Stillhouse Rehabilitation and Healthcare CenterCMS ratings, inspections and fines
- Address
- 2900 Stillhouse Road, Paris, TX 75462
- CCN
- 676190
- Ownership type
- Government, hospital district
- Certified beds
- 150
- Chain
- The Ensign Group
- Residents per day
- 100
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Stillhouse Rehabilitation and Healthcare Center an overall rating of 2 of 5 stars. The last standard survey was on 22 May 2025. The latest survey cycle has 20 health citations. The median for nursing homes in Texas is 8. CMS lists 1 fine of $8,162 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Lamar County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 22 May 2025 | 20 | 8 |
| Cycle 2 | 27 Mar 2024 | 11 | 8 |
| Cycle 3 | No date | 15 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 15 Jul 2026 |
| 22 May 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | 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 | 30 Jun 2025 |
| 22 May 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0584 | 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. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | 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 | 30 Jun 2025 |
| 22 May 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0808 | 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. | D | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 30 Jun 2025 |
| 22 May 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jun 2025 |
| 22 May 2025 | F0926 | Have policies on smoking. | D | Standard survey | 30 Jun 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2024 | 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 | 20 Apr 2024 |
| 27 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Apr 2024 |
| 27 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Apr 2024 |
| 27 Mar 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 | 20 Apr 2024 |
| 27 Mar 2024 | F0700 | 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. | D | Standard survey | 20 Apr 2024 |
| 27 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 20 Apr 2024 |
| 27 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 20 Apr 2024 |
| 27 Mar 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 20 Apr 2024 |
| 27 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 20 Apr 2024 |
| 27 Mar 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 20 Apr 2024 |
| 27 Mar 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 20 Apr 2024 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 16 Aug 2023 |
| 25 Jan 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Feb 2023 |
| 25 Jan 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 | 16 Feb 2023 |
| 25 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 16 Feb 2023 |
| 25 Jan 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 | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Feb 2023 |
| 25 Jan 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 16 Feb 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 7 Mar 2024 | Fine | $8,162 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.24 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.29 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.89 | 0.95 | |
| Nurse aides | 2.06 | 2.00 | |
| All nurse staff, weekends | 2.71 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 32.8%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 16.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.5% | 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 | 0.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.4% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, hospital district
- Legal business name
- Fannin County Hospital Authority
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 1 Apr 2017 |
| Grassland Healthcare and Rehabilitation Inc | Operational/managerial control | 1 Apr 2017 | |
| Caretrust GP LLC | Adp of the snf | 1 Apr 2017 | |
| Caretrust REIT Inc | Adp of the snf | 1 Apr 2017 | |
| Ctr Partnership LP | Adp of the snf | 1 Apr 2017 | |
| Ensign Services Inc | Adp of the snf | 2 Jun 2012 | |
| Grassland Healthcare and Rehabilitation Inc | Adp of the snf | 24 Sep 2025 | |
| Stillhouse Health Holdings LLC | Adp of the snf | 1 Apr 2017 |
The site shows organisations only. It does not show the names of persons.
Other homes in Lamar County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avir at Paris | Paris | 5 of 5 | 2 | $0 | 4 Dec 2025 | |
| Brentwood Terrace Healthcare and Rehabilitation | Paris | 1 of 5 | 11 | $234,447 | 4 Jun 2025 | |
| Legend Healthcare and Rehabilitation - Paris | Paris | 3 of 5 | 14 | $16,149 | 5 Feb 2026 | |
| Heritage House at Paris Rehab & Nursing | Paris | 2 of 5 | 12 | $10,358 | 4 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Stillhouse Rehabilitation and Healthcare Center (CCN 676190). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/stillhouse-rehabilitation-and-healthcare-center-paris-tx-676190/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Stillhouse Rehabilitation and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 7 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 27 Mar 2024.
- Who operates Stillhouse Rehabilitation and Healthcare Center?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain The Ensign Group. The CMS ownership file names Grassland Healthcare and Rehabilitation Inc for operational or managerial control. This site does not show the names of persons.
- Is Stillhouse Rehabilitation and Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.