Texas › Lamar County › Paris
Heritage House At Paris Rehab & Nursing
150 S.E. 47th Street, Paris, TX 75462
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 90 beds, Heritage House At Paris Rehab & Nursing serves Paris in Lamar County, Texas and has taken Medicare and Medicaid residents since 2011.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 46 health deficiencies across the three most recent survey cycles (12, 16, 18 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 51.1 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $10K.
Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 46.3%.
Compared with county, state and nation
| Measure | This facility | Lamar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 46 | 46 | 25 | 28.7 |
| Citations per 100 beds | 51.1 | 40.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 46.3% | 46.3% | 52.1% | 45.8% |
| Fines listed | $10,358 | $10,358 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Feb 2026, 6 Nov 2024.
Severity mix: G ×2 D ×30 E ×11 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Feb 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | F | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0803 | 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. | F | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0688 | 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. | D | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 4 Mar 2026 |
| 4 Feb 2026 | F0761 | 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. | D | Standard survey | 4 Mar 2026 |
| 6 Nov 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 12 Dec 2024 |
| 6 Nov 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0585 | 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. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0761 | 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. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 6 Dec 2024 |
| 6 Nov 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 6 Dec 2024 |
| 16 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 15 Nov 2024 |
| 16 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Nov 2024 |
| 16 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 Nov 2024 |
| 27 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 27 Oct 2023 |
| 27 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0803 | 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. | E | Complaint investigation | 27 Oct 2023 |
| 27 Sep 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 27 Oct 2023 |
| 27 Sep 2023 | F0849 | 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. | E | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Complaint investigation | 27 Oct 2023 |
| 27 Sep 2023 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0578 | 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. | D | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 27 Oct 2023 |
| 27 Sep 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 27 Oct 2023 |
| 27 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0761 | 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. | D | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 27 Oct 2023 |
| 27 Sep 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 27 Oct 2023 |
| 27 Sep 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 27 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Feb 2026 | Fine | $10,358 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 46.3%, RNs 40.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Hamilton County Hospital District. Chain: Advanced Healthcare Solutions (28 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Paris Hc LLC | Operational/managerial control | NOT APPLICABLE | 02/29/2024 |
| 150 47th Street LLC | Adp of the snf | NOT APPLICABLE | 02/18/2025 |
| Paris Hc LLC | Adp of the snf | NOT APPLICABLE | 01/08/2025 |
| Red Brass Holdco LLC | Adp of the snf | NOT APPLICABLE | 01/08/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lamar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Paris | Paris | 98 | 5 | 4 | 4 | 40 | 40.8 | — | 4 Dec 2025 |
| Legend Healthcare and Rehabilitation - Paris | Paris | 120 | 3 | 3 | 2 | 43 | 35.8 | $16K | 5 Feb 2026 |
| Stillhouse Rehabilitation and Healthcare Center | Paris | 150 | 2 | 2 | 2 | 46 | 30.7 | $8K | 7 Jun 2026 |
| Brentwood Terrace Healthcare and Rehabilitation | Paris | 119 | 1 | 1 | 2 | 51 | 42.9 | $234K | 4 Mar 2026 |
All 5 facilities in Lamar County
Questions and answers
How many deficiencies has Heritage House At Paris Rehab & Nursing been cited for?
46 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Heritage House At Paris Rehab & Nursing been fined?
Yes. CMS lists fines totalling $10K in the period covered.
How does staffing at Heritage House At Paris Rehab & Nursing compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Heritage House At Paris Rehab & Nursing?
It is part of the Advanced Healthcare Solutions chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Paris Hc LLC. Individual owners and managers are not listed on this site.
When was Heritage House At Paris Rehab & Nursing last inspected?
The most recent survey or investigation in the CMS record is dated 4 Feb 2026; the most recent standard health survey was 4 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.