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HomeTexasLegend Healthcare and Rehabilitation - Paris

Legend Healthcare and Rehabilitation - Paris

520 Se 8th St, Paris, TX 754609037379820WebsiteGoogle Maps
4.7on Google(53 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
2/5
Quality
4/5
Beds
120
certified
1 fine(s) totaling $16,149

How Legend Healthcare and Rehabilitation - Paris Compares in Texas

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.

CMS overall rating
3/5
TX average
2.7/5
Above state average
Health inspection rating
3/5
TX average
2.8/5
Close to state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.19 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.67 hrs/day
TX average
0.43 hrs/day
Above state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Reported RN time is 0.67 hours per resident per day, above the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
9
deficiency citations
Inspected Nov 20, 2024
Most recent cycle
15
deficiency citations
Inspected Feb 5, 2026
The most recent cycle recorded 6 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Lamar County 65+
9,684
19.3% of county
County Population
50,149
Lamar County

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.

Beds
120
Avg Residents/Day
79.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 30, 2005
Sprinklers
Yes
Council
Resident
County
Lamar
Last Inspection
Feb 5, 2026
Deficiencies (Cycle 1)
15
Weighted Score
82.0
Infection Citations
0

Deficiency Citations (43)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0838Potential for Harm

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.

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 5, 2026Corrected: 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: Feb 5, 2026Corrected: NoCycle: 1
F0552Potential for Harm

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

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Feb 5, 2026Corrected: NoCycle: 1
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: Feb 5, 2026Corrected: NoCycle: 1
F0804Potential for Harm

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

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0926Potential for Harm

Have policies on smoking.

Survey: Feb 5, 2026Corrected: NoCycle: 1
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
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: 2
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: 2
F0638Potential for Harm

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

Survey: Nov 20, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Nov 20, 2024Corrected: NoCycle: 2
F0757Potential for Harm

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

Survey: Nov 20, 2024Corrected: NoCycle: 2
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: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 20, 2024Corrected: NoCycle: 2
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Nov 20, 2024Corrected: 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: 3
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: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 12, 2023Corrected: NoCycle: 3
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: 3
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: 3
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: 3
F0804Potential for Harm

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

Survey: Oct 12, 2023Corrected: NoCycle: 3

+ 13 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 Aide1.85 hrs
National avg: 2.32 hrs
LPN0.67 hrs
National avg: 0.86 hrs
RN0.67 hrs
National avg: 0.69 hrs
Total Nursing3.19 hrs
National avg: 3.86 hrs
Weekend Total2.74 hrs
National avg: 0.00 hrs
Physical Therapist0.10 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 - Limited Liability company
Recent Change
No

Owners & Managers (15)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2017
BURNS, STEPHENMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 1, 2022
LAWRENCE, RAMANAGING CONTROL - GOVERNING BODYIndividualN/AApr 1, 2017
BURNAM, SOONCORPORATE OFFICERIndividualN/AApr 1, 2017
KEETCH, CHADCORPORATE OFFICERIndividualN/AApr 1, 2017
SANDERSON, CLARKCORPORATE OFFICERIndividualN/AOct 29, 2012
EIFFEL HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
BURNS, STEPHENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 1, 2022
LAWRENCE, RAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2017
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/AMay 1, 2016
SHERMAN HEALTH HOLDINGS LLCADP OF THE SNFOrganizationN/AJan 1, 2022
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationN/AJan 1, 2022
THE ENSIGN GROUP INCADP OF THE SNFOrganizationN/AJan 1, 2022
BURNS, STEPHENADP OF THE SNFIndividualN/AAug 1, 2022
LAWRENCE, RAADP OF THE SNFIndividualN/AApr 1, 2017

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Legend Healthcare and Rehabilitation - Paris and nearby alternatives.

All Texas facilities
Legend Healthcare and Rehabilitation - Paris
Paris, TXCurrent facility
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $16,149
Brentwood Terrace Healthcare and Rehabilitation
Paris, TX1.8 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $234,447
Avir at Paris
Paris, TX2.2 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: $136,756
Stillhouse Rehabilitation and Healthcare Center
Paris, TX2.3 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $8,162
Heritage House at Paris Rehab & Nursing
Paris, TX2.9 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $15,935
Honey Grove Nursing Center
Honey Grove, TX20.9 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $213,797
Birchwood Nursing and Rehabilitation
Cooper, TX21.4 mi
CMS
4/5
Health
5/5
Staffing
1/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Legend Healthcare and Rehabilitation - Paris
Paris, TX · Current facility
—3/53/52/5$16,149
Brentwood Terrace Healthcare and Rehabilitation
Paris, TX
1.8 mi1/51/52/5$234,447
Avir at Paris
Paris, TX
2.2 mi5/54/54/5$136,756
Stillhouse Rehabilitation and Healthcare Center
Paris, TX
2.3 mi3/53/52/5$8,162
Heritage House at Paris Rehab & Nursing
Paris, TX
2.9 mi2/52/53/5$15,935
Honey Grove Nursing Center
Honey Grove, TX
20.9 mi1/52/51/5$213,797
Birchwood Nursing and Rehabilitation
Cooper, TX
21.4 mi4/55/51/5None recorded

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.

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 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated average.
How much does Legend Healthcare and Rehabilitation - Paris cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Legend Healthcare and Rehabilitation - Paris participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Legend Healthcare and Rehabilitation - Paris had any health inspection violations?▾
Legend Healthcare and Rehabilitation - Paris had 15 deficiency citations in its most recent health inspection (Feb 5, 2026). The current CMS dataset records 1 fine(s) totaling $16,149.
What are the staffing levels at Legend Healthcare and Rehabilitation - Paris?▾
Legend Healthcare and Rehabilitation - Paris provides 3.19 total nursing staff hours per resident per day, including 0.67 RN hours, 0.67 LPN hours, and 1.85 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 79.9 residents per day, resulting in approximately 67% occupancy. The facility is For profit - Limited Liability company owned and is part of the The Ensign Group chain.
Are there other nursing homes near Legend Healthcare and Rehabilitation - Paris?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 4 in Paris. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Legend Healthcare and Rehabilitation - Paris?▾
On Google Maps, Legend Healthcare and Rehabilitation - Paris has a rating of 4.7 out of 5 based on 53 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →