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Nursing homeFAID #14457

Legend Healthcare and Rehabilitation - Paris

520 SE 8TH ST, PARIS, TX, 75460

(903) 737-9820

120 licensed beds

CMS rates Legend Healthcare and Rehabilitation - Paris 3 out of 5 overall. Federal inspectors issued 43 citations across 8 inspections in the last three years, with $16,149 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of LEGEND HEALTHCARE AND REHABILITATION - PARIS

Photo via Google · Legend Healthcare and Rehabilitation - Paris

Address

520 Se 8th St

Paris, TX 75460

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Public record summary

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Bed capacity

120

CMS facility ID

676049

Care type

Nursing home

County

Lamar

Facility name

Legend Healthcare and Rehabilitation - Paris

Street address

520 SE 8TH ST

City / state / ZIP

Paris, TX 75460

Phone

(903) 737-9820

Website

ensignservices.net

About this facility — Legend Healthcare and Rehabilitation - Paris

Legend Healthcare and Rehabilitation - Paris is a Medicare/Medicaid-certified skilled nursing facility in Paris, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 15 senior care facilities in Paris and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited Legend Healthcare and Rehabilitation - Paris 43 times across 8 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $16,149 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Fannin County Hospital Authority

Direct owner — 100% stake — since 2017

Burnam, Soon

Officer — since 2017

Burns, Stephen

Governing body · Operational control · Additional disclosable party — since 2022

Eiffel Healthcare Llc

Operational control — since 2017

Ensign Services Inc

Additional disclosable party — since 2016

Keetch, Chad

Officer — since 2017

Lawrence, Ra

Governing body · Operational control · Additional disclosable party — since 2017

Sanderson, Clark

Officer — since 2012

Sherman Health Holdings Llc

Additional disclosable party — since 2022

Standard Bearer Healthcare Op, Lp

Additional disclosable party — since 2022

The Ensign Group Inc

Additional disclosable party — since 2022

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2005-01-30

CMS overall rating

3 of 5 stars

Health deficiencies

14 at the last standard inspection

Federal fines

$16,149 total

Last standard inspection

2026-02-05

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$413 per day (≈ $12,560/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

64% Medicaid · 15% Medicare · 21% private/other

Occupancy

59% (fiscal year 2023)

Vs. state median

49% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily 9:00 AM – 5:00 PM

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-02-05Health inspectionComplaint-triggered14 citations

F-0550

D · No harm found

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

Corrected 2026-02-13

F-0552

D · No harm found

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

Corrected 2026-02-13

F-0580

E · No harm found

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

Corrected 2026-02-13

F-0689

D · No harm found

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

Corrected 2026-02-13

F-0755

D · No harm found

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

Corrected 2026-02-13

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-02-13

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2026-02-13

F-0761

D · No harm found

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.

Corrected 2026-02-13

F-0804

D · No harm foundFood safety

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

Corrected 2026-02-13

F-0812

E · No harm foundFood safety

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

Corrected 2026-02-13

F-0838

E · No harm found

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.

Corrected 2026-02-13

F-0842

E · No harm foundFrom a complaint

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

Corrected 2026-02-13

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-02-13

F-0926

D · No harm found

Have policies on smoking.

Corrected 2026-02-13

2025-07-24Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

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

Corrected 2025-08-15

3 earlier / fire-safety inspections (28 citations)

2024-11-20Health inspection8 citations

F-0636

E · No harm found

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

Corrected 2024-12-24

F-0638

E · No harm found

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

Corrected 2024-12-24

F-0677

E · No harm found

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

Corrected 2024-12-24

F-0689

J · Immediate jeopardy

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

Corrected 2024-11-14

F-0757

D · No harm found

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

Corrected 2024-12-24

F-0758

D · No harm found

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.

Corrected 2024-12-24

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-12-24

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2024-12-24

2023-10-12Health inspection19 citations

F-0550

D · No harm found

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

Corrected 2023-11-20

F-0561

D · No harm found

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

Corrected 2023-11-20

F-0578

E · No harm found

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.

Corrected 2023-11-20

F-0584

D · No harm found

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.

Corrected 2023-11-20

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2023-11-20

F-0656

D · No harm found

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

Corrected 2023-11-20

F-0657

D · No harm found

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

Corrected 2023-11-20

F-0677

D · No harm found

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

Corrected 2023-11-20

F-0690

E · No harm found

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

Corrected 2023-11-20

F-0695

D · No harm found

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

Corrected 2023-11-20

F-0712

D · No harm found

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

Corrected 2023-11-20

F-0755

E · No harm found

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

Corrected 2023-11-20

F-0761

E · No harm found

Corrected 2023-11-20

F-0804

E · No harm foundFood safety

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

Corrected 2023-11-20

F-0812

F · No harm foundFood safety

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

Corrected 2023-11-20

F-0849

E · No harm found

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.

Corrected 2023-11-20

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-11-20

F-0881

E · No harm found

Implement a program that monitors antibiotic use.

Corrected 2023-11-20

F-0926

D · No harm found

Have policies on smoking.

Corrected 2023-11-20

2024-11-20Fire-safety inspection1 citation

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-11-20

Federal penalties

2024-11-20Fine$16,149

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676049.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 70% of nursing homes in the state

State median: 33

Federal fines, 3 years

$16,149

More than 51% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.3

Higher than 47% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

22%

Among the lowest of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	16.4%	15.8%	13.5%	Near state average
Lose too much weight	2.1%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	1.3%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.8%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	14.8%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	20.6%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	1.1%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	10.3%	12.5%	18.3%	Better than state
Received an antipsychotic medication	10.3%	9.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	1.80	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.75	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	2.3%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	23.5%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	11.6%	12.2%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 3 inspections. Provide and implement an infection prevention and control program.
F-0550 2 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0761 2 inspections. 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.
F-0804 2 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

What its owners also hold

Fannin County Hospital Authority has an ownership stake on file at 54 nursing homes, averaging 2.8 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Paris Regional Medical Center, about 2.0 miles. CMS rating 1 of 5.
Choctaw Memorial Hospital, about 25 miles. CMS rating 1 of 5.
Christus Mother Frances Hospital Sulphur Springs, about 35 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Brentwood Terrace Healthcare and Rehabilitation, Paris, about 1.8 miles. CMS rating 1 of 5.
Avir At Paris, Paris, about 2.2 miles. CMS rating 5 of 5.
Stillhouse Rehabilitation and Healthcare Center, Paris, about 2.3 miles. CMS rating 2 of 5.
Heritage House At Paris Rehab & Nursing, Paris, about 2.9 miles. CMS rating 2 of 5.
Honey Grove Nursing Center, Honey Grove, about 21 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

4.756 ratings on Google

★★★★★Jennifer Walker · 2026-03-17 · via Google
“Beautiful facility with the most friendly and loving staff members. Everyone is warm and inviting a truly welcoming place to have your loved ones. Clean and open environment with wonderful food options and great nursing and therapy. Excellent place, highly recommend!!!”

★★★★★Ashley Jordan · 2026-02-13 · via Google
“Legend Healthcare is hands down the best place for your loved one to come for skilled or long term care. My grandmother, great-grandmother and a close family friend all received excellent and compassionate care at Legend Healthcare!”

★★★★★Nikki Handly · 2024-04-01 · via Google
“Legend rehabilitation is THE ABSOLUTE BEST!!! HANDS DOWN!!! The staff is AMAZING!! They are all So Compassionate and work Very Well together as a team!! Everyone there genuinely cares for the residents and makes sure they are well taken care of and comfortable!! We toured quite a few places in the Paris area before choosing Legend and knew right away that this was the perfect place for my Dad!! He…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 43 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered