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 24 of 24 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

    Provide a written emergency evacuation plan.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  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 July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  9. 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).

  10. 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).

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

  12. 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 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

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

    Establish policies and procedures including evacuation.

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

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

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

    Create arrangements with other facilities to receive patients.

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

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

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

    Establish staff and initial training requirements.

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

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 12, 2025).

  21. 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).

  22. 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).

  23. 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).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 28, 2023).

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.