The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
Nursing home report
Heritage House at Paris Rehab & Nursing
Paris, TX · Medicare-certified · 90 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Heritage House at Paris Rehab & Nursing has a 2 out of 5 star overall rating, with 2 stars for health inspections, 3 for staffing, and 4 for quality measures. It reports 3.40 nurse hours per resident per day, below the 4.1 federal benchmark, and had $15,935 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.396 hrs/resident/day
Quality measures
Last inspection: February 4, 2026Penalties, last 24 months: $15,935recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.396.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.90
- Nurse aides
- 2.00
- Weekend nursing
- 2.82
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2%5.9%Worsening
Residents with a fall causing major injury
0%5.6%Worsening
Residents with pressure ulcers (bedsores)
7.5%4.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.3%5.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.3%8.8%No change
Residents whose ability to walk got worse
8.3%2.2%Improving
Long-stay residents on antianxiety or sleep medication
18.8%8.6%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.8%4.1%Improving
Residents with depressive symptoms
2.7%3%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—94.6%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to make sure residents fully understood their health status, care, and treatments. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $15,935 was recorded.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,935 in total fines.
- $15,935
Federal fine
Feb 4, 2026
Operator & ownership
Recent ownership change · Mar 1, 2024
Now operated by Hamilton County Hospital District, previously Paris Snf LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of ADVANCED HEALTHCARE SOLUTIONS · 29 homes · 2.9 stars avg
- Occupancy
- 80.4 residents on an average day (89% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 14 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.