nursing home in Paris, TX
Legend Healthcare and Rehabilitation - Paris
520 SE 8th St, Paris, TX 75460 · (903) 737-9820
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Legend Healthcare and Rehabilitation - Paris at a glance
Legend Healthcare and Rehabilitation - Paris is a 120-bed for-profit nursing home in Paris, Texas (Lamar County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (February 5, 2026) found 14 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $16,149.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- January 30, 2005
- Resident/family council
- Resident
- County
- Lamar County
- CMS Certification Number
- 676049
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.19 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.67 hrs | 0.43 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 1.85 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.74 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 80 | 102 | 80.6 | Average |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $16,149 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 80 | 76 | 86 | |
| Occupancy | 66.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.5% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.1% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.4% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.6% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 17.3% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.6% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.7% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.4% | 18% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 13.4% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.9% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 97.2% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 43 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 5, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected February 13, 2026 |
| February 5, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected February 13, 2026 |
| February 5, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected February 13, 2026 |
| February 5, 2026 Standard | 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. Administration Deficiencies · Tag F0838 | E Potential harm, pattern | Corrected February 13, 2026 |
| February 5, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 13, 2026 |
| February 5, 2026 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected February 13, 2026 |
| February 5, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 13, 2026 |
| February 5, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected February 13, 2026 |
| February 5, 2026 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected February 13, 2026 |
| February 5, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected February 13, 2026 |
| February 5, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 13, 2026 |
| February 5, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 13, 2026 |
| February 5, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 13, 2026 |
| February 5, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected February 13, 2026 |
| July 24, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 15, 2025 |
| November 20, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected November 20, 2024 |
| November 20, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 14, 2024 |
| November 20, 2024 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | E Potential harm, pattern | Corrected December 24, 2024 |
| November 20, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected December 24, 2024 |
| November 20, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | E Potential harm, pattern | Corrected December 24, 2024 |
| November 20, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 24, 2024 |
| November 20, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected December 24, 2024 |
| November 20, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected December 24, 2024 |
| November 20, 2024 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | D Potential harm, isolated | Corrected December 24, 2024 |
| October 12, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 20, 2023 |
| October 12, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 12, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 12, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 12, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 12, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 12, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 12, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 12, 2023 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 12, 2023 Standard | 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. Administration Deficiencies · Tag F0849 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 12, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 12, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 12, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 12, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 12, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 12, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 12, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 12, 2023 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected November 20, 2023 |
| October 12, 2023 Standard | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Tag F0712 | D Potential harm, isolated | Corrected November 20, 2023 |
| September 27, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 24, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $16,149 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 20, 2024 | Fine | $16,149 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| BURNS, STEPHEN Individual | adp of the snf | NOT APPLICABLE | 08/01/2022 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 05/01/2016 |
| LAWRENCE, RA Individual | adp of the snf | NOT APPLICABLE | 04/01/2017 |
| SHERMAN HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| STANDARD BEARER HEALTHCARE OP, LP Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| THE ENSIGN GROUP INC Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 04/01/2017 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 04/01/2017 |
| SANDERSON, CLARK Individual | corporate officer | NOT APPLICABLE | 10/29/2012 |
| BURNS, STEPHEN Individual | managing control - governing body | NOT APPLICABLE | 08/01/2022 |
| LAWRENCE, RA Individual | managing control - governing body | NOT APPLICABLE | 04/01/2017 |
| BURNS, STEPHEN Individual | operational/managerial control | NOT APPLICABLE | 08/01/2022 |
| EIFFEL HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| LAWRENCE, RA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
Other nursing homes near Legend Healthcare and Rehabilitation - Paris
Brentwood Terrace Healthcare and Rehabilitation
2885 Stillhouse Road, Paris, TX 75460 · 1.8 mi
For-profit · 119 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below averageAvir at Paris
610 Deshong Dr., Paris, TX 75460 · 2.2 mi
For-profit · 98 beds · Part of Avir Health Group
- CMS high performer
★★★★★5Much above averageStillhouse Rehabilitation and Healthcare Center
2900 Stillhouse Road, Paris, TX 75462 · 2.3 mi
Government · 150 beds · Part of The Ensign Group
★★★★★2Below averageHeritage House at Paris Rehab & Nursing
150 S.E. 47th Street, Paris, TX 75462 · 2.9 mi
For-profit · 90 beds · Part of Advanced Healthcare Solutions
★★★★★2Below averageHoney Grove Nursing Center
1303 E Main St, Honey Grove, TX 75446 · 20.9 mi
For-profit · 102 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageBirchwood Nursing and Rehabilitation
110 W Hwy 64, Cooper, TX 75432 · 21.4 mi
For-profit · 100 beds · Part of Creative Solutions in Healthcare
★★★★★4Above average
Frequently asked questions
What is Legend Healthcare and Rehabilitation - Paris's rating?
Legend Healthcare and Rehabilitation - Paris has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Legend Healthcare and Rehabilitation - Paris receive?
Its most recent standard health inspection found 14 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Legend Healthcare and Rehabilitation - Paris accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Legend Healthcare and Rehabilitation - Paris?
It is for profit - limited liability company and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Legend Healthcare and Rehabilitation - Paris and how do I contact it?
Legend Healthcare and Rehabilitation - Paris is at 520 SE 8th St, Paris, TX 75460. Phone: (903) 737-9820.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.