Skilled Nursing

LEGEND HEALTHCARE AND REHABILITATION - PARIS

520 SE 8TH ST, PARIS, TX 75460

120beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.6h

Hrs/resident · weekday

Expected: 3.3h

2.8h

Hrs/resident · weekend

vs 2.6h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

Turnover data not yet reported for this facility.

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0689Severity JNov 20, 2024

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

Corrected: Nov 14, 2024

42 standard deficiencies in the last 3 years

View all
0926Severity DFeb 5, 2026

Have policies on smoking.

0880Severity EFeb 5, 2026

Provide and implement an infection prevention and control program.

0842Severity EFeb 5, 2026

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

0838Severity EFeb 5, 2026

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.

0812Severity EFeb 5, 2026

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

0804Severity DFeb 5, 2026

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

0761Severity DFeb 5, 2026

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.

0760Severity EFeb 5, 2026

Ensure that residents are free from significant medication errors.

0759Severity EFeb 5, 2026

Ensure medication error rates are not 5 percent or greater.

0755Severity DFeb 5, 2026

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

0689Severity DFeb 5, 2026

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

0580Severity EFeb 5, 2026

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

0552Severity DFeb 5, 2026

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

0550Severity DFeb 5, 2026

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

0842Severity DJul 24, 2025

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

0881Severity DNov 20, 2024

Implement a program that monitors antibiotic use.

0880Severity DNov 20, 2024

Provide and implement an infection prevention and control program.

0758Severity DNov 20, 2024

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.

0757Severity DNov 20, 2024

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

0677Severity ENov 20, 2024

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

0638Severity ENov 20, 2024

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

0636Severity ENov 20, 2024

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

0926Severity DOct 12, 2023

Have policies on smoking.

0881Severity EOct 12, 2023

Implement a program that monitors antibiotic use.

0880Severity EOct 12, 2023

Provide and implement an infection prevention and control program.

0849Severity EOct 12, 2023

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.

0812Severity FOct 12, 2023

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

0804Severity EOct 12, 2023

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

0761Severity EOct 12, 2023

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.

0755Severity EOct 12, 2023

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

0712Severity DOct 12, 2023

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

0695Severity DOct 12, 2023

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

0690Severity EOct 12, 2023

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

0677Severity DOct 12, 2023

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

0657Severity DOct 12, 2023

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

0656Severity DOct 12, 2023

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

0641Severity EOct 12, 2023

Ensure each resident receives an accurate assessment.

0584Severity DOct 12, 2023

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.

0578Severity EOct 12, 2023

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.

0561Severity DOct 12, 2023

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

0550Severity DOct 12, 2023

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

0880Severity DSep 27, 2023

Provide and implement an infection prevention and control program.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

FANNIN COUNTY HOSPITAL AUTHORITY· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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