Legend Healthcare and Rehabilitation - Paris
Nursing Home · Paris, TX
CMS certification number676049
Contact & location
520 SE 8TH STParis, TX 75460
Lamar County
- Phone
- (903) 737-9820
- ZIP code
- 75460 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 79.9 (67% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Fannin County Hospital Authority
- Chain
- The Ensign Group (342 facilities, avg 3.2★)
- Medicare certified since
- January 30, 2005
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.19 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.67 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.67 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.85 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.74 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- February 5, 2026
- Health deficiencies (last cycle)
- 14.0 (state 9.3 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 43 health · 1 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-02-05 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | 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. F0838 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2026-02-05 | Have policies on smoking. F0926 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-13 |
| 2025-07-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-15 |
| 2024-11-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2024-11-14 |
| 2024-11-20 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-11-20 | Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-11-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-11-20 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-11-20 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-11-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2024-11-20 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-24 |
| 2023-10-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | 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. F0849 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-10-12 | Have policies on smoking. F0926 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-20 |
| 2023-09-27 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-24 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $16,149 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-20 | Fine | $16,149 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Fannin County Hospital Authority (organization) | 5%+ Direct Ownership Interest · 100% | |
| Burns, Stephen (individual) | Administrator · NOT APPLICABLE | |
| Ensign Services INC (organization) | Administrator · NOT APPLICABLE | |
| Lawrence, Ra (individual) | Administrator · NOT APPLICABLE | |
| Sherman Health Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Standard Bearer Healthcare Op, LP (organization) | Administrator · NOT APPLICABLE | |
| The Ensign Group INC (organization) | Administrator · NOT APPLICABLE | |
| Burnam, Soon (individual) | Corporate Officer · NOT APPLICABLE | |
| Keetch, Chad (individual) | Corporate Officer · NOT APPLICABLE | |
| Sanderson, Clark (individual) | Corporate Officer · NOT APPLICABLE | |
| Burns, Stephen (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Lawrence, Ra (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Burns, Stephen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Eiffel Healthcare LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Lawrence, Ra (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Legend Healthcare and Rehabilitation - Paris?
Legend Healthcare and Rehabilitation - Paris has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Legend Healthcare and Rehabilitation - Paris have?
It has 120 certified beds and cares for about 80 residents per day.
Has Legend Healthcare and Rehabilitation - Paris been fined?
Yes. CMS lists 1 penalty totaling $16,149 in the last three years.
Who owns Legend Healthcare and Rehabilitation - Paris?
It is part of The Ensign Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Legend Healthcare and Rehabilitation - Paris?
(903) 737-9820. The facility is located at 520 SE 8TH ST, Paris, TX 75460.
Other nursing homes in Paris
-
Avir at Paris
Nursing Home · Paris, TX · 98 beds
★★★★★ -
Heritage House at Paris Rehab & Nursing
Nursing Home · Paris, TX · 90 beds
★★ -
Stillhouse Rehabilitation and Healthcare Center
Nursing Home · Paris, TX · 150 beds
★★ -
Brentwood Terrace Healthcare and Rehabilitation
Nursing Home · Paris, TX · 119 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.