The Haven of Paris: Abuse Reports Never Filed - IL
That gap, between what the facility's own paperwork claimed and what actually happened, is what inspectors found when they visited the nursing home at 1011 North Main Street on August 22, 2025. The inspection was triggered by a complaint. What it uncovered touched five of the nine residents reviewed for abuse out of an 18-person sample.
Four separate incidents had been documented in formal Illinois Department of Public Health abuse investigation reports. All four had been written by V1, the facility's administrator and designated Abuse Prevention Coordinator. All four stated, in writing, that the local police department had been notified and that a physician had been notified. Inspectors checked both of those claims. Both were false.
The incidents themselves ranged from resident-on-resident violence to staff-on-resident harm. In June and July of 2025, a resident identified in the report as R4 was at the center of three separate physical altercations. On June 18, R4 grabbed another resident's wrist. Three days later, on June 21, R4 swatted a different resident's back. On July 5, a separate resident, R3, smacked R4's face. Each time, the administrator's investigation report recorded that police and the physician had been contacted.
Then there was R7. An IDPH report dated August 19, just three days before the inspection, documented that R7 had been handled roughly by an unidentified nursing staff member, leaving a bruise on R7's arm. That report, too, stated that the local police department and physician had been notified.
Inspectors contacted the supervisor of the local police department on August 21. The supervisor's answer was unambiguous. The department had no records, no reports, and no dispatch calls from the facility related to any of the four incidents. None.
The next day, the facility's medical director reviewed his own records, his faxes, his phone logs. He told inspectors he had not been notified of any of the allegations. He went further: on-call physicians at the facility report events back to him, and he saw no evidence that any on-call provider had been contacted about these abuse investigations either.
When inspectors sat down with the administrator at 12:40 in the afternoon on August 22, the explanation that emerged was notable for what it admitted. "I called the police, and they asked if I wanted them to come out and I said no," the administrator said. "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."
The administrator's account, if accurate, would mean that a police notification that merited no documentation, produced no report number, and left no record at the police department was still being written into official abuse investigation forms as a completed step. The police supervisor told inspectors that the department had no record of any contact whatsoever. The administrator acknowledged having no proof the calls were ever made.
On the question of physician notification, the administrator offered a different explanation entirely. "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." The administrator added that nurses are responsible for reporting resident-to-resident altercations to families, and acknowledged: "I guess I can't prove that either."
This matters because the administrator was not just a bystander to these reports. The administrator was the Abuse Prevention Coordinator, the person responsible for completing the investigations and verifying that required notifications happened. The reports bore the administrator's name. The notifications listed in those reports were not verified through nursing documentation or phone logs or any other record. They appear to have been entered as completed steps based on an assumption that nurses had made calls the administrator could not confirm.
The facility's own abuse policy, revised as recently as January 9, 2024, is explicit. It requires the facility to report all allegations of abuse immediately to the administrator and in a timely manner to the Illinois Department of Public Health, the Ombudsman, the local police department, the resident's power of attorney, and the physician. The policy uses the word "immediately" for internal reporting and "timely" for external authorities. For four documented abuse incidents over a span of two months, the external notifications that the policy required, and that the investigation reports claimed had happened, cannot be verified as having occurred at all.
What that means practically is this: a resident was bruised by an unidentified staff member on August 19. The facility documented that police were called. The police have no record of it. The physician was not notified. The staff member who caused the bruise was described only as unidentified nursing staff. No report number exists. No physician's record reflects the injury was flagged as an abuse allegation.
The three resident-on-resident incidents involving R4 span two months. In each case, the same pattern holds. The investigation reports say the right boxes were checked. The people who were supposed to have been contacted say they were not.
The inspection found the deficiency caused minimal harm or potential for actual harm, the lowest level on CMS's harm scale. That classification reflects the regulatory framework's assessment of the physical consequences to residents from the reporting failure itself, not from the underlying incidents. A resident with a bruise caused by staff handling still has that bruise. The staff member who caused it remains unidentified. The physician who should have been told about it was not. The police who should have a record of it do not.
The administrator's stated plan, to get a name or report number from police going forward, and to expect nurses to document family and physician contacts more accurately, addresses the future. It does not account for what happened between June 18 and August 19, the four incidents, the four reports filed with the state, and the notifications that were documented as complete when no one on the receiving end has any record of receiving them.
R7's bruise was documented three days before inspectors arrived. The staff member who caused it has not been identified.
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.
Download the official CMS inspection PDF from Medicare.gov
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: September 22, 2026 · Our methodology
The Haven of Paris in PARIS, IL was cited for abuse-related violations during a health inspection on August 22, 2025.
The inspection was triggered by a complaint.
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.