All citations for Trellis Paradise

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Trellis Paradise

Last standard health inspection on record

July 25, 2025

Showing 1 to 19 of 19 citations

  1. No harm, with potential for more than minimal harm

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

  2. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

  3. No harm, with potential for more than minimal harm

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

  4. No harm, with potential for more than minimal harm

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  5. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  6. No harm, with potential for more than minimal harm

    Address subsistence needs for staff and patients.

    Pattern (more than a few residents). CMS level E.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  7. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  8. No harm, with potential for more than minimal harm

    Prepare residents for a safe transfer or discharge from the nursing home.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0624, Resident Rights Deficiencies. Inspection of March 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  9. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 11, 2025).

  11. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

  12. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

  13. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

  14. No harm, with potential for more than minimal harm

    Plan the resident's discharge to meet the resident's goals and needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0660, Resident Assessment and Care Planning Deficiencies. Inspection of September 20, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

  15. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

  16. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

  17. No harm, with potential for more than minimal harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0232, Egress Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

  18. No harm, with potential for more than minimal harm

    Construct fire resistant interior walls.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

  19. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 17, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.