All states › Texas › Paris › Avir at Paris
610 Deshong Dr. Paris, TX 75460 · Lamar County
All 5 nursing homes in Paris, TX (5 take Medicaid)
CMS certification number 455831 · See this home on Medicare Care Compare
Is Avir at Paris a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Paris as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.18 hours per resident per day at Avir at Paris, below the Texas median of 3.30 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 2.62 hours, 17% below its all-week average. Ask how weekends are staffed. 36% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Avir at Paris: Medicare and Medicaid
Avir at Paris is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on December 4, 2025 and found 2 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at Avir at Paris across 4 inspection dates, 2 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 25, 2023. The most common areas cited were quality of life and care (7) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "administer the facility in a manner that enables it to use its resources effectively and efficiently" (tag F0835, level L, August 25, 2023). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 26, 2026 · 2 citations · includes complaint inspection
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
December 4, 2025 · 2 citations
DReasonably accommodate the needs and preferences of each resident.
DEnsure each resident receives an accurate assessment.
October 2, 2024 · 3 citations
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DImplement 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.
DEnsure that residents are free from significant medication errors.
August 25, 2023 · 31 citations, includes immediate jeopardy
LAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
KRespond appropriately to all alleged violations.
GProvide care or services that was trauma informed and/or culturally competent.
EEnsure that residents are fully informed and understand their health status, care and treatments.
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EHonor 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.
EEnsure each resident receives an accurate assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EConduct 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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
EProvide and implement an infection prevention and control program.
EPut firmly secured handrails on each side of hallways.
EHave policies on smoking.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Questions to ask on a tour of Avir at Paris
- Inspectors cited the home at the immediate-jeopardy level on August 25, 2023 under the rule on administration. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 25, 2023. How are staff trained, and how are concerns reported?
- Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
- The home averages about 32% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 4/5 | 5/5 |
| August 2026 | 5/5 | 4/5 | 4/5 | 5/5 |
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Location
Hospitals near Avir at Paris
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.0 mi
Paris Regional Medical Center ParisEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 4m for patients treated and sent home
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22.6 mi
Choctaw Memorial Hospital HugoEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 24m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Irving · Irving · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.