CCN 676294 · Lamar County, Texas
Heritage House at Paris Rehab & Nursing
150 S.E. 47Th Street, Paris, TX 75462
Heritage House at Paris Rehab & Nursing is a 90-bed for-profit nursing home in Paris, Texas, first certified for Medicare or Medicaid in 2011. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 80.4 residents a day, about 89% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $6.7 million in January 2018 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 90
- Average residents per day
- 80.4 (89.3% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Hamilton County Hospital District
- Certified since
- Oct 28, 2011
- Chain or affiliated group
- Advanced Healthcare Solutions (28 facilities, chain average 2.9 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.40 | 3.27 | 3.68 |
| RN hours per resident per day | 0.49 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.82 | ||
| Nursing staff turnover | 46.3% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 89.3% | 68.6% | 85.7% |
| Fines reported by CMS | 1 totaling $10,358 | ||
| Health deficiencies, latest standard survey | 12 (Feb 4, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Heritage House at Paris Rehab & Nursing meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Paris Hc LLCOrganization | Operational / Managerial Control | n/a | 02/29/2024 |
| Scheiner, EliezerIndividual | Operational / Managerial Control | n/a | 02/29/2024 |
| Silberstein, AriIndividual | Operational / Managerial Control | n/a | 02/29/2024 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Mar 1, 2024 | Hamilton County Hospital District | Paris SNF LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jan 31, 2018 | 223(f) refinance or purchaseHUD project name: TLManagement - Heritage House Paris HRC, 90 beds. Lender at endorsement: Greystone Funding Company LLC | $6,680,000 | Ended May 29, 2026Prepayment | 11322237 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.