CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Legend Healthcare and Rehabilitation - Paris is a 3-star Medicare and Medicaid certified nursing home in Paris, Texas with 120 certified beds. It has been operating since 2005. Its overall CMS rating is 3 out of 5.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Assure that each resident’s assessment is updated at least once every 3 months.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
+ 13 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2017 |
| BURNS, STEPHEN | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Aug 1, 2022 |
| LAWRENCE, RA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Apr 1, 2017 |
| BURNAM, SOON | CORPORATE OFFICER | Individual | N/A | Apr 1, 2017 |
| KEETCH, CHAD | CORPORATE OFFICER | Individual | N/A | Apr 1, 2017 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | N/A | Oct 29, 2012 |
| EIFFEL HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2017 |
| BURNS, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Aug 1, 2022 |
| LAWRENCE, RA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2017 |
| ENSIGN SERVICES INC | ADP OF THE SNF | Organization | N/A | May 1, 2016 |
| SHERMAN HEALTH HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | Jan 1, 2022 |
| STANDARD BEARER HEALTHCARE OP, LP | ADP OF THE SNF | Organization | N/A | Jan 1, 2022 |
| THE ENSIGN GROUP INC | ADP OF THE SNF | Organization | N/A | Jan 1, 2022 |
| BURNS, STEPHEN | ADP OF THE SNF | Individual | N/A | Aug 1, 2022 |
| LAWRENCE, RA | ADP OF THE SNF | Individual | N/A | Apr 1, 2017 |
Compare CMS ratings and recorded fines for Legend Healthcare and Rehabilitation - Paris and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 346 facilities. View all →