Stillhouse Rehabilitation and Healthcare Center

2900 Stillhouse Road, Paris, TX 75462

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Stillhouse Rehabilitation and Healthcare Center 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

CMS overall star rating2 of 5
Last standard health inspectionJuly 17, 2026 (3 months ago)
Health citations since March 7, 202447 (Texas average 28)
Fines in the past three years1, $8,162 in total
CMS flagsNone listed by CMS

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.

Get an email when CMS publishes something new about this home

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.

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.

CMS update of October 8, 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.
CMS update of July 29, 2026
- Star rating
  The CMS overall star rating changed from 4 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
Health inspection on July 17, 2026
15 citations
CMS lists this as a standard inspection.
Show the 15 citations
- Citation F0553. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  CMS lists it as corrected on August 31, 2026.
- Citation F0761. Severity E: potential for more than minimal harm, pattern.
  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 August 31, 2026.
  CMS has cited this home for F0761 2 times since 2025.
- 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 August 31, 2026.
- 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 August 31, 2026.
- Citation F0812. Severity E: potential for more than minimal harm, pattern.
  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 August 31, 2026.
  CMS has cited this home for F0812 2 times since 2025.
- 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 August 31, 2026.
- 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 August 31, 2026.
  CMS has cited this home for F0552 2 times since 2025.
- Citation F0583. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Keep residents' personal and medical records private and confidential.
  CMS lists it as corrected on August 31, 2026.
  CMS has cited this home for F0583 2 times since 2025.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  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 August 31, 2026.
  CMS has cited this home for F0656 3 times since 2024.
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on August 31, 2026.
  CMS has cited this home for F0689 2 times since 2024.
- Citation F0693. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  CMS lists it as corrected on August 31, 2026.
- Citation F0770. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.
  CMS lists it as corrected on August 31, 2026.
  CMS has cited this home for F0770 2 times since 2025.
- 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 August 31, 2026.
  CMS has cited this home for F0806 2 times since 2025.
- Citation F0842. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on August 31, 2026.
  CMS has cited this home for F0842 2 times since 2025.
- 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 August 31, 2026.
  CMS has cited this home for F0880 3 times since 2025.
See this home on CMS Care Compare
Health inspection on June 7, 2026
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- 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 July 15, 2026.
See this home on CMS Care Compare
CMS update of April 29, 2026
- Star rating
  The CMS overall 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 5 of 5.
CMS update of February 25, 2026
- Star rating
  The CMS overall star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
CMS update of July 30, 2025
- Star rating
  The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS health inspection star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on May 22, 2025
19 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 19 citations
- Citation F0770. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.
  CMS lists it as corrected on June 30, 2025.
- Citation F0812. Severity E: potential for more than minimal harm, pattern.
  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 June 30, 2025.
- Citation F0868. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  CMS lists it as corrected on June 30, 2025.
- 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 June 30, 2025.
- 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 June 30, 2025.
- 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 June 30, 2025.
- Citation F0583. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Keep residents' personal and medical records private and confidential.
  CMS lists it as corrected on June 30, 2025.
- Citation F0584. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  CMS lists it as corrected on June 30, 2025.
- 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 June 30, 2025.
- 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 June 30, 2025.
- 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 June 30, 2025.
- Citation F0656. Severity D: potential for more than minimal harm, isolated.
  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 June 30, 2025.
- 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 June 30, 2025.
  CMS has cited this home for F0677 2 times since 2024.
- Citation F0755. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  CMS lists it as corrected on June 30, 2025.
  CMS has cited this home for F0755 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 June 30, 2025.
- 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 June 30, 2025.
- Citation F0808. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  CMS lists it as corrected on June 30, 2025.
- Citation F0842. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on June 30, 2025.
- Citation F0926. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have policies on smoking.
  CMS lists it as corrected on June 30, 2025.
See this home on CMS Care Compare
CMS update of April 30, 2025
- Star rating
  The CMS overall star rating changed from 1 of 5 to 3 of 5.
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 2 of 5.
- CMS abuse icon
  CMS removed its abuse icon from this home.
CMS update of February 26, 2025
- Star rating
  The CMS quality measures star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of December 20, 2024
- Fine
  CMS changed the fine from March 7, 2024 from $8,021 to $8,162.
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 2 of 5 to 1 of 5.
- Staffing
  Total nurse staffing reported to CMS went from 3.5 to 3.1 hours per resident per day.
CMS update of August 29, 2024
- Fine
  CMS changed the fine from March 7, 2024 from $12,340 to $8,021.
CMS update of May 29, 2024
- 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.
- CMS abuse icon
  CMS added its abuse icon to this home.
Health inspection on March 27, 2024
11 citations
CMS lists this as a standard inspection.
Show the 11 citations
- Citation F0851. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  CMS lists it as corrected on April 20, 2024.
- 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 April 20, 2024.
- Citation F0759. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure medication error rates are not 5 percent or greater.
  CMS lists it as corrected on April 20, 2024.
- Citation F0760. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that residents are free from significant medication errors.
  CMS lists it as corrected on April 20, 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 April 20, 2024.
- Citation F0689. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  CMS lists it as corrected on April 20, 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 April 20, 2024.
- Citation F0700. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  CMS lists it as corrected on April 20, 2024.
- Citation F0755. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  CMS lists it as corrected on April 20, 2024.
- Citation F0757. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.
  CMS lists it as corrected on April 20, 2024.
- 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 April 20, 2024.
See this home on CMS Care Compare
Fire safety inspection on March 27, 2024
1 citation
CMS lists this as a standard inspection.
Show the 1 citation
- Citation K0321. Severity D: potential for more than minimal harm, isolated.
  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 April 17, 2024.
See this home on CMS Care Compare
Health inspection on March 7, 2024
1 citation
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $8,162 on March 7, 2024.
Show the 1 citation
- Citation F0600. Severity J: immediate jeopardy, 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 August 16, 2023.
See this home on CMS Care Compare

CMS star ratings

2 of 5CMS overall star rating
2 of 5CMS health inspection star rating
2 of 5CMS staffing star rating
4 of 5CMS quality measures star rating

Facts from CMS

Phone: (903) 785-1601
Last standard health inspection: July 17, 2026 (3 months ago)
Certified beds: 150
Residents per day, on average: 95.9
Ownership type: Government - Hospital district
Legal business name: Fannin County Hospital Authority
Chain: The Ensign Group
Takes part in: Medicare and Medicaid

More health citations than the Texas average (47 vs 28).

Owners and managers

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

FANNIN COUNTY HOSPITAL AUTHORITY5% or greater direct ownership interest · 100% · since 04/01/2017
GRASSLAND HEALTHCARE AND REHABILITATION INCOperational/managerial control · not applicable · since 04/01/2017
BURNS, STEPHENOperational/managerial control · not applicable · since 08/01/2022
REESE, MICHAELOperational/managerial control · not applicable · since 02/01/2019

Questions

When was Stillhouse Rehabilitation and Healthcare Center last inspected?

CMS lists July 17, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Stillhouse Rehabilitation and Healthcare Center have?

CMS lists 47 health citations since March 7, 2024. CMS also calls these deficiencies.

Has Stillhouse Rehabilitation and Healthcare Center been fined?

CMS lists 1 fine in the past three years, $8,162 in total.

What is the CMS star rating of Stillhouse Rehabilitation and Healthcare Center?

Its CMS overall star rating is 2 of 5.

Is Stillhouse Rehabilitation and Healthcare Center a Special Focus Facility?

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

Stillhouse Rehabilitation and Healthcare Center

At a glance

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CMS flags

Inspections, fines and changes

CMS update of October 8, 2026

CMS update of July 29, 2026

Health inspection on July 17, 2026

Health inspection on June 7, 2026

CMS update of April 29, 2026

CMS update of February 25, 2026

CMS update of July 30, 2025

Health inspection on May 22, 2025

CMS update of April 30, 2025

CMS update of February 26, 2025

CMS update of December 20, 2024

CMS update of October 30, 2024

CMS update of August 29, 2024

CMS update of May 29, 2024

Health inspection on March 27, 2024

Fire safety inspection on March 27, 2024

Health inspection on March 7, 2024

CMS star ratings

Facts from CMS

Owners and managers

Questions

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