Federal inspection record · CMS data as of October 1, 2026
Paris Health And Rehabilitation Center
1414 S Elm St, Paris, AR · (479) 963-6151
- Certified beds
- 140
- Residents per day
- 116
- Ownership
- For-Profit
- Chain
- Nhs Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 15, 1996
1
How this home got 3 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 Arkansas.
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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
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arkansas homes
Paris Health And Rehabilitation Center carries 21 inspection points. That is fewer than 57% of Arkansas's 218 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arkansas: 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★ 0–9 pts
- 4★ 9–18 pts
- 3★ 18–29 pts
- 2★ 29–44 pts
- 1★ over 44 pts
Bars show every rated home in Arkansas 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
20 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary7F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Resident Rights4E
- C
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
The resident has the right to receive notices in a format and a language he or she understands.
- 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.
Quality of Life and Care3E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service1E
- E
Ensure medication error rates are not 5 percent or greater.
Administration1E
- E
Have a plan that describes the process for conducting QAPI and QAA activities.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspection history
2026-03-05
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-08-08
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-08-04
12 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 12 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 12 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 20% of registered nurses left in the past year, along with 2 administrators.
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.5 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.6 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.4 pts better | 99.5% | 95.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 99.2% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.7% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.4 pts worse | 1.8% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 4.2% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.2 pts worse | 22.0% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.5 pts better | 2.4% | 10.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.5 pts better | 3.7% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.9 pts better | 4.2% | 9.1% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.5% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts better | 9.3% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 3.2% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.5 pts better | 95.4% | 81.9% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse | 11.8% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.3 pts better | 96.2% | 75.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.6 pts worse | 27.0% | 23.4% | 23.4% |
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Who owns and runs it
15 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 |
|---|---|---|---|
| Estes, James | 5% Or Greater Direct Ownership Interest · Individual | 92% | 43 facilities |
| Estes, James | Corporate Officer · Individual | 0% | 43 facilities |
| James Norman Estes Jr Tr | 5% Or Greater Direct Ownership Interest · Organization | 0% | 40 facilities |
| Jennifer Lee Estes Tr 031093 | 5% Or Greater Direct Ownership Interest · Organization | 0% | 40 facilities |
| Long, Phillip | Corporate Officer · Individual | 0% | 44 facilities |
| Rasco, Lynn | Corporate Director · Individual | 0% | 43 facilities |
| Rasco, Lynn | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Regions Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 51 facilities |
| Regions Bank | 5% Or Greater Security Interest · Organization | 0% | 51 facilities |
| Richey, Jason | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Richey, Jason | Adp Of The SNF · Individual | 0% | 3 facilities |
| Shelton, Meghan | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Shelton, Meghan | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Shigley, Sandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shigley, Sandra | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Have an alternate power supply for its alarm system.
- E
Properly provide smoke detection systems in areas open to corridors.
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Oak Manor Nursing And Rehabilitation Center Inc
Booneville, AR · Central Arkansas Nursing Centers
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 18 min
- Fines
- $0
-
Ozark Nursing And Rehab
Ozark, AR · Southern Administrative Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 36 min
- Fines
- $0
-
Greenhurst Nursing Center
Charleston, AR · Southern Administrative Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0