Heritage House at Paris Rehab & Nursing
Paris, Texas · CCN 676294
23 surveys since 2012, 6 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 143
- Surveys
- 23
- Harm or worse
- 6
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 90
- Ownership
- For profit - Corporation
- Chain
- ADVANCED HEALTHCARE SOLUTIONS
- County
- Lamar · rural
- Medicare-certified since
- 2011
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 164 for-profit facilities of 66–99 beds in Texas.
Last survey on record
Feb 4, 2026
278 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.40 | 3.22 |
| Registered-nurse hours per resident day | 0.49 | — |
| Annual nurse turnover | 46.3% | 53.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $10,358 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G24.3% | H— | I— |
| No harm, potential for more than minimal | D3065.2% | E1123.9% | F36.5% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6953×
Provide safe and appropriate respiratory care for a resident when needed.
- F7613×
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.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5522×
Ensure that residents are fully informed and understand their health status, care and treatments.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
In the surveyor’s words
From the most serious findings on record at Heritage House at Paris Rehab & Nursing, in the surveyor’s own words.
- Immediate jeopardy, isolatedF684Sep 4, 2022
Based on observation, interview and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the residents' choices for 1 of 3 residents (Resident #32) reviewed for quality of care. Resident #32 was sent to the local hospital on [DATE] for [CONDITION(S)]. Resident #32 was diagnosed with acute kidney failure and septic shock. Resident #32 died on [DATE] from complications related to kidney failure. […]
- Actual harm, isolatedF580Feb 4, 2026
Based on observation, interview, and record review the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 1 of 5 (Resident #3) residents reviewed for quality of care. The facility failed to ensure that the Wound Care Treatment Nurse K notified the physician when Resident #3 was noted to have an open wound to the right side of his scrotum on 02/02/2026. This failure could place residents at risk of complications which include worsening existing wounds, development of new wounds, and infection. […]
- Actual harm, isolatedF684Feb 4, 2026
Based on observation, interview, and record review the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 1 of 5 (Resident #3) residents reviewed for quality of care. The facility failed to ensure that CNA L notified the charge nurse of Resident #3's open wound on the right side of the scrotum on 02/01/2026. This failure could place residents at risk of complications which include worsening of existing wounds, development of new wounds, and infection. […]
- No harm, potential for more than minimal, widespreadF552Feb 4, 2026
Based on observation, interview, and record review the facility failed to keep residents informed, in advance, of the care to be furnished and the type of care giver or professional that would furnish the care for 14 of 18 residents reviewed for laboratory services. (Anonymous Residents #1, AR#2, AR #4, AR#5, AR#7, AR#8, AR#9, AR#10, AR#11, AR#12, AR#14, AR#15, AR#16, and AR#17) 1.The facility failed to protect and promote the rights of Anonymous Residents #1, AR#2, AR #4, AR#5, AR#7, AR#8, AR#9, AR#10, AR#11, AR#12, AR#14, AR#15, AR#16, and AR#17 by failing to keep them informed of medical procedures and results. […]
- No harm, potential for more than minimal, widespreadF803Feb 4, 2026
Based on observation, interviews, and record review, the facility failed to follow the menu to ensure the meals served met the nutritional needs of residents for 1 of 1 meal (the lunch meal), as evidenced by: The facility failed to ensure the Dietary Manager followed the menu for the lunch meal on 02/02/2026. This failure could place residents at risk of weight loss, not having their nutritional needs met, and a decreased quality of life.Findings included: During record review of a facility menu dated 02/02/2026 indicated the meal menu for the day was roast breast of turkey and gravy, savory bread stuffing, green bean casserole, and buttered dinner roll served with margarine, chocolate pudding cake. […]
Read 24 findings in full →The most serious and the most recent: 24 of 143 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 4, 2026Standard12 findings · 2 harm
- Nov 6, 2024Standard13 findings
- Oct 16, 2024Complaint3 findings
- Sep 27, 2023Standard and complaint18 findings
- May 24, 2023Complaint3 findings
- Sep 4, 2022Complaint1 finding · 1 harm
- Jul 20, 2022Standard10 findings
- Apr 28, 2021Standard6 findings
Show the 15 earlier surveys
- Jan 18, 2020Complaint1 finding
- Nov 5, 2019Complaint2 findings · 2 harm
- Jun 19, 2019Standard10 findings
- Nov 8, 2018Complaint2 findings
- Jun 27, 2018Standard7 findings
- Oct 17, 2017Complaint1 finding
- Jul 19, 2017Standard and complaint7 findings
- Mar 23, 2016Complaint2 findings
- Aug 26, 2015Standard3 findings
- Oct 22, 2014Standard5 findings
- Oct 6, 2014Complaint1 finding
- Sep 18, 2013—11 findings
- Feb 21, 2013—4 findings
- Nov 29, 2012—1 finding · 1 harm
- Sep 27, 2012—20 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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