Nursing HomeInspections

Legend Healthcare and Rehabilitation - Paris

Nursing home in Paris, TX

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
520 Se 8th St, Paris, TX 75460
Phone
(903) 737-9820
Listed under
For-profit
Medicare CCN
676049
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
79
Ownership
For-profit, limited Liability company
Legal business name
Fannin County Hospital Authority
Chain
The Ensign Group (347 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 30, 2005
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676049. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Feb 5, 2026. CMS lists 42 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 12, 2023 to Feb 5, 2026): 2 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Feb 5, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 5, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
Feb 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Feb 5, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 5, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Feb 5, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Feb 5, 2026Have policies on smoking.
Environmental		D
Potential for more than minimal harm, isolated
Feb 5, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		E
Potential for more than minimal harm, pattern
Feb 5, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Feb 5, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Feb 5, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Feb 5, 2026Conduct 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…
Administration		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 42. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $16,149 in the last three years.

Nov 20, 2024Fine: $16,149

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.28 hours
Registered nurse (RN) time per resident per day
0.57 hours
Nurse aide time per resident per day
1.89 hours
Total nurse staffing on weekends
2.83 hours
Nursing staff turnover (yearly)
22%
RN turnover (yearly)
14%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Paris

Avir at Paris610 Deshong Dr. · Paris, TX 75460 · (903) 784-6638 · For-profit38 health citations in 3 inspection cycles · last standard inspection Dec 4, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
Heritage House at Paris Rehab & Nursing150 47th St. SE · Paris, TX 75462 · (903) 784-3100 · For-profit46 health citations in 3 inspection cycles · last standard inspection Feb 4, 2026 · $10,358 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Stillhouse Rehabilitation and Healthcare Center2900 Stillhouse Road · Paris, TX 75462 · (903) 785-1601 · Government-owned47 health citations in 3 inspection cycles · last standard inspection Jul 17, 2026 · $8,162 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)
Brentwood Terrace Healthcare and Rehabilitation2885 Stillhouse Road · Paris, TX 75460 · (903) 784-4111 · For-profit39 health citations in 3 inspection cycles · last standard inspection Jul 29, 2026 · $234,447 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 5 in Paris →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error