Quick answers
- Where is Avir at Paris?
- 610 Deshong Dr., Paris, TX 75460, in Lamar County, Texas.
- What is the phone number of Avir at Paris?
- (903) 784-6638, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Paris?
- Medicare overall rating: 5 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Paris been fined?
- Medicare lists no fines for Avir at Paris.
- What did inspectors find at Avir at Paris?
- In its last three inspection cycles (August 25, 2023 to August 26, 2026), Medicare lists 38 health citations; the most serious was level L. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 25, 2023 to August 26, 2026), Avir at Paris had 38 health citations; the most serious was level L (immediate jeopardy to resident health or safety). 5 of them were level G or higher (actual harm or immediate jeopardy). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.18 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 4, 2025 — 4 health citations
Inspections in this cycle: December 4, 2025 (standard health inspection); August 26, 2026 (complaint investigation).
Show 4 citations (levels A to F, no actual harm)
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0676 Level D
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
Previous cycle: October 2, 2024 — 3 health citations
Inspections in this cycle: October 2, 2024 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0758 Level D
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Earlier cycle: August 25, 2023 — 31 health citations
Inspections in this cycle: August 25, 2023 (standard health inspection).
F0835 Level L
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
immediate jeopardy to resident health or safety; widespread (many residents) · Administration Deficiencies
F0600 Level K
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0607 Level K
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0610 Level K
“Respond appropriately to all alleged violations.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0699 Level G
“Provide care or services that was trauma informed and/or culturally competent.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 26 less serious citations (levels A to F)
F0552 Level E
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0576 Level E
“Ensure residents have reasonable access to and privacy in their use of communication methods.”
F0584 Level E
“Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0838 Level E
“Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0868 Level E
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0924 Level E
“Put firmly secured handrails on each side of hallways.”
F0926 Level E
“Have policies on smoking.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0636 Level D
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0849 Level D
“Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.”
F0851 Level C
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (6)
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.58 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.94 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.66 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.18 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.62 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.42 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 36.0% | 50.8% | 45.3% |
| RN turnover (per year) | 40.0% | 49.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 118 nursing homes: Avir Health Group.
Legal business name: Winnie-Stowell Hospital District.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| 610 Deshong Dr Opco, LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 98 |
| Average residents per day | 31.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Avir Health Group |
| Legal business name | Winnie-Stowell Hospital District |
| First approved by Medicare/Medicaid | 1989-07-05 |
| Located inside a hospital | Yes |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 610 Deshong Dr., Paris, TX 75460 |
| County | Lamar County |
| State | Texas |
| Phone | (903) 784‑6638 |
| CMS Certification Number | 455831 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Brentwood Terrace Healthcare and Rehabilitation0.5 mi · Paris, TX · 1 of 5 stars
- Stillhouse Rehabilitation and Healthcare Center0.6 mi · Paris, TX · 2 of 5 stars
- Legend Healthcare and Rehabilitation - Paris2.2 mi · Paris, TX · 3 of 5 stars
- Heritage House at Paris Rehab & Nursing3.7 mi · Paris, TX · 2 of 5 stars
- Honey Grove Nursing Center21 mi · Honey Grove, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Paris Regional Medical Center0.4 mi · Paris, TX · Acute Care Hospital
- Choctaw Memorial Hospital23 mi · Hugo, OK · Acute Care Hospital
- TMC- Bonham Hospital36 mi · Bonham, TX · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13