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Legend Healthcare And Rehabilitation - Paris

Nursing Home Facility

520 Se 8th St, Paris, TX 75460

Nursing Home Care Senior Living

Legend Healthcare And Rehabilitation - Paris is a senior care community located in Paris, TX. It provides nursing home care and senior living for older adults in the Paris area. To learn more or schedule a tour, call (903) 737-9820.

Operated by The Ensign Group, which runs 419 communities in our directory.

Employer rating 3.3 out of 5 39 reviews from their own employees on Indeed. See what they say.

With 120 beds, Legend Healthcare And Rehabilitation - Paris is one of the larger communities in the area, senior care communities in Paris average about 77 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 67% of its licensed beds. That is above the Paris average of roughly 48%.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in February 2026 and recorded 14 deficiencies.

Residents receive about 3.2 hours of nursing care per day on average, including 0.7 hours from a registered nurse.

The community is located in Lamar County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 43 problems at Legend Healthcare And Rehabilitation - Paris. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 3 came from investigating complaints by residents or families.

In the last three years Medicare fined this home once, a total of $16,149.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Resident Rights

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

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

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

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, a pattern Administration

    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.

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected February 2026, after a complaint. Corrected by February 13, 2026.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected February 2026. Corrected by February 13, 2026.

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  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

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

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

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

    Inspected February 2026. Corrected by February 13, 2026.

  • Could cause more than minimal harm, one or a few residents Environmental

    Have policies on smoking.

    Inspected February 2026. Corrected by February 13, 2026.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Legend Healthcare And Rehabilitation - Paris offers nursing home care and senior living.

Facility details

  • Organization type For profit - Partnership
  • Beds / units 120
  • Occupancy 67%
  • Nursing hours per resident/day 3.2
  • Last health inspection February 2026

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