Pine Tree Ranch Assisted Living
State licensed2990 Pine Mill Rd, Paris, TX 75460
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
Heritage House at Paris Rehab & Nursing
Paris, TexasMedicare inspection record
About Heritage House at Paris Rehab & Nursing
Heritage House at Paris Rehab & Nursing provides skilled nursing and rehabilitation care to Paris, Texas residents recovering from surgery, injury, or illness. Our experienced team focuses on helping patients regain strength and independence through personalized therapy and compassionate medical support.
Community at a glance
Capacity
90 residents
Location
Paris, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
150 S.E. 47Th Street, Paris, Texas 75462
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 4, 2026, state inspectors cited 12 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 24 minutes with each resident a day, about the same as the Texas average.
Medicare fined Heritage House at Paris Rehab & Nursing once in the last three years, $10,358 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 24 minutes |
| Registered nurse time per resident, per day | 29 minutesAbove the Texas average |
| Nursing staff who left in the past year | 46%Below the Texas average |
Inspections
28 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 4, 2026 · Standard inspection · 12 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Mar 4, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Residents were harmed, a few residents (level G)Resident RightsCorrected Mar 4, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Mar 4, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Mar 4, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 4, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 4, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 4, 2026Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 4, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 4, 2026Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 4, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 4, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 4, 2026
November 6, 2024 · Standard inspection · 13 citations
Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 12, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 6, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 6, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 6, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Dec 6, 2024Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 6, 2024Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 6, 2024Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Dec 6, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 6, 2024Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 6, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 6, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 6, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 6, 2024
October 16, 2024 · Complaint investigation · 3 citations+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 15, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Nov 15, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Nov 15, 2024
Fines and payment denials
1 fine totaling $10,358 in the last three years.
- February 4, 2026Fine: $10,358
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Hamilton County Hospital District
- Medicare-certified beds
- 90
- Average residents per day
- 80
- Accepts
- Medicare and Medicaid
- First certified
- October 28, 2011
- Part of a chain
- Advanced Healthcare Solutions, 28 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676294
Location
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150 S.E. 47Th StreetParis, TX 75462
11 other communities within 10 miles
Senior living near Paris
Spring Lake Assisted Living And Memory Care Community
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The Home Place
State licensed115 Ne 27th St, Paris, TX 75460
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Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Questions about Heritage House at Paris Rehab & Nursing
How did Heritage House at Paris Rehab & Nursing do on its last inspection?+
State inspectors visited on February 4, 2026 and cited 12 health deficiencies. The Texas average is 9.4.
How much nursing care does each resident get at Heritage House at Paris Rehab & Nursing?+
Nurses and aides spend 3 hours 24 minutes with each resident per day, including 29 minutes from registered nurses. 46% of nursing staff left over the past year.
Has Heritage House at Paris Rehab & Nursing been fined by Medicare?+
Yes. Medicare fined Heritage House at Paris Rehab & Nursing once in the last three years, totaling $10,358.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.