Velarion Records

Skilled nursing facility · CMS certification number 295109

TRELLIS PARADISE

LAS VEGAS, Nevada · Medicare

Certified beds, as filed in Care Compare: 83

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on June 12, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$40,711,722CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$19,452,865CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,258,857CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,254,608CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$4,004,249CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$29,925CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$4,034,174CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $4,034,174 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components83CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components30,378CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days13,280CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days753CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days12,618CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components26,651CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges404CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges23CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges604CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components1,031CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.87CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days32.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days25.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1428127, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 15, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$20,745,017CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,332,321CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$15,412,696CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,789,031CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,623,665CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$802CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,624,467CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,624,467 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components83CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,221CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components640CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days49.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days31.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440935, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for September 21, 2022 to December 31, 2022 — a reporting period of 101 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 11, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$2,296,951CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$1,071,928CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,368,879CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,647,807CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,278,928CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,353CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,277,575CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,277,575 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components83CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components3,940CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components137CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days28.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1366120, read from the public cost report file SNF10FY2022.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
NEVADA OPCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 11/05/2021
PROVIDENCE GROUP NH, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization100%since 06/30/2023
GARRISON, JOHNCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 04/01/2024
APT, FREDERICKCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
HANCOCK, MARKCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
JERGENSEN, JOSHUACORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
MITCHELL, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2024
COONS, ANDREWW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 11/05/2021

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of STARFRUIT HOLDINGS LLC (enrollment ID O20220927001623).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
NEVADA OPCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10011/5/2021
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JASON H MURRAYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST41.84/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK D HANCOCKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST41.84/15/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/30/2023
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JOHN A GARRISONIndividualCONTRACTED MANAGING EMPLOYEENot stated in the filing4/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FREDERICK G APTIndividualCORPORATE OFFICERNot stated in the filing1/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN T MITCHELLIndividualCORPORATE OFFICERNot stated in the filing1/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOSHUA O JERGENSENIndividualCORPORATE OFFICERNot stated in the filing1/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARK D HANCOCKIndividualCORPORATE OFFICERNot stated in the filing1/1/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANDREW COONSIndividualW-2 MANAGING EMPLOYEENot stated in the filing11/5/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1July 25, 2025July 25, 202554
2September 20, 2024September 20, 2024109
3September 29, 2023September 29, 20231411

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

29 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
July 9, 2026HealthF 0627Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DYesDeficient, Provider has no plan of correction
November 18, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionDecember 30, 2025
November 18, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionDecember 30, 2025
July 25, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionSeptember 12, 2025
July 25, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionSeptember 12, 2025
March 26, 2025HealthF 0624Resident Rights DeficienciesPrepare residents for a safe transfer or discharge from the nursing home.DYesDeficient, Provider has date of correctionApril 11, 2025
March 26, 2025HealthF 0761Pharmacy Service DeficienciesEnsure 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.EYesDeficient, Provider has date of correctionApril 11, 2025
March 26, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionApril 11, 2025
March 26, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionApril 11, 2025
September 20, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DNoDeficient, Provider has date of correctionNovember 4, 2024
September 20, 2024HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DNoDeficient, Provider has date of correctionNovember 4, 2024
September 20, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DNoDeficient, Provider has date of correctionNovember 4, 2024
September 20, 2024HealthF 0660Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.DYesDeficient, Provider has date of correctionNovember 4, 2024
September 20, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionNovember 4, 2024
September 20, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionNovember 4, 2024
September 29, 2023HealthF 0551Resident Rights DeficienciesGive the resident's representative the ability to exercise the resident's rights.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.ENoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionNovember 1, 2023
September 29, 2023HealthF 0847Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DNoDeficient, Provider has date of correctionNovember 1, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare
Ownership TypeFor profit - Limited Liability company
Legal Business NameSTARFRUIT HOLDINGS LLC
Date First Approved to Provide Medicare and Medicaid Services2022-09-21
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishClark
Telephone Number7024133930
Chain NamePACS GROUP
Chain ID690
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilNone
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds83
Average Number of Residents per Day77.4
Overall Rating5
Health Inspection Rating4
QM Rating5
Short-Stay QM Rating5
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.

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On July 9, 2026: A deficiency was cited under tag F 0627, scope and severity D. That is one line of the alert.

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The citable document for TRELLIS PARADISE

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Nevada at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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