked documented evidence, a nurse notified a provider and documented information relative to changes in the resident's medical condition or status.
The Physician Services policy dated 2001 revealed physician orders and progress notes were maintained in accordance with facility policy.The aforementioned policy lacked documented evidence for holding physicians accountable for electronic entries or their software transfers accountable for timely transfer documentation, such as progress notes.
Complaint #2591137
Facility ID:
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.