Federal inspection record · CMS data as of October 1, 2026
Avir at Paris
610 Deshong Dr., Paris, TX · (903) 784-6638
- CMS high-performer trophy
- Certified beds
- 98
- Residents per day
- 32
- Ownership
- For-Profit
- Chain
- Avir Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 5, 1989
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Avir at Paris carries 18 inspection points. That is fewer than 94% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
-
L
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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K
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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K
Respond appropriately to all alleged violations.
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G
Provide care or services that was trauma informed and/or culturally competent.
Everything else, by area of care
Resident Assessment and Care Planning7E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- E
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care6E
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights6E
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service5E
- D
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.
- D
Ensure that residents are free from significant medication errors.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Administration4E
- E
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.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
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.
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Environmental2E
- E
Put firmly secured handrails on each side of hallways.
- E
Have policies on smoking.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2025-12-04
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-10-02
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-08-25
31 health deficiencies · 2 fire-safety deficiencies
Top issue: Administration (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 11 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 11 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 40% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 99.1% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 3.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 2.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication37.8 pts worse | 55.6% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.6 pts worse | 19.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11.1 pts better | 1.8% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.5 pts better | 3.3% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts worse | 0.9% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.3 pts better | 4.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 5.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.6 pts better | 97.3% | 88.7% | 82.3% |
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Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 610 Deshong Dr Opco, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 610 Deshong Dr Opco, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| 610 Deshong Dr Property Owner, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Burns, Stephen | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Burns, Stephen | Adp Of The SNF · Individual | 0% | 3 facilities |
| Dagan, Amitai | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 156 facilities |
| Freund, Nochum | Operational/Managerial Control · Individual | 0% | 164 facilities |
| Goldberger, Abraham | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 154 facilities |
| Goldberger, Faigy | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 118 facilities |
| Hightower, Gary | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Hightower, Gary | Adp Of The SNF · Individual | 0% | 2 facilities |
| Murrell, Edward | Corporate Director · Individual | 0% | 77 facilities |
| Travitsky, Aaron | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Welltower Inc | Adp Of The SNF · Organization | 0% | 139 facilities |
| Welltower Nnn Group, LLC | Adp Of The SNF · Organization | 0% | 121 facilities |
| Welltower Op LLC | Adp Of The SNF · Organization | 0% | 158 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Brentwood Terrace Healthcare And Rehabilitation
Paris, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 6 min
- Fines
- $234,447
-
Stillhouse Rehabilitation And Healthcare Center
Paris, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 19 min
- Fines
- $8,162
-
Legend Healthcare And Rehabilitation - Paris
Paris, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 17 min
- Fines
- $16,149