Trellis Paradise

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 317 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 89.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 123 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 1.21 therapist hours per resident per day in 2026Q1 — more than 98% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 55% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 83 beds and averages 77.4 residents a day — about 93% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.12 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.60 hrs/resident/day on weekends vs 4.85 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 1.29 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · Dcited before2025-11-18 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and document review nursing staff failed to document physician notification, change in condition, nursing interventions or attempts to obtain a physician order to manage a resident's high temperature (fever) as documented in facility policy for 1 of 5 sampled residents (Resident 1). The deficient practice had the potential to place the resident at risk for harm or adverse outcomes due to delayed medical evaluation and treatment. Findings include:Resident 1 (R1) was admitted on [DATE] with diagnoses including chronic obstructive pulmonary disease, chronic respiratory failure with hypoxia, and pneumonia.On 08/14/2025 at 8:54 PM, R1 had an oral temperature of 102.9 degrees Fahrenheit (F) documented on the Weights and Vitals Summary. The next documented temperature was an oral temperature of 98.6 degrees (F) taken on 08/15/2025 at 12:39 PM.The Nursing - daily skilled charting form dated 08/14/2025 at 11:44 PM documented an oral temperature of 102.9 on 08/14/2025 at 8:54 PM. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-18 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and document review, the facility failed to ensure medical record documentation was complete and accessible for 1 of 5 residents (Resident #1).Findings Include:Resident 1 (R1) was admitted on [DATE], with diagnoses including chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease and pneumonia.A Licensed Practical Nurse completed a daily skilled charting form on [DATE] at 11:44 PM, which showed an oral temperature of 102.9 Fahrenheit. The nurse entered the temperature at 8:54 PM.An oral temperature of 98.6 Fahrenheit was entered on [DATE] at 12:39 PM, according to the weights and vitals summary.On an effective date of service progress note dated [DATE], a physician documented acknowledging the resident's fever with recommendations to continue to monitor closely, repeat labs if persistent and Tylenol as needed. The above note was e-signed at 6:49 PM on [DATE]. The resident expired on [DATE]. The above note was not transferred to the facility's software…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-25 · tag F0761 — failed to label and store drugs safely — 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to ensure syringes filled with normal saline used to flush intravenous (IV) catheters were left unattended in two different resident rooms. The deficient practice had the potential to compromise residents' safety and infection control standards since the unsecured items could have been inadvertently misused or contaminated.Findings included:On 07/22/2025 at 11:08 AM, Resident 11 was observed with a peripheral intravenous (IV) line placed in the left hand and was receiving IV antibiotic therapy. An open 10 milliliter (ml) prefilled syringe labeled Sodium Chloride 0.9% (Normal Saline Solution), containing a clear liquid was attached to the antibiotic bag and left unsecured in the resident's room. A Licensed Practical Nurse (LPN) confirmed the observation and stated the syringe was used to flush the IV line and should have been discarded after being used. The LPN verbalized the presence of the open syringe posed a potential infection control concern.On 07/22/2025 at 11:20 AM, Resident 88 was observed with a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-07-25 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to ensure 1) expired food products were discarded; 2) food was labeled, 3) dented cans were removed from use; and 4) perishable food products were properly stored in the walk-in refrigerator. The deficient practices had the potential to increase the risk of bacterial growth and cross-contamination that could cause foodborne illness and jeopardize the health and safety of the residents.Findings included:On 07/22/2025 at 7:41 AM, an inspection of the kitchen was conducted with a cook and the following deficiencies were observed:Food Preparation Area:- Countertop oven cavity floor tray was visibly soiled with food remains; three baking trays inside were also dirty.- One mobile ingredient bin was empty but unclean.- Another bin containing an unlabeled white powder (identified by the cook as dry milk) was contaminated with black debris and plastic cups. The cook acknowledged the bin should have been labeled with the product name and use-by date.Walk-In Refrigerator: - Two unlabeled 4-quart cheese containers.- One…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-03-26 · tag F0761 — failed to label and store drugs safely — 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, document review and staff interview, the facility failed to secure 2 of 4 medication carts and 1 of 2 treatment carts. This deficient practice had the potential to compromise residents' safety and cause harm from unauthorized access to controlled substances. Findings include: On 03/26/2025 at 8:21 AM, a treatment cart was left outside of the nourishment room across from the clean linen room, unlocked and unattended. The drawers were easily accessible to a resident or visitor walking by the cart. The contents inside the treatment cart were scissors, various ointments, creams and various sized dressings. On 03/26/2025 at 10:33 AM, a medication cart was left unattended and unsecured in front of room [ROOM NUMBER] with a 50 milliliter (ml) intravenous bag of Saline with a 1mg of Meropenem (an antibiotic medication) laying on the counter of the cart. The Registered Nurse (RN) was inside of room [ROOM NUMBER] without view of the medication cart. The RN indicated this is only the employees fourth…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-26 · tag F0624 — isolated
  Prepare residents for a safe transfer or discharge from the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and document review, the facility failed to ensure coordination of care was maintained with the referred home health agency for 1 of 6 sampled residents (Resident 1). The deficient practice had the potential to place the resident at risk for an unsafe discharge. Findings include: Resident 1 (R1) was admitted to the facility on [DATE], with diagnoses including chronic obstructive pulmonary disease, muscle weakness, multiple sclerosis, difficulty walking, chronic pain and scoliosis. On 03/21/2025 at 3:53 PM via telephone, R1 denied being contacted by the home health agency within 24 to 48 hours as indicated by the facility's case manager upon discharge, and did not receive any form of care by the referred home health agency. The Discharge summary dated [DATE], documented the resident was referred to a home health agency for physical therapy, occupational therapy, and nursing services. The agency's name and phone number were recorded in the note. On 03/26/2025 at 12:27 PM, the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-26 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview, the facility failed to protect a residents protected health information. This deficient practice had the potential to cause unauthorized disclosure or misuse of protected health information (PHI). Findings Include: On 03/26/2025 at 10:33 AM, a medication cart was left unattended and unsecured in front of room [ROOM NUMBER] with a 50 milliliter (ml) intravenous bag of Saline with one milligram (mg) of Meropenem (an antibiotic medication) laying on the counter of the cart. The Registered Nurse (RN) responsible for the cart, was in room [ROOM NUMBER] and had left the laptop computer screen on the cart open with the resident name, medication profile and diagnoses of room [ROOM NUMBER]'s resident exposed to the public or other residents walking by. The RN returned to the medication cart from room [ROOM NUMBER], and indicated this is only the employees fourth day and is in training. The RN explained the computer screen should have been locked to protect the residents' medical…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-26 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and document review, the facility failed to maintain proper linen handling procedures. This deficient practice placed patients at risk for exposure to infections. On 3/26/2025 at 8:48 AM, Certified Nursing Assistant (CNA1) was observed walking into room [ROOM NUMBER] with clean linen held beneath the CNA's left arm and up against the staff member's uniform. On 03/26/2025 at 10:40 AM, two CNAs were observed walking out of the linen room while holding clean linen against their chest and uniform. Both CNAs confirmed they were transporting the clean linen to resident rooms. CNA2 acknowledged staff should hold clean linen away from their body or place clean linen in a plastic bag during transport to prevent contamination. The Assistant Director of Nursing (ADON) who had observed the incident from the nurse's station, indicated the CNAs should have transported the clean linen away from their body to prevent infection or contamination from the clean linen being against their uniform,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-20 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, document review, and record review, the facility failed to honor resident rights related to the use of incontinence brief and repositioning for 1 of 26 sampled residents (R252). The deficient practice placed the resident at risk for negative psychosocial outcomes and diminished comfort. Findings include: Resident 252 (R252) Repositioning: R252 was admitted on [DATE] with diagnoses including muscle weakness. Review of R252's care plan revised on 09/09/2024, identified the resident at risk for pain related to a recent back surgery. Care plan Goals included: - The resident will be comfortable using non-pharmaceutical methods to control pain daily. Care Plan interventions: - Reposition as needed for position and comfort. - The care plan indicated R252 had the potential for skin integrity impairment and required the resident to be turned and repositioned every two hours when dependent. On 09/17/24 at 9:06 AM, R252 was observed awake lying on back in bed. R252 stated they did not get…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-20 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview and document review, the facility failed to safeguard the privacy of a resident by posting the body weight on a room's board visible from the hallway for 1 of 26 sampled residents (Resident #203). The deficient practice had the potential to violate the rights of the resident to maintain health information in a private manner. Findings include Resident #203 (R203) R203 was admitted on [DATE], with diagnoses including COPD, acute hypoxic respiratory failure, and prediabetes with steroid induced hyperglycemia, sleep apnea. R203's medical record revealed R203 was alert and oriented and able to make their own decisions. On 09/17/2024 at 9:00 AM, a board in R203's room revealed the following information that was visible from the hallway: 268.4 LB (pound) 9/10/24. When R203 was asked about the weight information posted on the board, R203 conveyed it should not be visible to everyone since it was a privacy issue. On 09/18/2024 in the afternoon, a Registered Nurse confirmed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PACS GROUP — 274 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $809K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NV