The Haven Of Paris
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
10/13/2025 documents: Preoperative indication: Patient is a [age]-year-old female who sustained a femoral neck fracture. We discussed the treatment plan and associated complications with the patient and family.
They chose surgical treatment-cemented bipolar hemiarthroplasty (minimally invasive hip replacement) of
the right hip.Administrator (V1) statement, 10/15/25 at 10:00 a.m.: I am finishing up with Resident R2's investigation.
It was not an injury of unknown origin. We determined it was directly related to her fall on 9/16/25. There is too much evidence that she continued to have pain in her right hip since the fall. It's no wonder-her hip was fractured.Power of Attorney (V21) statement, 10/15/25 at 2:30 p.m.: The facility called me when Mom fell.
They said she fell forward out of the shower and hit her face, shoulder, and hip. She had a large bruise on her buttock and hip for a couple of weeks-it was gone by the time she went for the MRI. Mom had been reporting pain to the nurses since her fall. She can answer questions but not always accurately. If she's sitting in a chair, she'll say no pain, but when she crosses her legs, she'll yell that she's in extreme pain. The staff nurse knew this and would give her pain medicine. Finally, they did the MRI and saw the fracture in the hip. I don't know why the MRI was scheduled so late-we waited nearly two weeks after the order. The fracture has been fixed now with surgery; they had to replace the ball of her hip joint.I'm happy with the care
she gets in the facility-they said they were investigating the fall. My concern was how long she remained in pain. I saw her several times a week, and it reached the point where she couldn't move her leg at all. I know she'll get good care when she returns; she loves it there. Therapy is very good too.Medical Director (V26) statement, 10/16/25 at 12:55 p.m.: I was told the family requested an MRI on 9/29/25 for continued pain, and the NP (V22) ordered it. The MRI should have been completed sooner than 10/10/25-waiting that long was too delayed. NP (V22) is very good with residents and would have addressed the delay if she had known. I would have expected the MRI within a few days. I was not aware the MRI results (10/10/25) were not received until 10/12/25, since it showed a fracture. The hospital usually calls. I can see the MRI was read by a tele-med physician, which can cause delays. Facility nurses should have followed up that same day for results-waiting until 10/12/25 added two extra days of pain before surgery.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/16/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Haven of Paris
1011 North Main Street Paris, IL 61944
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
On 10/15/25 at 3:00 pm V1, Administrator stated The shower chair should have been taken out of service when Maintenance was notified there were problems with the shower chair wheels, and they needed fixed.
Maintenance should have said something if they couldn't do a complete wheel change. V25, Regional Nurse Consultant stated A new shower chair has been ordered since only three of the four wheels were replaced (on the small white shower chair that resulted in Resident R2's fall).
On 10/16/25 at 1:30 pm V26, Medical Director/Physician stated The resident equipment is meant to be, always maintained in a safe manner. The wheels on the shower chair are an easy fix. (Resident R2's) fall should have never happened. It could have been easily prevented with some routine monitoring of that equipment.
The facility Falls Guideline policy dated 08/2024 documents the following: Purpose: To consistently identify and evaluate residents at risk for falls and those who have fallen to treat or refer for treatment appropriately and develop an organization-wide ownership for fall prevention to: To achieve each resident's maximum potential of physical functioning.
To prevent or reduce injuries related to falls.
To enhance residents' dignity and self-worth.
To rehabilitate residents to their fullest potential of function.
The same policy documents:
The intent of this guideline is the ensure this facility provides an environment that is free from hazards over which the facility has control and provides appropriate supervision to each resident as identified through the following process: I. Identification of hazards and risks II. Evaluation III Implementation IV. Monitoring V. Analysis
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/16/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Haven of Paris
1011 North Main Street Paris, IL 61944
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
Federal health inspectors cited The Haven of Paris in PARIS, IL for a deficiency under regulatory tag F-F0842 during a complaint investigation conducted on 2025-10-16.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 3 deficiencies cited during this inspection of The Haven of Paris.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-12.
The Haven of Paris in PARIS, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in PARIS, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from The Haven of Paris or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.