Paris Health and Rehabilitation Center

Name: Paris Health and Rehabilitation Center
Address: 1414 S ELM ST, Paris, AR, 72855, US
Telephone: 4799636151

1414 S Elm St, Paris, AR 72855 · Logan County · 140 certified beds · avg 112 residents/day · certified since Jan 15, 1996

Part of chain: NHS MANAGEMENT (43 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.55

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 5, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 5, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Mar 5, 2026	C · Minimal risk, facility-wide	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts.
Oct 10, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 8, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 8, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 8, 2024	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Aug 8, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 4, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 4, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 4, 2023	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Aug 4, 2023	E · Potential for harm, repeated	The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss.
Aug 4, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Aug 4, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Aug 4, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Aug 4, 2023	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Aug 4, 2023	E · Potential for harm, repeated	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Aug 4, 2023	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Worst severity that year
2023	12	F
2024	4	F
2025	1	D
2026	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Arkansas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.55	4.71	3.95	bottom 48% in Arkansas; top 22% in the U.S.
Registered Nurse hours	0.52	0.48	0.69	top 29% in Arkansas; bottom 41% in the U.S.
Weekend total nurse staffing	3.84	4.04	3.50	bottom 42% in Arkansas; top 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.28	0.48	bottom 34% in Arkansas; bottom 13% in the U.S.
Total nursing staff turnover (%)	50.0	49.5	45.8	bottom 44% in Arkansas; bottom 38% in the U.S.
RN turnover (%)	27.3	44.8	42.9	top 25% in Arkansas; top 24% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.52, RN 0.40, weekend 2.96. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Estes, James	Individual	5% or Greater Direct Ownership Interest	92%	12/31/2003
James Norman Estes Jr Tr	Organization	5% or Greater Direct Ownership Interest	—	12/31/2006
Jennifer Lee Estes Tr 031093	Organization	5% or Greater Direct Ownership Interest	—	12/31/2006
Estes, James	Individual	Corporate Officer	NOT APPLICABLE	09/29/1997
Gallagher, Beverly	Individual	Corporate Director	NOT APPLICABLE	08/21/2023
Gallagher, Beverly	Individual	Operational/Managerial Control	NOT APPLICABLE	08/21/2023
Long, Phillip	Individual	Corporate Officer	NOT APPLICABLE	10/01/2019
Moore, Marcia	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/05/2024
Moore, Marcia	Individual	Operational/Managerial Control	NOT APPLICABLE	08/05/2024
Rasco, Lynn	Individual	Corporate Director	NOT APPLICABLE	07/01/2022
Rasco, Lynn	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Regions Bank	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	12/01/2012
Regions Bank	Organization	5% or Greater Security Interest	NOT APPLICABLE	08/27/2013
Sanders, Sarah	Individual	Operational/Managerial Control	NOT APPLICABLE	12/27/2023
Sanders, Sarah	Individual	ADP of the SNF	NOT APPLICABLE	02/03/2025
White, Holly	Individual	Corporate Director	NOT APPLICABLE	03/04/2022
White, Holly	Individual	Operational/Managerial Control	NOT APPLICABLE	03/04/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you manage residents' personal funds, and how often do families receive an accounting?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Oak Manor Nursing and Rehabilitation Center INC	14.7 mi	Booneville, AR	★★★★★	4/5
Ozark Nursing and Rehab	15.9 mi	Ozark, AR	★★★★★	4/5
Greenhurst Nursing Center	16.1 mi	Charleston, AR	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Paris →

Facility data as of CMS processing date 2026-08-01. CCN 045300.

The Care File

Visit checklist — Paris Health and Rehabilitation Center

1414 S Elm St, Paris, AR 72855 · 4799636151

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you manage residents' personal funds, and how often do families receive an accounting?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 045300 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)