All states › Texas › Paris › Legend Healthcare and Rehabilitation - Paris
520 SE 8th St Paris, TX 75460 · Lamar County
All 5 nursing homes in Paris, TX (5 take Medicaid)
CMS certification number 676049 · See this home on Medicare Care Compare
Is Legend Healthcare and Rehabilitation - Paris a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Legend Healthcare and Rehabilitation - Paris as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.28 hours per resident per day at Legend Healthcare and Rehabilitation - Paris, about the same as the Texas median of 3.30 (US median: 3.72). About 0.57 of those hours are from registered nurses. On weekends it falls to 2.83 hours, 14% below its all-week average. 22.4% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Legend Healthcare and Rehabilitation - Paris: Medicare and Medicaid
Legend Healthcare and Rehabilitation - Paris is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 5, 2026 and found 13 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 42 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 42 citations at Legend Healthcare and Rehabilitation - Paris across 4 inspection dates, 2 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 20, 2024. The most common areas cited were pharmacy service (8) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, November 20, 2024).
February 5, 2026 · 14 citations · includes complaint inspection
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
EEnsure medication error rates are not 5 percent or greater.
EEnsure that residents are free from significant medication errors.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EConduct 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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DHave policies on smoking.
July 24, 2025 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 20, 2024 · 8 citations, includes immediate jeopardy
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
EAssure that each resident’s assessment is updated at least once every 3 months.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DImplement 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.
DProvide and implement an infection prevention and control program.
DImplement a program that monitors antibiotic use.
October 12, 2023 · 19 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor 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.
EEnsure each resident receives an accurate assessment.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
EProvide and implement an infection prevention and control program.
EImplement a program that monitors antibiotic use.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
DHave policies on smoking.
Questions to ask on a tour of Legend Healthcare and Rehabilitation - Paris
- Inspectors cited the home at the immediate-jeopardy level on November 20, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $16,149 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 20, 2024 | Fine | $16,149 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 4/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 2/5 | 4/5 |
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Location
Hospitals near Legend Healthcare and Rehabilitation - Paris
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.2 mi
Paris Regional Medical Center ParisEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 4m for patients treated and sent home
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24.7 mi
Choctaw Memorial Hospital HugoEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 24m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
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- Beacon Harbor Healthcare and Rehabilitation · Rockwall · 5 stars
- Crestwood Health and Rehabilitation Center · Wills Point · 5 stars
- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.