The Haven Of Paris
The Haven of Paris in PARIS, IL — inspection on October 16, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
hip.
She had a large bruise on her buttock and hip for a couple of weeks-it was gone by the time she
but not always accurately. If she's sitting in a chair, she'll say no pain, but when she crosses her
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.
145469 10/16/2025
The Haven of Paris 1011 North Main Street Paris, IL 61944
details of that investigation. My concern was that she continued in so much pain. I was in to see her
she will get good care when she returns there (to the facility).
Mom loves it there and I am glad of
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 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. (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
145469 10/16/2025
The Haven of Paris 1011 North Main Street Paris, IL 61944
in accordance with accepted professional standards.
interview and record review, the facility failed repeatedly to maintain complete and accurate medical
three.Findings include:R2's Magnetic Resonance Imagining (MRI) report of the Right Hip was completed at a local hospital on [DATE] at 11:18 am.
The MRI of R2's Right Hip documents the Final results as an Acute, Impacted (broken pieces of the bone are wedged together tightly) Subcapital Hip Fracture With Lateral Displacement, and Extensive Soft Tissue Edema (swelling).
There is no documentation in R2's medical records that R2 left the faciity on [DATE] to have the MRI at the local hospital.The last documentation in R2's record was a Nurse Practitioner Note dated 10/9/2025 at 11:46 am.The next documentation was on 10/12/2025 at 4:01 pm which documents: Change of Condition /Transfer Note Text: (R2) was transferred on a gurney via ambulance to acute care hospital Sent To: (name of Local) Community Hospital Date: 10/12/2025 16:10 Sent From: (Name of the facility) Healthcare Center Unit: North Wing.
Reason(s) for Transfer: Other - Abnormal MRI results MD (unidentified) notified of transfer.
See Transfer Form for other details.R2's current Physician Order Sheet (POS) documents the following: Tramadol HCL (narcotic analgesic) Oral Tablet, 50 Milligrams (mg), Give 1 tablet by mouth every 12 hours as needed for pain 7-10.R2's same POS documents: Pain Assessment - every shift using 1-10 Scale (scale of ten, being the worst pain level).R2's Narcotic Count Sheet documents R2's had 26 count of tablets; Tramadol (narcotic analgesic) 50 mg tablets dispensed from the pharmacy on 4/25/25. R2's had been administered four doses of the Tramadol supply between 4/25/25 and 9/16/25 (the day of R2's fall).
The same Narcotic count sheet documents 18 doses of Tramadol were administered to R2, since her fall occurred 9/16/25.
All doses signed out on the narcotic count sheet, correlate with the Medication Administration Record (MAR) records documented below except, the following doses were removed from R2's supply on 9/19/25 at 7:00 am, 9/28/25 at 8:00 am or 8:00 pm, 9/29/25 at 8:00 pm and 10/9/25 at 8:00 pm.R2's corresponding Medication Administration Record (MAR) dated 9/16/25 through 9/30/25 and R2's MAR dated 10/01/25 through 10/12/25 do not document R2 received Tramadol HCL (narcotic analgesic) Oral Tablet, 50 mg on 9/19/25 at 7:00 am, 9/28/25 at 8:00 am or 8:00 pm, 9/29/25 at 8:00 pm and 10/9/25 at 8:00 pm.R2's same MAR documented above fail to document R2's pain level scores as ordered: Pain Assessment - every shift using 1-10 Scale (scale of ten, being the worst pain level).On 10/16/25 at 11:55 am V2, Director of Nursing (DON) reviewed R2's Tramadol (narcotic analgesic) 50 Milligram (mg) tablet, Controlled Drug Administration, narcotic count sheet. V2 confirmed, according to R2's narcotic count sheet that R2's Tramadol 50 mg tablets, were removed the supply, from the locked compartment on the medication cart, on 9/19/25 at 7:00 am, 9/28/25 at 7:00 am and 8:00 pm, 9/29/25 at 8:00 pm, and 10/9/25 at 8:00 pm. V2, DON then reviewed R2's Medication Administration Records (MAR). V2, DON acknowledged R2's MAR does not document R2 was administered the Tramadol 50 mg tablets on the documented dates noted. V2, DON stated I am confident the Tramadol was given for (R2's) pain. I reviewed (R2's) records yesterday (10/15/25) and realized the nurses failed to document on the MAR's, that (R2's) Tramadol was given (9/19/25 at 7:00 am, 9/28/25 at 8:00 pm, 9/29/25 at 8:00 pm, and 10/9/25 at 8:00 pm). I confirmed with those nurses (unidentified) that it (Tramadol) was given.
They just forgot to document on the MAR. V2, DON further reviewed R2's Medication Administration Records and confirmed that nurses had been signing off that they completed the pain assessments each shift but failed to complete the documentation by not identifying the level of pain on the scale of 1-10, 10 being the most severe. V2 DON also confirmed R2's went out to the hospital via ambulance for an MRI on 10/10/25, and the nurses failed to documents her leaving and returning the facility. V2, DON stated I am new to the facility and new to the Director of Nursing position.
This will be addressed. It is Nursing 101 to document accurately and completely in the resident's medical record.
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.