The Haven of Paris: Resident-on-Resident Assault Ignored - IL
Nobody updated his care plan.
When a state inspector arrived at the facility on the morning of November 13, 2025, the director of nursing, identified in inspection records as V4 DON, described what had happened after the incident between the two residents. She said she had instructed a registered nurse to assess both residents and monitor the one who had done the hitting. She said the facility already had 10-minute checks in place for him. She said they eventually moved him to the back, to a secured unit.
What she did not say, because it had not happened, was that anyone had written new protective measures into his care plan.
The resident who did the hitting, identified as R2, has significant cognitive impairment. The director of nursing described him as typically alert and oriented to one or two things, adding that "sometimes he makes sense and sometimes he doesn't." She said he was not able to recall the incident at all.
The director of nursing had been trying for some time to get R2 moved to the facility's dementia unit. She told the inspector she had been advocating for that transfer for a long time. The obstacle, she said, was that the facility's intradisciplinary team had concerns about the noise level in the dementia unit and how it might affect R2. So he stayed where he was, on 10-minute checks, with staff told to watch him closely, and no updated care plan reflecting any of it.
Since being moved to the secured unit, the director of nursing said, R2 had hit a certified nursing assistant once.
He also swung his fist at the director of nursing herself. She said it happened after she asked him whether he had a list of things he was going to do that day.
That detail appeared in the inspection report without further elaboration. The director of nursing did not describe whether she was injured. The report does not say whether that incident was reported or investigated separately.
What the inspection did find was that the facility had failed to implement protective interventions on R2's care plan following the assault on R3. A care plan is the document that tells every staff member, on every shift, what a resident needs and what precautions are in place. Without it, the protections the director of nursing described, the 10-minute checks, the move to the secured unit, existed in practice but not on paper, invisible to anyone who hadn't been personally briefed.
The director of nursing, when asked about R2's future behavior, was direct. "I can't predict if R2 will hit someone again," she told the inspector. "Staff will still need to keep a close eye on him."
Then she said: "R2 is who he is."
The violation was cited at a level of minimal harm or potential for actual harm, affecting a few residents. It was a complaint inspection, meaning someone contacted regulators before the inspector walked through the door.
The resident who was struck, R3, was assessed after the incident. The inspection report does not describe what that assessment found, whether R3 was injured, or what R3 was told. The report does not say whether R3's family was notified.
R2 remains at the facility.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Haven of Paris from 2025-11-13 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 22, 2026 · Our methodology
The Haven of Paris in PARIS, IL was cited for violations during a health inspection on November 13, 2025.
She said she had instructed a registered nurse to assess both residents and monitor the one who had done the hitting.
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.