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Nursing homeFAID #14565

Stillhouse Rehabilitation and Healthcare Center

2900 STILLHOUSE ROAD, PARIS, TX, 75462

(903) 785-1601

150 licensed beds

CMS rates Stillhouse Rehabilitation and Healthcare Center 2 out of 5 overall. Federal inspectors issued 48 citations across 9 inspections in the last three years, with $8,162 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of STILLHOUSE REHABILITATION AND HEALTHCARE CENTER

Photo via Google · Stillhouse Rehabilitation and Healthcare Center

Address

2900 Stillhouse Road

Paris, TX 75462

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Public record summary

What we can show you for free.

Bed capacity

150

CMS facility ID

676190

Care type

Nursing home

County

Lamar

Facility name

Stillhouse Rehabilitation and Healthcare Center

Street address

2900 STILLHOUSE ROAD

City / state / ZIP

Paris, TX 75462

Phone

(903) 785-1601

Website

ensignservices.net

About this facility — Stillhouse Rehabilitation and Healthcare Center

Stillhouse Rehabilitation and Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Paris, Texas. It is licensed for 150 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 15 senior care facilities in Paris and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited Stillhouse Rehabilitation and Healthcare Center 48 times across 9 inspections in the last three years, including 8 food-safety citations, and CMS has imposed $8,162 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

Government - Hospital district

Registered owners & officers

Fannin County Hospital Authority

Direct owner — 100% stake — since 2017

Burnam, Soon

Officer — since 2017

Burns, Stephen

Governing body · Operational control · Additional disclosable party — since 2022

Caretrust Gp Llc

Additional disclosable party — since 2017

Caretrust Reit Inc

Additional disclosable party — since 2017

Ctr Partnership Lp

Additional disclosable party — since 2017

Ensign Services Inc

Additional disclosable party — since 2012

Grassland Healthcare and Rehabilitation Inc

Operational control · Additional disclosable party — since 2017

Keetch, Chad

Officer — since 2011

Reese, Michael

Governing body · Operational control · Additional disclosable party — since 2019

Sanderson, Clark

Officer — since 2017

Stillhouse Health Holdings Llc

Additional disclosable party — since 2017

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2008-07-21

CMS overall rating

2 of 5 stars

Health deficiencies

16 at the last standard inspection

Federal fines

$8,162 total

Last standard inspection

2026-07-17

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$371 per day (≈ $11,280/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

59% Medicaid · 23% Medicare · 19% private/other

Occupancy

57% (fiscal year 2023)

Vs. state median

34% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

150

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-17Health inspection15 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-08-31

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2026-08-31

F-0553

E · No harm found

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2026-08-31

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2026-08-31

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-08-31

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-08-31

F-0693

D · No harm found

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2026-08-31

F-0761

E · No harm found

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.

Corrected 2026-08-31

F-0770

D · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2026-08-31

F-0803

E · No harm foundFood safety

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2026-08-31

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-08-31

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2026-08-31

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-08-31

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-08-31

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-08-31

2026-06-07Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-07-15

4 earlier / fire-safety inspections (32 citations)

2025-05-22Health inspectionComplaint-triggered19 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-06-30

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-06-30

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-06-30

F-0584

D · No harm found

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.

Corrected 2025-06-30

F-0607

D · No harm found

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-06-30

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-06-30

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-06-30

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-30

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-06-30

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-30

F-0761

D · No harm found

Corrected 2025-06-30

F-0770

E · No harm found

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-06-30

F-0806

D · No harm foundFood safety

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-06-30

F-0808

D · No harm foundFood safety

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2025-06-30

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-30

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-06-30

F-0868

E · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-06-30

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-06-30

F-0926

D · No harm found

Have policies on smoking.

Corrected 2025-06-30

2024-03-27Health inspection11 citations

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-20

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-20

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-20

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-04-20

F-0700

D · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-04-20

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-04-20

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-04-20

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-04-20

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-04-20

F-0805

D · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-04-20

F-0851

F · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-04-20

2024-03-07Health inspectionComplaint-triggered1 citation

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-08-16

2024-03-27Fire-safety inspection1 citation

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-04-17

Federal penalties

2024-03-07Fine$8,162

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676190.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 77% of nursing homes in the state

State median: 33

Federal fines, 3 years

$8,162

More than 35% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.3

Higher than 52% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

31%

Higher than 7% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 11 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	2.8%	15.8%	13.5%	Better than state
Lose too much weight	0.8%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	4.3%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.1%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	6.9%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	18.7%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	4.0%	3.7%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	14.5%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	10.6%	9.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	2.17	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	1.64	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.9%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	99.4%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	24.5%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	12.9%	12.2%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0552 2 inspections. Ensure that residents are fully informed and understand their health status, care and treatments.
F-0583 2 inspections. Keep residents' personal and medical records private and confidential.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0761 2 inspections. 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.

What its owners also hold

Fannin County Hospital Authority has an ownership stake on file at 54 nursing homes, averaging 2.8 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Paris Regional Medical Center, about 0.3 miles. CMS rating 1 of 5.
Choctaw Memorial Hospital, about 22 miles. CMS rating 1 of 5.
Tmc- Bonham Hospital, about 37 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Avir At Paris, Paris, about 0.6 miles. CMS rating 5 of 5.
Brentwood Terrace Healthcare and Rehabilitation, Paris, about 0.6 miles. CMS rating 1 of 5.
Legend Healthcare and Rehabilitation - Paris, Paris, about 2.3 miles. CMS rating 3 of 5.
Heritage House At Paris Rehab & Nursing, Paris, about 3.3 miles. CMS rating 2 of 5.
Homestead of Hugo, Hugo, about 21 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

4.532 ratings on Google

★Barbara Guth · 2026-06-25 · via Google
“This is the worst facility I have ever dealt with. My father was admitted on February 17 and since then he has had four bad falls. This last fall he ended up with a broken hip and a brain bleed. They were aware my dad fell on the 18th and they did not do anything about it until the 19th when they finally xrayed his hip and discovered it was fractured. Only then did they decide to call for an ambu…”

★Jamie Subuh · 2026-06-25 · via Google
“My dad has been at this facility for 4 months and has fallen 4 times. The fall last week resulted in a fractured hip requiring rod placement for stabilization in Plano. Staff did not get him help for over 24 hours after he repeatedly complained of severe pain. He was admitted to this facility because he is a fall risk and we trusted them to keep him safe, they did not. They're even interfering wi…”

★★★★★Jennifer Mann · 2026-02-18 · via Google
“Absolutely love the team of people in this facility! Excellent care, attention to detail and love for the residents that live here! They absolutely go above and beyond to dignify care in the eyes of the world!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 48 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered