The Haven of Paris: No Director of Nursing - IL
The facility's administrator, identified in inspection records only as V1, told inspectors that the previous Director of Nursing's last day was Friday, August 15. She had not hired a registered nurse for the position. She had not appointed an acting director. She offered no timeline for doing so.
Inspectors were still in the building three days later, on August 22, when the survey concluded. There is no indication in the inspection report that a Director of Nursing had been hired or named in the interim.
The Haven of Paris sits at 1011 North Main Street in Paris, Illinois, a small city of roughly 8,000 people in Edgar County, near the Indiana border. The facility's own roster, dated August 19, showed 83 residents living there at the time inspectors arrived.
The Director of Nursing is not a ceremonial title. In a nursing home, the DON is the person responsible for overseeing every nurse and nursing assistant on every shift, ensuring that care plans are followed, that medication is administered correctly, that residents who deteriorate get escalated to physicians, that staff are trained and supervised, and that the facility's nursing services function as a coherent whole rather than a collection of individuals working in isolation. Without one, the oversight structure that connects bedside care to accountability collapses.
The administrator serves a dual role at The Haven of Paris: she is also listed as the facility's Abuse Prevention Coordinator. That combination of titles makes the gap in nursing leadership more pointed. The person responsible for ensuring residents are not harmed was also the person who, as of August 19, had taken no steps to fill the vacancy left when the previous director walked out the door four days earlier.
The inspection was triggered by a complaint, not a routine survey. That means someone, whether a resident, a family member, or a staff member, contacted regulators before inspectors showed up. The inspection report does not identify who filed the complaint or what it alleged. What inspectors found and cited, the missing Director of Nursing, was classified at a harm level of "minimal harm or potential for actual harm," and the deficiency was noted as having the potential to affect all 83 residents.
That classification, minimal harm, reflects the regulatory framework inspectors use to categorize what they observed. It does not mean nothing was at risk. A nursing home operating without a DON for days is not a facility where harm has already been catalogued and measured. It is a facility where the mechanism for catching harm before it compounds has been removed.
The inspection report identifies the deficiency under the regulatory requirement that nursing homes provide a full-time director of nurses to oversee and coordinate nursing services. The citation is unambiguous: during the four-day survey window, there was no Director of Nursing in the building.
What the report does not contain is any explanation from the administrator for why no interim appointment had been made. In nursing homes of any size, the standard response to a sudden leadership vacancy in nursing is to designate a charge nurse or assistant director of nursing to serve in an acting capacity while a permanent hire is recruited. At The Haven of Paris, that did not happen. The administrator told inspectors she had not hired anyone and had no acting DON. The report records her statement and moves on.
The previous director left on a Friday. The following Monday, the week began with 83 residents and no one formally responsible for coordinating their nursing care. By Tuesday morning, inspectors were there.
It is worth sitting with what a nursing home's week looks like without that coordination. Shift changes happen three times a day. Nurses hand off information about residents whose conditions have changed overnight, who refused medications, who had a fall, who seems more confused than usual. Someone is supposed to be tracking those patterns across shifts, across days, making decisions about whether a resident's decline is temporary or signals something that needs a physician's attention. Someone is supposed to be reviewing care plans, auditing documentation, responding when a nurse on the floor is uncertain what to do. That function, in the days between August 15 and August 22, belonged to no one at The Haven of Paris.
The administrator's role as Abuse Prevention Coordinator adds another layer. Abuse prevention in a nursing home depends on a functioning reporting and investigation structure. When a resident reports being mistreated, or when a staff member witnesses something concerning, there is a chain of responsibility that is supposed to activate. The DON is typically a central node in that chain, both as a recipient of reports and as someone with the authority and clinical knowledge to assess what happened and what needs to happen next. With that position empty, the chain had a gap in it.
None of this means abuse occurred at The Haven of Paris between August 15 and August 22. The inspection report makes no such finding. What it documents is structural: the oversight mechanism was absent, and the administrator knew it and had not acted to address it.
The facility has 83 residents. That is not a large nursing home by industry standards, but it is not small either. It is large enough that on any given day, multiple residents may be experiencing acute changes in condition, medication adjustments, wound complications, or behavioral episodes that require nursing judgment and supervision. The question of who was coordinating those responses during the gap is one the inspection report raises but does not answer.
The Haven of Paris was given the opportunity to submit a plan of correction. The inspection report notes that anyone seeking information about the facility's corrective response should contact the nursing home or the state survey agency directly.
What the report captures is a snapshot: a facility administrator, four days after her Director of Nursing walked out, telling federal inspectors that she had not replaced her, had not named anyone acting in her place, and had no registered nurse overseeing the nursing services being provided to 83 people in her care.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Haven of Paris from 2025-08-22 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: October 8, 2026 · Our methodology
The Haven of Paris in PARIS, IL was cited for violations during a health inspection on August 22, 2025.
She had not hired a registered nurse for the position.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.