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Nursing HomeMedicaid Investigative

Heritage House at Paris Rehab & Nursing

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

150 47th St. Se, Paris, TX 7546290 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 63 Google reviews

5
4
3
2
1
Heritage House at Paris Rehab & Nursing Nursing Home in Paris, TX — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (13 vs median 8.0)
  • High RN turnover (60%)

Above average in Texas · Below recommended RN staffing · Above average staffing · No penalties on record

Source: Medicare data

What this means for your family

The facility shows a strong track record for physical therapy and nursing care, which is excellent for recovery. However, you must verify the current state of housekeeping and room cleanliness, as there were significant reports of neglect and hygiene issues in recent years.

Google Reviews

Google Reviews

63 reviews analyzed
Families seeking rehabilitation services may find the physical therapy and nursing staff highly effective for post-surgery recovery. However, there are serious, documented allegations regarding cleanliness, pest issues, and neglectful housekeeping that should be investigated personally.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean2.0Activities5.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Effective rehabilitation and physical therapy
  • Attentive and caring nursing staff
  • High-quality food and dining
  • Engaging resident activities

Concerns

  • Poor cleanliness and housekeeping neglect (mentioned by 2 reviewers)
  • Presence of pests (cockroaches/bedbugs)

Rating Trends

Tap a year to see what changed

234'14(1)'17(3)'19(11)'22(1)'25(3)'26(35)

Distribution

5
24
4
0
3
1
2
2
1
3
29 reviews posted between Apr 22, 2026Apr 25, 2026 · 29 were 5-star

How They Respond to Reviews

30%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the physical therapy and rehab programs here; could you tell us more about how you tailor those sessions to a resident's specific needs?
  • 2The dining experience seems to be a highlight for many residents; could you describe what a typical daily menu looks like and how much variety there is?
  • 3What kind of daily activities or social events do you have planned to keep residents engaged and connected with one another?
  • 4How does the nursing team ensure that residents' medical needs are met during the night or in the event of an unexpected medical emergency?
  • 5Maintaining a pristine environment is very important to us; what are your current protocols for housekeeping and regular deep cleaning of the resident rooms?
  • 6How does the facility manage communication between the nursing staff and family members to ensure we are always kept in the loop regarding health updates?

Personalized based on this facility's data


Key Review Excerpts

From the first day to the second there was a huge improvement! It was AMAZING to see!! The nurses were ALL so sweet and attentive. The food was really good. The Rehab department was AWESOME!!

Rehab patient's family · 2019★★★★★

The home is dirty, she would would sit in bed sheets not changed for days on end and when she would inquire about getting them changed the staff was would get nasty with her

Long-term resident's family · 2023★★★★★

Everyone—from the Administration Department to the nurses and the Physical Therapy Department—is amazing!

Rehab patient · 2026★★★★★
Source: 63 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
54%
Registered nurses for medical care
Total Nursing
3.47hrs
85%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

1

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
15.4%
TX
9.4%
Lamar
14.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
19.4%
TX
14.2%
Lamar
15.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Lamar
89.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.5%
Mixed vs Avgs
Here
2.5%
US
12.1%
TX
2.5%
Lamar
1.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
15.3%
TX
14.9%
Lamar
15.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.6%
Mixed vs Avgs
Here
18.6%
US
19.5%
TX
18.4%
Lamar
26.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Lamar
89.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.6%
Better than Avg
Here
94.6%
US
79.7%
TX
88.0%
Lamar
84.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Lamar
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
1penalties
Above state avg (9.1)
14 complaint-triggered

Heritage House has significant compliance concerns with families repeatedly filing complaints leading to 14 violations across surveys. The facility struggles most with infection control, nutrition and food safety, and abuse prevention policies, with these issues persisting across multiple years. While all deficiencies show correction dates, the pattern of recurring problems in critical care areas and ongoing family complaints suggests systemic challenges that warrant careful consideration before placement.

Feb 4, 2026Routine
13
0580ModerateCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684ModerateCorrected

Quality of Life and Care Deficiencies

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

0552ModerateCorrected

Resident Rights Deficiencies

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

0803ModerateCorrected

Nutrition and Dietary Deficiencies

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.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0550ModerateCorrected

Resident Rights Deficiencies

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

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

0688MinorCorrected

Quality of Life and Care Deficiencies

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.

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0699MinorCorrected

Quality of Life and Care Deficiencies

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

0761MinorCorrected

Pharmacy Service Deficiencies

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.

Nov 6, 2024Routine
14
0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0585MinorCorrected

Resident Rights Deficiencies

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.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

0690MinorCorrected

Quality of Life and Care Deficiencies

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

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0699MinorCorrected

Quality of Life and Care Deficiencies

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

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0881MinorCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Oct 16, 2024Complaint
3
0600MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 27, 2023Complaint
8
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0881ModerateCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0803ModerateCorrected

Nutrition and Dietary Deficiencies

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.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0580MinorCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0805MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Sep 27, 2023Routine
11
0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0849ModerateCorrected

Administration Deficiencies

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.

0940ModerateCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0550MinorCorrected

Resident Rights Deficiencies

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

0552MinorCorrected

Resident Rights Deficiencies

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

0578MinorCorrected

Resident Rights Deficiencies

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.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0791MinorCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0222MinorCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

May 24, 2023Complaint
3
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Federal Penalties

Fine

Feb 4, 2026

$15,935

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

PARIS HC, LLC

Administrator

KYLE M BENNETT

Chain Affiliation

Chain Name

Advanced Healthcare Solutions

Chain Size

30 facilities nationwide

Chain avg rating: 3.2/5 · Rank 20 of 30

Ownership & Management

Key personnel

Hooper, GradyOfficer / DirectorParis Hc LLCManagerScheiner, EliezerManagerSilberstein, AriManagerEllenbogen, MossTrustee of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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