Federal Nursing-Home Survey Record
Avir at Paris
Does Avir at Paris have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Avir at Paris (CCN 455831), in PARIS, TX, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 2 deficiencies. CMS rates each one for how widespread and how serious it is on a scale from A to L; the most serious here is rated D — which CMS classifies as "potential for harm," a level below actual harm (risk, but no harm confirmed). The latest standard health inspection on file is dated 2025-12-04. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $136,756 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own.
The Federal Record
CMS has $136,756 in civil money penalties on file against this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.
Civil money penalties on file
$136,756
CMS also records 25 days of payment denial.
You may be reading this record for the first time.
If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.
Overall CMS star rating
This facility: 4 · CMS state average: 2.7
Both figures as published by CMS.
Deficiency timeline
"Current cycle" is CMS's most recent inspection cycle; it can span several survey dates and is listed by scope/severity (most severe first), not chronologically. Older cycles are shown as historical.
Reasonably accommodate the needs and preferences of each resident.
Ensure each resident receives an accurate assessment.
46 citations from earlier inspection cycles — historical (expand)
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure that residents are free from significant medication errors.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Respond appropriately to all alleged violations.
Provide care or services that was trauma informed and/or culturally competent.
Ensure each resident receives an accurate assessment.
Ensure that residents are fully informed and understand their health status, care and treatments.
Have policies on smoking.
Ensure residents have reasonable access to and privacy in their use of communication methods.
Put firmly secured handrails on each side of hallways.
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.
Provide and implement an infection prevention and control program.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
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.
Provide safe and appropriate respiratory care for a resident when needed.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure services provided by the nursing facility meet professional standards of quality.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure medication error rates are not 5 percent or greater.
Reasonably accommodate the needs and preferences of each resident.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Provide and implement an infection prevention and control program.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Federal record
Avir at Paris — Federal Record
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