Legend Healthcare and Rehabilitation - Paris
520 SE 8th St, Paris, TX 75460 · (903) 737-9820
For profit - Limited Liability company · 120 certified beds
Legend Healthcare and Rehabilitation - Paris has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 14 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $16,149 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 5, 2026 found 14 citations. What an inspection citation means
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 5, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.February 5, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.February 5, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 5, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.February 5, 2026 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 5, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.February 5, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 5, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are fully informed and understand their health status, care and treatments.February 5, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 5, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 5, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 5, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.February 5, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have policies on smoking.February 5, 2026 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 2 citations.
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 5, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 24, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $16,149November 20, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.19 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.67 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.67 | 0.95 | 0.86 |
| Nurse aides | 1.85 | 2.01 | 2.32 |
| Total nursing staff turnover | Not available | 55.3% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 120 |
| Average residents per day | 79.9 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Avir at Paris Paris · ★★★★★ 5 out of 5 stars
- Heritage House at Paris Rehab & Nursing Paris · ★★★★★ 2 out of 5 stars
- Stillhouse Rehabilitation and Healthcare Center Paris · ★★★★★ 2 out of 5 stars
- Brentwood Terrace Healthcare and Rehabilitation Paris · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Legend Healthcare and Rehabilitation - Paris on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.