Heritage House at Paris Rehab & Nursing
150 S.E. 47th Street · Paris, TX · 75462 · 9037843100
90 certified beds For profit - Corporation Chain: Advanced Healthcare Solutions
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $15,935 |
Inspection citations (46 in the current record)
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Actual harm · G February 4, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 4, 2026 · Resident Rights
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Actual harm · G February 4, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · E February 4, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 4, 2026 · Resident Rights
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Potential for harm · F February 4, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 4, 2026 · Resident Rights
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Potential for harm · D February 4, 2026
Ensure each resident receives an accurate assessment.
Corrected March 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 4, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 4, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 4, 2026 · Quality of Life and Care
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Potential for harm · D February 4, 2026
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.
Corrected March 4, 2026 · Pharmacy Service
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Potential for harm · F February 4, 2026
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected March 4, 2026 · Nutrition and Dietary
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Potential for harm · D November 6, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D November 6, 2024
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected December 6, 2024 · Resident Rights
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Potential for harm · D November 6, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · E November 6, 2024
Provide activities to meet all resident's needs.
Corrected December 12, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2024
Ensure that residents are free from significant medication errors.
Corrected December 6, 2024 · Pharmacy Service
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Potential for harm · D November 6, 2024
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.
Corrected December 6, 2024 · Pharmacy Service
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Potential for harm · E November 6, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 6, 2024 · Nutrition and Dietary
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Potential for harm · D November 6, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 6, 2024 · Nutrition and Dietary
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Potential for harm · E November 6, 2024
Provide and implement an infection prevention and control program.
Corrected December 6, 2024 · Infection Control
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Potential for harm · D November 6, 2024
Implement a program that monitors antibiotic use.
Corrected December 6, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 4, 2026 | Fine | $15,935 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676294 · certified since October 28, 2011. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.