1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Paris, TN
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
239 Hospital Circle, Paris, TN
(731) 642-5700
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
136
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ahava Healthcare
Operator or chain grouping
Approved since
1989-05-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
15 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.45
Registered nurse staffing · state 0.61 · national 0.68
LPN hours / resident day
1.61
Licensed practical nurse staffing · state 1.09 · national 0.87
Aide hours / resident day
2.60
Nurse aide staffing · state 2.15 · national 2.35
Total nurse hours
4.66
All reported nurse hours · state 3.85 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.70 · national 1.54
Weekend hours
4.13
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.40 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
4.39
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
55%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
4,655
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9921
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.40
Baseline 17.54% · Performance 19.85% · Measure score 3.40 · Achievement 3.40 · Improvement 0
Healthcare-associated infections
4.65
Baseline 5.00% · Performance 6.44% · Measure score 4.65 · Achievement 4.65 · Improvement 0
Total nurse turnover
2.78
Baseline 30.16% · Performance 52.31% · Measure score 2.78 · Achievement 2.78 · Improvement 0
Adjusted total nurse staffing
4.79
Baseline 4.29 hours · Performance 4.44 hours · Measure score 4.79 · Achievement 4.79 · Improvement 0.54
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.74% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 168 · Observed rate 11.9% · Lower 95% interval 8.67% |
| Discharge to community | 63.68% |
50.57%
13.1 pts better
|
Better than the National Rate · Eligible stays 152 · Observed rate 63.16% · Lower 95% interval 56.71% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.74% |
95.27%
2.5 pts better
|
Numerator 130 · Denominator 133 |
| Falls with major injury | 0.75% |
0.77%
About the same
|
Numerator 1 · Denominator 133 |
| Discharge self-care score | 61.54% |
53.69%
7.9 pts better
|
Numerator 64 · Denominator 104 |
| Discharge mobility score | 47.12% |
50.94%
3.8 pts worse
|
Numerator 49 · Denominator 104 |
| Pressure ulcers or injuries, new or worsened | 3.01% |
2.29%
0.7 pts worse
|
Numerator 4 · Denominator 133 · Adjusted rate 3.28% |
| Healthcare-associated infections requiring hospitalization | 6.44% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 97 · Observed rate 4.12% · Lower 95% interval 4.03% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 118 |
| Staff flu vaccination coverage | 61.65% |
42%
19.6 pts better
|
Numerator 82 · Denominator 133 |
| Discharge function score | 53.85% |
56.45%
2.6 pts worse
|
Numerator 56 · Denominator 104 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 76 · Denominator 76 |
| Transfer of health information to patient | 97.3% |
96.28%
1 pts better
|
Numerator 36 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 1.32% |
25.2%
23.9 pts worse
|
Numerator 1 · Denominator 76 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.6
1 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.6
0.4 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 65.3% |
89.9%
24.6 pts worse
|
93.4%
28.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 58.5% · Q2 50.0% · Q3 69.8% · Q4 82.6% · 4Q avg 65.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.0% |
94.5%
6.5 pts worse
|
95.5%
7.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% |
3.6%
1.7 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 4.4% · Q3 4.8% · Q4 4.3% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
11.8%
9 pts better
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.2% · Q3 1.7% · Q4 0.0% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
6.2%
1.6 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 10.5% · Q3 3.6% · Q4 6.5% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.5% |
32.2%
1.7 pts better
|
19.6%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.4% · Q2 31.0% · Q3 23.2% · Q4 27.4% · 4Q avg 30.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.9% |
18.1%
12.2 pts better
|
16.7%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 2.2% · Q3 6.7% · Q4 8.2% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.6% |
19.9%
6.7 pts worse
|
16.3%
10.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.7% |
15.3%
1.4 pts worse
|
14.9%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 20.0% · Q3 9.6% · Q4 16.7% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.9%
0.5 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 1.4% · Q4 1.2% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
1.9%
1.1 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 1.4% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.8% |
20.2%
4.6 pts worse
|
19.8%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.9% · Q2 14.0% · Q3 16.7% · Q4 31.5% · 4Q avg 24.8% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
5.4%
0.6 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 7.0% · Q3 6.1% · Q4 5.4% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 34.8% |
79.6%
44.8 pts worse
|
81.7%
46.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 19.6% · Q3 39.9% · Q4 54.2% · 4Q avg 34.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.2% |
11.2%
9 pts worse
|
12.0%
8.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 18.5% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.6%
0.9 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.5% |
79.8%
39.3 pts worse
|
79.7%
39.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 40.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
22.2%
0.1 pts better
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 20.8% · Expected 22.4% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Environmental (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-11-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-22
Inspection history
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-11-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-08
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-09-08
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-09-08
Health
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.
Corrected 2023-05-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-20
Health
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.
Corrected 2023-05-20
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-05-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-20
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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3-star overall rating with 3-star inspections with $29,091 in total fines with 3 recent health deficiencies
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2-star overall rating with 3-star inspections with $5,244 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Mc Kenzie, TN
4-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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