Clark County, Nevada · Nursing home
Trellis Paradise
5 of 5 overall from CMS
4375 S. Eastern Avenue, Las Vegas, NV 89119
At a glance
- Overall rating 5 of 5 Above the state average of 3.1
- Nurse time per resident, per day 4.49 hours Above the state average of 4.34
- Nursing staff who left in a year 46.3% Above the state average of 45.1%
- Health citations, last 3 inspection cycles 29 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 93.3% of 83 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Trellis Paradise is a 83-bed nursing home in Las Vegas, Nevada (Clark County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 4.49 nurse staffing hours per resident per day, above the Nevada average of 4.34. CMS lists no fines in the past three years.
- Certified beds
- 83
- Residents per day (average)
- 77.4
- Certified since
- 2022 (4 yrs)
For profit - Limited Liability company Participates in MedicarePart of Pacs Group (275 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Trellis Paradise
Chosen from this home's public data.
- Nursing staff turnover is 46.3%, above the Nevada average of 45.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.60 hours per resident on weekends against 4.49 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- Registered nurse time is 1.12 hours per resident per day; the Nevada average is 1.12. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Nevada average 3.1
- Health inspections 4 of 5 Nevada average 2.9
- Staffing 3 of 5 Nevada average 3.4
- Quality measures 5 of 5 Nevada average 3.8
The vertical line marks the Nevada average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.49 h Nevada average 4.34
- Nurse aides 2.16 h Nevada average 2.38
- Licensed practical nurses 1.21 h Nevada average 0.84
- Registered nurses 1.12 h Nevada average 1.12
- All staff, weekends 3.60 h Nevada average 3.86
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Nevada average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover46.3%
- Nevada average45.1%
- Registered nurse turnover31.6%
- Nevada average43.4%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Nevada and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Nevada | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | Too few residents or stays to report | 12.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | Too few residents or stays to report | 5.5% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | Too few residents or stays to report | 1.6% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | Too few residents or stays to report | 1.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | Too few residents or stays to report | 5.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | Too few residents or stays to report | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | Too few residents or stays to report | 2.0% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Too few residents or stays to report | 92.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 13.5% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Too few residents or stays to report | 22.2% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 89.6% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | Too few residents or stays to report | 5.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Too few residents or stays to report | 15.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | Too few residents or stays to report | 17.1% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Data missing or not submitted | 1.85 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Data missing or not submitted | 1.45 | 1.78 |
Short-stay residents
| Measure | This home | Nevada | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.2% | 84.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% | 1.8% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.0% | 80.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.3% | 23.2% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% | 9.6% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 29 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 8 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 25, 2025 | 5 | 4 |
| Sep 20, 2024 | 10 | 9 |
| Sep 29, 2023 | 14 | 11 |
Nevada homes averaged 9.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (29)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 30, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 30, 2025)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Sep 12, 2025)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 12, 2025)
Show 24 more
-
EPotential for more than minimal harm, pattern
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Apr 11, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Nov 4, 2024)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (Nov 4, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 4, 2024)
-
DPotential for more than minimal harm, isolated
Plan the resident's discharge to meet the resident's goals and needs.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 4, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 4, 2024)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 4, 2024)
-
EPotential for more than minimal harm, pattern
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 1, 2023)
-
DPotential for more than minimal harm, isolated
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Nov 1, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Nevada homes averaged 0.5 fines and $13,952 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Nevada
- Size41 of 66 by certified beds
- Nevada average residents per day94.3
- ChainPacs Group
- Chain average overall rating2.9 of 5
- Resident or family councilNone
- Homes in Las Vegas30
- Homes in Clark County42
Common questions
What is the CMS star rating for Trellis Paradise?
Trellis Paradise has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 3 and quality measures is 5.
How many beds does Trellis Paradise have?
Trellis Paradise has 83 certified beds. It averages 77.4 residents per day, about 93.3% of its certified beds.
How much nursing care do residents get at Trellis Paradise?
The home reports 4.49 hours of nurse staffing per resident per day, including 1.12 hours from registered nurses. The Nevada average is 4.34 hours and 1.12 hours from registered nurses.
Has Trellis Paradise been fined?
CMS lists no fines for this home in the past three years.
Does Trellis Paradise accept Medicare or Medicaid?
CMS lists its participation as "Medicare". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Harmon Hospital - SNF 10beds 62.0%in use 8.58nurse hours a day
- 2 of 5 Life Care Center of South Las Vegas 120beds 96.0%in use 3.84nurse hours a day
- 4 of 5 Premier Health & Rehabilitation Center of Lv, LP 100beds 92.8%in use 3.75nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Clark County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 295109. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.