Avir at Paris

610 Deshong Dr · Paris, TX · 75460 · 9037846638

98 certified beds For profit - Corporation Chain: Avir Health Group Hospital-based

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

Red flags

7 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

5 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 33
Serious harm & abuse 20% 54
Staffing 20% 69
Federal penalties 15% 38
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.303.48 min · 4.1 strong
RN hours / resident-day0.640.55–0.75
Weekend hours / resident-day3.08≈ weekday level
Nursing turnover / year27%median 45%
Fines (3-yr window)1 · $136,756

Inspection citations (48 in the current record)

  • Potential for harm · D December 4, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 22, 2025 · Resident Rights

  • Potential for harm · D December 4, 2025

    Ensure each resident receives an accurate assessment.

    Corrected December 22, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D October 2, 2024

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

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · D October 2, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected October 25, 2024 · Pharmacy Service

  • Potential for harm · D October 2, 2024

    Ensure that residents are free from significant medication errors.

    Corrected October 25, 2024 · Pharmacy Service

  • Potential for harm · E September 28, 2023 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected October 11, 2023 · Resident Rights

  • Immediate jeopardy · K August 25, 2023

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected August 26, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K August 25, 2023

    Respond appropriately to all alleged violations.

    Corrected August 26, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · L August 25, 2023

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected August 26, 2023 · Administration

  • Immediate jeopardy · K August 25, 2023 · found via complaint

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

    Corrected August 26, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G August 25, 2023

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected October 1, 2023 · Quality of Life and Care

  • Potential for harm · D August 25, 2023

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

    Corrected October 1, 2023 · Resident Rights

  • Potential for harm · E August 25, 2023

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected October 1, 2023 · Resident Rights

  • Potential for harm · D August 25, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected October 1, 2023 · Resident Rights

  • Potential for harm · E August 25, 2023

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected October 1, 2023 · Resident Rights

  • Potential for harm · E August 25, 2023

    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.

    Corrected October 1, 2023 · Resident Rights

  • Potential for harm · D August 25, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 1, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 25, 2023

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected October 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E August 25, 2023

    Ensure each resident receives an accurate assessment.

    Corrected October 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E August 25, 2023

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

    Corrected October 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 25, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected October 1, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E August 25, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 1, 2023 · Quality of Life and Care

  • Potential for harm · D August 25, 2023

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 1, 2023 · Quality of Life and Care

  • Potential for harm · E August 25, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 1, 2023 · Quality of Life and Care

  • Potential for harm · D August 25, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 1, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 6, 2023Fine$136,756
August 6, 2023Payment Denial25 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455831 · certified since July 5, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.