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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasLegend Healthcare and Rehabilitation - Paris

Legend Healthcare and Rehabilitation - Paris

520 Se 8th St, Paris, TX 754609037379820
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
1/5
Quality
3/5
Beds
120
certified
1 fine(s) totaling $16,149

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 120 certified beds with an average of 73.3 residents per day (61% occupancy)

• Last health inspection found 9 deficiencies (inspected Nov 20, 2024)

• Has been fined a total of $16,149 across 1 fine(s)

• Total nursing staff: 3.20 hours per resident per day

• Part of the The Ensign Group chain (324 facilities)

Legend Healthcare and Rehabilitation - Paris is a 2-star Medicare and Medicaid certified nursing home in Paris, Texas with 120 certified beds. It has been operating since 2005. The facility scored below average compared to Texas facilities.

Beds
120
Avg Residents/Day
73.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 30, 2005
Sprinklers
Yes
Council
Resident
County
Lamar
Last Inspection
Nov 20, 2024
Deficiencies (Cycle 1)
9
Weighted Score
79.0
Infection Citations
0

Deficiency Citations (34)

F0842Potential for Harm

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

Survey: Jul 24, 2025Corrected: NoCycle: 1
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Nov 20, 2024Corrected: NoCycle: 1
F0638Potential for Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey: Nov 20, 2024Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Nov 20, 2024Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Nov 20, 2024Corrected: NoCycle: 1
F0757Potential for Harm

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

Survey: Nov 20, 2024Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Nov 20, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 20, 2024Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Nov 20, 2024Corrected: NoCycle: 1
F0550Potential for Harm

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

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0690Potential for Harm

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

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0712Potential for Harm

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0804Potential for Harm

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

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0849Potential for Harm

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.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0926Potential for Harm

Have policies on smoking.

Survey: Oct 12, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 27, 2023Corrected: NoCycle: 3
F0677Potential for Harm

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

Survey: Aug 17, 2022Corrected: NoCycle: 3

+ 4 more deficiencies

Total Fines
$16,149
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineNov 20, 2024
$16,149

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.71 hrs
National avg: 2.35 hrs
LPN0.99 hrs
National avg: 0.86 hrs
RN0.50 hrs
National avg: 0.68 hrs
Total Nursing3.20 hrs
National avg: 3.89 hrs
Weekend Total2.74 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2012
EIFFEL HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 22, 2021
BURNAM, SOONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2016
LAWRENCE, RAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2017
SANDERSON, CLARKCORPORATE OFFICERIndividualN/AOct 29, 2012

Nearby Nursing Homes

All Texas facilities

Brentwood Terrace Healthcare and Rehabilitation

Paris, TX · 119 beds

For profit$234,447 in finesAbuse
Health
Staffing
Quality
1.8 mi

Paris Healthcare Center

Paris, TX · 98 beds

For profit$164,407 in fines
Health
Staffing
Quality
2.2 mi

Stillhouse Rehabilitation and Healthcare Center

Paris, TX · 150 beds

Government$8,162 in fines
Health
Staffing
Quality
2.3 mi

Heritage House at Paris Rehab & Nursing

Paris, TX · 90 beds

For profit
Health
Staffing
Quality
2.9 mi

Frequently Asked Questions

What is the CMS rating for Legend Healthcare and Rehabilitation - Paris?▾
Legend Healthcare and Rehabilitation - Paris has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
Has Legend Healthcare and Rehabilitation - Paris had any health inspection violations?▾
Legend Healthcare and Rehabilitation - Paris had 9 deficiency citations in its most recent health inspection (Nov 20, 2024). The facility has been fined a total of $16,149 across 1 fine(s).
What are the staffing levels at Legend Healthcare and Rehabilitation - Paris?▾
Legend Healthcare and Rehabilitation - Paris provides 3.20 total nursing staff hours per resident per day, including 0.50 RN hours, 0.99 LPN hours, and 1.71 nurse aide hours.
How many beds does Legend Healthcare and Rehabilitation - Paris have?▾
Legend Healthcare and Rehabilitation - Paris has 120 certified beds with an average of 73.3 residents per day, resulting in approximately 61% occupancy. The facility is For profit - Corporation owned and is part of the The Ensign Group chain.
Are there other nursing homes near Legend Healthcare and Rehabilitation - Paris?▾
Yes, there are 4 other nursing homes in Paris, Texas with an average rating of 2.4/5. You can compare all facilities on the Paris nursing homes page.

Part of The Ensign Group

This chain operates 324 facilities. View all →