Trellis Paradise
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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 Resident 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
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/18/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Trellis Paradise
4375 S. Eastern Avenue Las Vegas, NV 89119
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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.Resident 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
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If continuation sheet
TRELLIS PARADISE in LAS VEGAS, NV inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LAS VEGAS, NV, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from TRELLIS PARADISE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.