Nursing home
Legend Healthcare and Rehabilitation - Paris
520 Se 8Th St, Paris, TX 75460 · Map
For profit - Corporation · Part of The Ensign Group (329 facilities) · 120 certified beds
Legend Healthcare and Rehabilitation - Paris is a Medicare-certified nursing home in Paris, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.20 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Nov 20, 2024 cited 9 deficiencies.
- 1 fine totaling $16,149In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Legend Healthcare and Rehabilitation - Paris compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.20 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.50 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.71 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 9.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 5, 2026 inspection was corrected by February 13, 2026
Penalties in CMS records: 1 fine totaling $16,149, 1 total penalty.
What inspectors found at Legend Healthcare and Rehabilitation - Paris
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Feb 5, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
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 · Feb 5, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Feb 5, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
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 · Feb 5, 2026 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
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 · Feb 5, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 5, 2026 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 520 Se 8Th St
Paris, TX 75460 - CMS certification #
- 676049
- Ownership
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 73.3
- Provider type
- Medicare and Medicaid
- First certified
- 2005-01-30
- Chain
- The Ensign Group (329 facilities)
- Setting
- Rural
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Legend Healthcare and Rehabilitation - Paris using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Staff pay 1 federal wage case with violations found, since 2017
Full public records, with dates and sources
Care and services
From the community’s website
What Legend Healthcare and Rehabilitation - Paris says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round the clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Sep 6, 2017 to Sep 5, 2019. Violations found: Overtime. Back wages: $32 owed to 1 employee. Employer as DOL recorded it: Legend Healthcare & Rehabilitation - Paris (Eiffel Healthcare, Inc.). Case 1889508.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Paris Regional Medical Center, Paris. 2.0 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Brentwood Terrace Healthcare and Rehabilitation, Paris. 1.8 miles away, straight line.
- Nearest home health agency office
- Golden Care Home Health, LLC, Paris. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire's Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75460 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Rcg Paris, Paris, 3.3 miles away, straight line (CMS rating 4 of 5 stars)
Fkc Lamar County Dialysis, Paris, 3.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 14 Medicare hospices tell CMS they serve ZIP code 75460.
Platinum Palliative & Hospice Care Inc, office in Paris, 1.3 miles away, straight line
Waterford Hospice LLC, office in Paris, 1.4 miles away, straight line
On Call Hospice, office in Paris, 3.3 miles away, straight line - Nearest geriatric medicine practice
- Century Integrated Partners, Inc, Mckinney. 72.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado very high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Legend Healthcare and Rehabilitation - Paris a good nursing home?
CMS gives Legend Healthcare and Rehabilitation - Paris an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Legend Healthcare and Rehabilitation - Paris staffed?
Legend Healthcare and Rehabilitation - Paris reports 3.20 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Legend Healthcare and Rehabilitation - Paris had inspection problems?
Its most recent CMS inspection cited 9 deficiencies.
How many beds does Legend Healthcare and Rehabilitation - Paris have?
Legend Healthcare and Rehabilitation - Paris is certified for 120 beds.