Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Paris Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with depression, insomnia, and non-Alzheimer’s dementia experienced a documented decline from moderate to severe cognitive impairment on successive MDS assessments, but the care plan was not revised and continued to include an active "Sexual Expression" problem allowing engagement in sexual behavior with other consenting residents. This care plan had been initiated after an incident where two residents were found in bed together partially undressed and engaging in intimate behavior. The resident’s responsible party stated the resident was not capable of consenting to sexual activity, an LPN reported the resident could not express needs or make decisions about sexual relationships, and another LPN stated the care plan no longer reflected the resident’s needs due to steady decline. The Social Services Director had previously completed sexual consent questionnaires only at the time of the incident, and the Medical Director indicated that a sexual activity care plan was not appropriate for a resident with a very low BIMS score, while the Administrator acknowledged care plans were expected to be updated when MDS changes occurred.
A resident with severe cognitive impairment and a history of impulsiveness exited the facility through a malfunctioning secure door that had been reported as faulty by staff but not properly documented or repaired. The resident, who was not yet on an elopement care plan or electronic monitoring, was found walking in traffic by police and EMS after the facility was initially unaware of their absence. Staff interviews revealed ongoing issues with the door and inconsistent maintenance reporting, leading to the resident's unsupervised exit.
The facility failed to ensure proper food storage and sanitation practices, affecting 96 residents. Observations showed uncovered food items and a dirty ice machine in the kitchen. Additionally, dietary staff did not follow hand hygiene protocols, handling clean equipment and food without washing hands after touching contaminated surfaces. The facility's handwashing policy was not adhered to.
The facility failed to follow physician's orders for medication administration, resulting in a 6.45% error rate. A nurse administered incorrect medications to two residents, giving a multivitamin with minerals instead of a plain multivitamin to one resident, and an incorrect strength of Vitamin D3 with calcium to another. The errors were acknowledged by the nurse and confirmed by the DON, highlighting a failure to adhere to the facility's medication administration policy.
The facility failed to properly prepare pureed foods, resulting in lumpy and gritty consistencies that did not meet the required smooth texture for residents on pureed diets. Observations showed inadequately pureed chicken alfredo, sausage, bread, Spanish rice, and salad, contrary to the facility's policy for pureed food preparation.
A facility failed to follow infection control protocols during medication administration for a resident on enhanced barrier precautions due to a PEG tube. An RN did not change gloves or perform hand hygiene between medication preparation and administration, despite facility policies requiring these actions. Both the RN and DON acknowledged the oversight, which deviated from established procedures to prevent infection transmission.
Failure to Revise Sexual Expression Care Plan After Cognitive Decline
Penalty
Summary
The deficiency involves the facility’s failure to revise a resident’s comprehensive care plan after a significant decline in cognitive status and changes documented on the quarterly MDS. One resident with active diagnoses of depression, insomnia, and non-Alzheimer’s dementia had a BIMS score of 09 on the 07/30/2025 quarterly MDS, indicating moderate cognitive impairment, which later declined to a BIMS score of 03 on the 01/05/2026 quarterly MDS, indicating severe cognitive impairment. Despite this documented decline, the resident’s care plan continued to include an active problem of “Sexual Expression,” initiated on 08/15/2025 after an incident in which the resident was found in another resident’s bed with both residents partially undressed and engaging in intimate behavior. The care plan goal was to allow the resident to engage in sexual behavior with other consenting residents, with interventions focused on ensuring appropriate consent, providing privacy, and observing for changes in mood or cognition. Interviews and record reviews showed that the care plan was not updated to reflect the resident’s current cognitive status or capacity for consent. The resident’s responsible party stated that the resident was not capable of consenting to sexual relationships or activity and had not been capable for a long time, and identified themselves as the decision maker. An LPN familiar with the resident reported that the resident could not express needs or wants and did not believe the resident was ever capable of making decisions about a sexual relationship, despite what was documented on the care plan. Another LPN stated that the current care plan was not accurate due to the resident’s steady decline. The Social Services Director reported completing sexual consent questionnaires for both involved residents at the time of the original incident and determining they could consent, but acknowledged the form was not set to repeat on subsequent assessments. The Medical Director stated that a care plan for sexual activity for a resident with a BIMS score of 03 was not appropriate because sexual knowledge would be low, and the Administrator confirmed that care plans were expected to be updated quickly when the MDS reflected a change, underscoring that this did not occur for this resident’s sexual expression care plan.
Failure to Prevent Elopement Due to Unaddressed Door Malfunction and Inadequate Supervision
Penalty
Summary
A deficiency occurred when a facility failed to maintain an environment free from accident hazards and did not provide adequate supervision to prevent an elopement. A resident with severe cognitive impairment, dementia, and a history of impulsiveness and communication deficits was admitted to the facility. The resident was identified as being at risk for elopement during an initial evaluation, but no care plan addressing elopement was initiated at that time. The resident resided on a secure unit, but the electronic monitoring system was not activated prior to the incident. The deficiency was further compounded by a malfunctioning electronic locking door on the secure unit, which had been known to have intermittent issues for several weeks. Multiple staff members reported problems with the door not locking properly, requiring extra effort to ensure it was secure, and making unusual mechanical noises. Despite these reports, there were no documented maintenance work orders for the door, and the issue was not properly escalated or tracked in the facility's maintenance system. On the night of the incident, the resident was last seen in the hallway and later found to have exited the facility through the faulty door, walking down a city street in traffic with a walker. The facility was initially unaware that the resident was missing, and only after being contacted by local police and further investigation did staff realize the resident had eloped. The police and EMS were involved in locating and returning the resident, who was found unable to communicate their identity. Interviews with staff revealed inconsistent reporting and follow-up on the door's malfunction, as well as a lack of clear documentation and communication regarding maintenance issues. The facility's policy required immediate notification and monitoring of malfunctioning exit doors, but this was not followed, contributing to the resident's elopement.
Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure proper food storage and sanitation practices in the kitchen, which had the potential to affect 96 residents receiving meals. Observations revealed that an opened box of salt was left uncovered on a shelf above the food preparation counter, and an opened box of vegetable blend in the walk-in freezer was not covered or sealed. Additionally, the ice machine in the kitchen had an accumulation of wet, black, slimy residue around the area where ice forms, which was easily wiped off with tissue paper. The Dietary Manager confirmed that the ice machine was used to fill beverages served to residents and was cleaned by an external company every three months. The report also highlighted inadequate hand hygiene practices among dietary staff. A Dietary Aide (DA) was observed handling clean equipment and food items without washing hands after touching potentially contaminated surfaces. This included picking up glasses by the rims and placing them on trays for residents without washing hands after handling dirty objects. Another dietary staff member was observed placing clean plates on trays with fingers inside the plates without washing hands after handling cartons of juice and sherbets. The facility's handwashing policy, effective since February 1, 2002, requires handwashing after touching unsanitary items, but this was not adhered to by the staff.
Medication Administration Errors Exceed Acceptable Rate
Penalty
Summary
The facility failed to ensure that physician's orders for medications were followed during medication administration for two residents. The surveyor observed 31 medication opportunities and noted two errors, resulting in a 6.45% error rate, which exceeds the acceptable threshold of 5%. Specifically, a registered nurse administered a multivitamin with minerals instead of a plain multivitamin to one resident, and an incorrect strength of Vitamin D3 with calcium to another resident. These discrepancies were identified during a review of the physician's orders and medication administration records. During interviews, the registered nurse acknowledged the errors, stating that the variations of the medications given were the only available doses in the building. The Director of Nursing confirmed the discrepancies, emphasizing the importance of administering the correct medications and dosages as per physician's orders to ensure proper resident care. The facility's policy on medication administration, which requires staff to verify the medication name and dose, was not adhered to in these instances.
Improper Preparation of Pureed Foods
Penalty
Summary
The facility failed to ensure that pureed food items were blended to a smooth, lump-free consistency, which is necessary to minimize the risk of choking or other complications for residents requiring pureed diets. During observations on two separate days, surveyors noted that the pureed chicken alfredo served to residents was lumpy with visible pieces of intact pasta. Additionally, during a breakfast meal service, the pureed sausage was gritty, and the pureed bread was thick, indicating improper preparation. Further observations revealed that the pureed Spanish rice prepared by a dietary staff member was gritty, and the pureed salad contained tomato seeds, which were not adequately pureed. The facility's policy on preparing pureed foods, which requires foods to be blended to a semi-solid consistency similar to applesauce or mashed potatoes, was not followed. These deficiencies were observed during meal preparations and confirmed through interviews with the dietary manager and staff.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to adhere to its infection prevention and control program during the administration of medication to a resident on enhanced barrier precautions (EBP) due to a percutaneous endoscopic gastrostomy (PEG) tube. The facility's policy required the use of gown and gloves during high-contact resident care activities, such as PEG tube care, and mandated hand hygiene before and after direct resident care. However, during an observation, a registered nurse (RN) was seen preparing medications for the resident while wearing gloves, entering the resident's room, and handling various items without changing gloves or performing hand hygiene. The RN only donned a gown before administering the medication, leaving the same pair of gloves in place throughout the process. Interviews with the RN and the Director of Nursing (DON) confirmed that the resident was on EBP for the PEG tube and that the required personal protective equipment (PPE) included a gown and gloves. Both the RN and the DON acknowledged that gloves should have been changed and hand hygiene performed between medication preparation and administration. The failure to change gloves and perform hand hygiene was a deviation from the facility's policies and procedures, which were designed to prevent infection transmission and protect residents receiving high-contact care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Paris
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oak Manor Nursing And Rehabilitation Center Inc | 14.7 mi | — | 2 | 0 |
| Ozark Nursing And Rehab | 15.9 mi | — | 6 | 0 |
| Greenhurst Nursing Center | 16.1 mi | — | 0 | 0 |
| Johnson County Health And Rehab, Llc | 20.6 mi | — | 0 | 0 |
| Mitchell's Nursing Home, Inc | 24.5 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.