Almost every hotel in the US has rooms adapted for physical disabilities. The room at the Four Seasons is lovely, but you can find similar accommodations at hotels that are less expensive.

I would check the TA list of hotel in Las Vegas. Select a few that seem to meet your needs in terms of location and amenities and budget. Write to the hotel and explain what your specific needs are, and they will tell you what they can do to help you.

thanks all - have traveled with "chaired" companion for decades - now we are looking for luxury ada accomodations in a resort casino -- good suggestions and will follow up

The last time we were in Las Vegas we stayed at the Rio, and had no problems with accommodations. The rooms are gigantic and lovely. Good Luck!

Most of the hotels in Las Vegas were built in last 10-20 years, so the rooms with the facilities for disabled are present in majority of them as a prerequisite to the four/five star hotels. The choice is too wide, like more than 120 hotels promise handicapped rooms (citing orangesmile.com/booking/en/usa/las-vegas-hot… here), so just narrow down your search to 4-5 stars to be sure on the quality and double check after booking by calling the hotel and asking to prepare a room with a roll-in shower.

We were told that all USA hotels have to by law have at least 5 disabled rooms in these large hotels, though I've found that they have more than that. Just request one at any hotel and stipulate that it has to have a wetroom/roll-in shower. Those that don't have any left, will often offer you another disabled room at a lower rate.

Not to hijack this discussing with ADA talk - and this may have been updated, but the ADA only requires (ed?) roll in showers in hotels with more than 51 rooms. They are required to have accessible rooms in general if the place has less than 51 rooms - but not the specific roll-in shower.

The exact number of room needing to be accessible is, more or less, by percentage - as is parking.

This list of frequent hotel ADA violations is provided by the US Department of Justice. http://www.ada.gov/comhotel.htm It has a chart on how many roll in showers they have to have, etc.

Speaking of Las Vegas (I realized the OP's trip may have already come and gone by now) The Excalibur had huge showers when I was last there, I can't imagine them having a roll in.

Good luck!