Nursing Home Alerts

Heritage House at Paris Rehab & Nursing

150 47th St. SE, Paris, TX 75462

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Heritage House at Paris Rehab & Nursing is a nursing home in Paris, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  2. CMS update of October 8, 2026

    • Fine

      CMS changed the fine from February 4, 2026 from $15,935 to $10,358.

  3. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  4. Health inspection on February 4, 2026

    12 citations

    CMS lists this as a standard inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    95 of 1,177 Texas homes (8%) got a citation at the actual harm level in 2026.

    CMS fine of $10,358 on February 4, 2026.

    Show the 12 citations
    • Citation F0580. Severity G: actual harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0580 2 times since 2023.

    • Citation F0684. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 4, 2026.

    • Citation F0552. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0552 2 times since 2023.

    • Citation F0803. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0803 2 times since 2023.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0550 2 times since 2023.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0656 2 times since 2023.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0641 2 times since 2023.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0677 2 times since 2024.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 4, 2026.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0695 3 times since 2023.

    • Citation F0699. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0699 2 times since 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 4, 2026.

      CMS has cited this home for F0761 3 times since 2023.

    See this home on CMS Care Compare

  5. Fire safety inspection on February 4, 2026

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0321. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on March 6, 2026.

    See this home on CMS Care Compare

  6. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  7. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  8. CMS update of April 30, 2025

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

    • Name

      CMS lists a new legal business name for this home.

  9. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  10. Health inspection on November 6, 2024

    13 citations

    CMS lists this as a standard inspection.

    Show the 13 citations
    • Citation F0679. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on December 12, 2024.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on December 6, 2024.

      CMS has cited this home for F0804 2 times since 2023.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 6, 2024.

      CMS has cited this home for F0880 2 times since 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on December 6, 2024.

    • Citation F0585. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 6, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on December 6, 2024.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on December 6, 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on December 6, 2024.

    • Citation F0699. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.

      CMS lists it as corrected on December 6, 2024.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on December 6, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 6, 2024.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on December 6, 2024.

      CMS has cited this home for F0812 2 times since 2023.

    • Citation F0881. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on December 6, 2024.

      CMS has cited this home for F0881 2 times since 2023.

    See this home on CMS Care Compare

  11. Fire safety inspection on November 6, 2024

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on January 3, 2025.

    See this home on CMS Care Compare

  12. CMS update of October 30, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

    • Changed ownership in the last 12 months

      CMS records show a change of ownership in the past 12 months.

  13. Health inspection on October 16, 2024

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on November 15, 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on November 15, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on November 15, 2024.

    See this home on CMS Care Compare

  14. CMS update of September 26, 2024

    • Name

      CMS lists a new legal business name for this home.

  15. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  16. CMS update of June 26, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  17. CMS update of May 29, 2024

    • Fine

      CMS changed the fine from September 4, 2022 from $96,655 to $77,324.

  18. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  19. Health inspection on September 27, 2023

    18 citations

    CMS lists this as a standard inspection.

    Show the 18 citations
    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0803. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0849. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0881. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0940. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop, implement, and/or maintain an effective training program for all new and existing staff members.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0607. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0791. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide or obtain dental services for each resident.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on October 27, 2023.

    • Citation F0806. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      CMS lists it as corrected on October 27, 2023.

    See this home on CMS Care Compare

  20. Fire safety inspection on September 27, 2023

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0222. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on October 17, 2023.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(903) 784-3100
Last standard health inspection
February 4, 2026 (9 months ago)
Certified beds
90
Residents per day, on average
77.9
Ownership type
For profit - Corporation
Legal business name
Hamilton County Hospital District
Chain
Advanced Healthcare Solutions
Takes part in
Medicare and Medicaid

More health citations than the Texas average (46 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Heritage House at Paris Rehab & Nursing last inspected?

CMS lists February 4, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Heritage House at Paris Rehab & Nursing have?

CMS lists 46 health citations since September 27, 2023. CMS also calls these deficiencies.

Has Heritage House at Paris Rehab & Nursing been fined?

CMS lists 1 fine in the past three years, $10,358 in total.

What is the CMS star rating of Heritage House at Paris Rehab & Nursing?

Its CMS overall star rating is 2 of 5.

Is Heritage House at Paris Rehab & Nursing a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

Other nursing homes in Paris