Stillhouse Rehabilitation And Healthcare Center
2900 STILLHOUSE ROAD, Paris, TX, 75462
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: The Ensign Group
- Certified beds
- 150 · avg 88 residents/day
- Total nursing staff turnover
- 39.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 16.7% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,162 total
State licensing & capacity
- License number
- 147761
- Service type
- Medicare/medicaid
- Licensed capacity
- 150 beds
- Bed type breakdown
- 41 Medicare-only · 109 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- September 19, 1975
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Grassland Healthcare And Rehabilitation, Inc
- Administrator
- Austin Chapman
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (12 on record)
- Grassland Healthcare And Rehabilitation Inc
Adp of The Snf · since 2025
- Stephen j Burns
Managing Control - Governing Body · since 2022
- Michael w. Reese
Operational/managerial Control · since 2019
- Caretrust gp Llc
Adp of The Snf · since 2017
- Caretrust Reit Inc
Adp of The Snf · since 2017
- Clark r Sanderson
Corporate Officer · since 2017
+ 6 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 45)
- D0842·May 22, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0926·May 22, 2025
Environmental Deficiencies
Have policies on smoking.
- E0880·May 22, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0868·May 22, 2025
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- E0812·May 22, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0808·May 22, 2025
Nutrition and Dietary Deficiencies
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.
- D0806·May 22, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E0770·May 22, 2025
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Federal penalties
By year
- 20241 fine · $8,162
Most recent events
- Mar 7, 2024Fine · $8,162
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Mar 27, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Stillhouse Rehabilitation And Healthcare Center is a 150-bed Medicare/Medicaid nursing home in Paris, Texas, operating under a hospital district license and managed by Grassland Healthcare And Rehabilitation, Inc. CMS rates it 3 stars overall, with a 2-star staffing rating and a 4-star quality-measures rating for long-stay residents. The facility is running at roughly 59% of licensed capacity — about 88 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 190 minutes of nursing care per day — roughly 51 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker or less mobile on average — so those same 190 minutes stretch thinner than the raw number suggests.
About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff, meaning turnover is better than roughly three-quarters of nursing homes in the state. RN turnover is exceptionally low at roughly 2 in 10, also better than about three-quarters of Texas facilities. Stable nursing teams tend to mean residents see familiar faces and staff know individual routines.
One administrator has turned over in the past year. That sits above the baseline for this facility type and is worth asking about when you visit.
The facility has had one CMS fine totaling $8,162. That is below the Texas median of $20,699 for facilities that receive any fine at all.
The facility is operating at roughly 59% of its 150 licensed beds — about 88 residents on an average day. Paired with a 2-star staffing rating and an elevated administrator turnover flag, lower occupancy can signal that a facility is working through operational challenges.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for administrator change
One administrator has left in the past year — ask who is currently in that role and how long they have been in place.
Staffing levels on weekends
CMS data shows weekend nursing hours at 2.62 per resident per day, below the already-low weekday average — ask how staffing is assigned on Saturdays and Sundays.
Why occupancy is below 60%
Only about 88 of 150 beds are occupied on an average day — ask whether that reflects a planned reduction, a referral slowdown, or something else.
How care plans are reviewed
Long-stay quality measures rate 4 stars, but staffing rates 2 — ask how often care plans are formally reviewed and who leads that process.
Management company's role day to day
The facility is licensed to a hospital district but managed by Grassland Healthcare And Rehabilitation, Inc. — ask which entity makes staffing and care decisions on a daily basis.
Family Council availability
CMS records show a Resident Council but no Family Council — ask whether families have a formal way to raise concerns as a group.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.