The Haven Of Paris
The Haven of Paris in PARIS, IL — inspection on October 28, 2025.
Found 1 citation. 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
on 10/27/2025 at 12:26 PM, V7 CNA stated (on 10/18/25) she was standing at the nurses' station and looked up and noticed R1 coming out of R1's neighbor's room, V7 CNA stated R1 lost his balance and fell.
V7 CNA stated, I don't know what time the fall happened or the last time I saw (R1), and I don't have anything else to tell you.On 10/272025 at 1:13 PM, V4 (Registered Nurse (RN)) stated she was taking care of R1 the day of R1's fall (on 10/18/25). V4 stated R1 has dementia, was alert and oriented to person only and frequently would get up on his own. V4 RN stated the CNAs should have been checking R1 every two hours if not more frequently.R1's EMR (Electronic Medical Record) documents R1 was last repositioned at 8:22 AM on 10/18/25. R1's Progress Notes document R1 fell on [DATE] at 3:50 PM. On 10/27/2025 at 2:24 PM, V9 (Licensed Practical Nurse (LPN)/MDS Coordinator) stated, 15-minute checks (increased visuals) are implemented for those residents that have been determined to wander or who are at risk for elopement.
On 10/27/2025 at 11:39 AM, V6 (Certified Nurse Assistant (CNA)) stated that R1 frequently gets up on his own without calling for help.On 10/28/2025 at 10:05 AM, V8 CNA stated that R1 is oriented to person only and gets up on his own frequently to get coffee and that is how he fell the first time (8/30/25). On 10/28/2025 at 10:21 AM, V3 (LPN/Assistant Director of Nursing (ADON)) stated that CNAs are responsible for checking residents that are at increased risk for falls every two hours and that it is a task in the EMR where they document those checks. V3 LPN stated residents that are a high risk for falls or high elopement risk should be checked on every 15 minutes. V3 stated the CNAs should have been checking on R1 at minimum every two hours and that it should be documented. V3 LPN could not provide documentation showing R1 had been checked on appropriately on 10/18/25. On 10/27/2025 at 2:16 PM, V2 (Director of Nursing (DON)) stated staff are responsible for doing rounds every two hours unless a resident is a high fall risk and then they should be checked more frequently (every 15 minutes), and this should be on the Care Plan. On 10/27/2025 at 3:00 PM, V2 DON confirmed that staff were not checking on R1 every 15-minutes even though he was a high fall risk.
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