For profit - Corporation · 90 certified beds · CMS number 676294
Heritage House at Paris Rehab & Nursing, Paris, TX
CMS records 46 health deficiencies at Heritage House at Paris Rehab & Nursing in Paris, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 4, 2026. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $10,358 in the last three years.
- 46deficiencies, 3 cycles (TX median 25)
- 12in the latest cycle (TX median 8)
- Ghighest severity · Actual harm
- $10,358fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Heritage House at Paris Rehab & Nursing as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Heritage House at Paris Rehab & Nursing may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (12 deficiencies)
Standard inspection Feb 4, 2026. CMS counts 12 health deficiencies and 1 fire safety deficiency in this cycle.
Feb 4, 2026 · Standard inspection
12 deficiencies, highest G
F803 · Menus that meet nutritional needs
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 4, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2026
F699 · Trauma-informed, culturally competent care
Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2026
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2026
F688 · Range of motion and mobility
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2026
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Mar 4, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 4, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2026
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Mar 4, 2026
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 4, 2026
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 4, 2026
Previous cycle: 16 deficiencies (standard inspection Nov 6, 2024)
Standard inspection Nov 6, 2024. CMS counts 16 health deficiencies and 1 fire safety deficiency in this cycle.
Nov 6, 2024 · Standard inspection
13 deficiencies, highest E
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 6, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 6, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
F699 · Trauma-informed, culturally competent care
Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 12, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
F585 · Grievances and how they are handled
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 6, 2024
Oct 16, 2024 · Complaint inspection
3 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 15, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 15, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 15, 2024
Earlier cycle: 18 deficiencies (standard inspection Sep 27, 2023)
Standard inspection Sep 27, 2023. CMS counts 18 health deficiencies and 1 fire safety deficiency in this cycle.
Sep 27, 2023 · Standard + complaint inspection
18 deficiencies, highest F
F940 · Staff training program
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F849 · Hospice services
Requirement cited (CMS): Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Oct 27, 2023
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F803 · Menus that meet nutritional needs
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F791 · Dental services in Medicaid nursing facilities
Requirement cited (CMS): Provide or obtain dental services for each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
Tags cited in more than one inspection
14 tags cited on more than one inspection date at Heritage House at Paris Rehab & Nursing; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F695 Respiratory and oxygen care | 3 | Feb 4, 2026; Nov 6, 2024; Sep 27, 2023 |
| F761 Drug labeling and secure storage | 3 | Feb 4, 2026; Nov 6, 2024; Sep 27, 2023 |
| F550 Dignity and the right to exercise rights | 2 | Feb 4, 2026; Sep 27, 2023 |
| F552 Being informed about health and treatment | 2 | Feb 4, 2026; Sep 27, 2023 |
| F580 Telling residents and families about changes | 2 | Feb 4, 2026; Sep 27, 2023 |
| F641 Accurate resident assessments | 2 | Feb 4, 2026; Sep 27, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Feb 4, 2026; Sep 27, 2023 |
| F677 Help with daily care | 2 | Feb 4, 2026; Nov 6, 2024 |
| F699 Trauma-informed, culturally competent care | 2 | Feb 4, 2026; Nov 6, 2024 |
| F803 Menus that meet nutritional needs | 2 | Feb 4, 2026; Sep 27, 2023 |
| F804 Palatable, attractive food at safe temperatures | 2 | Nov 6, 2024; Sep 27, 2023 |
| F812 Food safety and sanitation | 2 | Nov 6, 2024; Sep 27, 2023 |
| F880 Infection prevention and control program | 2 | Nov 6, 2024; Oct 16, 2024 |
| F881 Antibiotic stewardship | 2 | Nov 6, 2024; Sep 27, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 4, 2026 | Fine | $10,358 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.40 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.49 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.82 h
- Nursing staff turnover
- 46.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
CMS figures for Heritage House at Paris Rehab & Nursing, copied as published; Texas medians are ours.
Facility details
- Address
- 150 S.E. 47Th Street, Paris, TX 75462
- Phone
- (903) 784-3100
- County
- Lamar
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Advanced Healthcare Solutions
- Certified beds
- 90
- Average residents per day
- 80.4
- In Medicare/Medicaid since
- Oct 28, 2011
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are oxygen equipment and breathing treatments managed and checked? (F695, cited 3 times)
- How are medications stored and secured on each unit? (F761, cited 3 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
- How do doctors and nurses explain changes in treatment to residents and their families? (F552, cited 2 times)
Other nursing homes in Paris and the same chain
- Stillhouse Rehabilitation and Healthcare Center
Paris · 46 deficiencies - Legend Healthcare and Rehabilitation - Paris
Paris · 43 deficiencies - Brentwood Terrace Healthcare and Rehabilitation
Paris · 39 deficiencies - Avir at Paris
Paris · 37 deficiencies - Greenville Health & Rehabilitation Center
Greenville · 90 deficiencies - El Paso Health & Rehabilitation Center
El Paso · 55 deficiencies - Sulphur Springs Health and Rehabilitation
Sulphur Springs · 52 deficiencies - Winfield Rehab & Nursing
Crockett · 48 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.