Haven of Paris: Failed to Report Abuse Cases - IL
Administrator V1, who also serves as the facility's abuse prevention coordinator, claimed in official investigation reports that the local police department and physicians were notified about incidents involving residents hitting each other and staff handling a resident roughly. But when inspectors checked, they found no evidence the notifications ever happened.
The cases involved multiple residents over a two-month period this summer. In one incident on July 5, resident R3 smacked R4's face. On June 21, R4 swatted R5's back. Three days earlier, R4 grabbed R6's wrist. Most recently, on August 19, an unidentified nursing staff member handled R7 roughly, causing a bruise on the resident's arm.
Each incident report, signed by V1, stated that the local police department and physician had been notified as required by facility policy.
But V19, a supervisor with the local police department, told inspectors on August 21 that the department had no records, reports, or dispatch calls showing the facility had contacted them about any of the incidents.
The medical director, V3, reviewed his records, facsimiles, and phone calls the following day. He said he had not been notified of any of the abuse allegations. V3 also said on-call physicians report all facility events to him, and he found no evidence that on-call providers had been notified about the abuse investigations either.
When confronted by inspectors, V1 admitted she had no proof of making the required notifications.
"I called the police, and they asked if I wanted them to come out and I said no," V1 told inspectors on August 22. "I have nothing to show that I called and I don't keep my phone calls on my cell phone. I have no proof. I will have to get proof from now on. I will get a name or report number from the Police."
V1 also acknowledged problems with physician notifications. "As far as family and the physician, the nurses should be documenting accurately if they aren't getting a hold of a family and the doctor. That is what I go by in my investigation."
She said she relied on nursing staff to make family notifications about resident altercations. "I guess I can't prove that either."
The facility's abuse policy, revised in January, requires immediate reporting to the administrator and timely notification to proper authorities including the Illinois Department of Public Health, the ombudsman, local police department, residents' power of attorney, and physicians.
The pattern of unreported incidents raises questions about the facility's handling of resident safety. R4 appeared in three of the five documented cases over the span of less than three weeks, suggesting ongoing behavioral issues that may not have received proper attention from authorities who were supposed to be notified.
The rough handling incident involving R7 and an unidentified nursing staff member represents a particularly serious allegation, as it involves potential staff-to-resident abuse rather than resident-to-resident altercations. The bruising documented in the report suggests physical harm occurred.
State inspectors found the facility failed to follow its own abuse reporting procedures for five of nine residents they reviewed during the complaint investigation. The inspection covered a sample of 18 residents, meaning more than a quarter of those examined were affected by the reporting failures.
V1's admission that she told police they didn't need to come out when she claimed to call them suggests a fundamental misunderstanding of abuse reporting requirements. Police investigations of nursing home abuse allegations typically require officers to respond and document incidents, regardless of whether the facility administrator believes their presence is necessary.
The medical director's statement that he reviews all facility events reported to on-call physicians indicates a systematic breakdown in communication. If nursing staff were supposed to notify physicians about the incidents, as V1 suggested, those notifications either didn't happen or weren't properly documented and forwarded.
The facility's reliance on unverifiable phone calls without documentation violates basic standards for abuse reporting. V1's acknowledgment that she would need to "get a name or report number from the Police" going forward suggests she was unaware of proper reporting procedures despite serving as the designated abuse prevention coordinator.
The incidents span from mid-June through mid-August, indicating ongoing problems with the facility's abuse reporting system over an extended period. The concentration of incidents involving R4 as either perpetrator or victim in multiple cases suggests potential patterns that outside authorities should have been aware of to ensure proper intervention and protection.
V1's statement that she relies on nursing documentation to determine whether families and physicians were contacted reveals a hands-off approach to abuse prevention coordination. As the designated coordinator, she appeared to delegate critical notification responsibilities without ensuring they were completed or properly documented.
The failure affects not just regulatory compliance but resident safety. Police notification allows for potential criminal investigation when appropriate, while physician notification ensures medical evaluation of injuries and proper treatment. When these notifications don't occur, residents may be left vulnerable to continued abuse or inadequate medical care.
The Illinois Department of Public Health investigation reports referenced by inspectors suggest the state agency was notified about the incidents, but the failure to contact local police and physicians means other critical components of the reporting network were left uninformed.
V1's acknowledgment that she cannot prove family notifications occurred either compounds the reporting failures. Families have a right to know when their loved ones are involved in abuse incidents, whether as victims or perpetrators, so they can take appropriate protective actions.
The inspection found minimal harm or potential for actual harm to residents, but the systematic failure to report abuse allegations properly could enable more serious incidents to occur without appropriate oversight from law enforcement and medical professionals who are specifically trained to investigate and respond to such situations.
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: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
The Haven of Paris in PARIS, IL was cited for abuse-related violations during a health inspection on August 22, 2025.
But when inspectors checked, they found no evidence the notifications ever happened.
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.