Legend Healthcare and Rehabilitation - Paris
520 Se 8th St · Paris, TX · 75460 · 9037379820
120 certified beds For profit - Limited Liability company Chain: The Ensign Group
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 2.64 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $16,149 |
Inspection citations (43 in the current record)
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Potential for harm · D February 5, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · D February 5, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · E February 5, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · D February 5, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 13, 2026 · Quality of Life and Care
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Potential for harm · D February 5, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 13, 2026 · Pharmacy Service
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Potential for harm · E February 5, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected February 13, 2026 · Pharmacy Service
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Potential for harm · E February 5, 2026
Ensure that residents are free from significant medication errors.
Corrected February 13, 2026 · Pharmacy Service
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Potential for harm · D February 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.
Corrected February 13, 2026 · Pharmacy Service
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Potential for harm · D February 5, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 13, 2026 · Nutrition and Dietary
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Potential for harm · E February 5, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 13, 2026 · Nutrition and Dietary
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Potential for harm · E February 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.
Corrected February 13, 2026 · Administration
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Potential for harm · E February 5, 2026
Provide and implement an infection prevention and control program.
Corrected February 13, 2026 · Infection Control
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Potential for harm · D February 5, 2026
Have policies on smoking.
Corrected February 13, 2026 · Environmental
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Potential for harm · E February 5, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 13, 2026 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J November 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 14, 2024 · Quality of Life and Care
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Potential for harm · E November 20, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected December 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 20, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected December 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 20, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 24, 2024 · Quality of Life and Care
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Potential for harm · D November 20, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 24, 2024 · Pharmacy Service
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Potential for harm · D November 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.
Corrected December 24, 2024 · Pharmacy Service
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Potential for harm · D November 20, 2024
Provide and implement an infection prevention and control program.
Corrected December 24, 2024 · Infection Control
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Potential for harm · D November 20, 2024
Implement a program that monitors antibiotic use.
Corrected December 24, 2024 · Infection Control
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Potential for harm · D October 12, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 20, 2023 · Resident Rights
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Potential for harm · D October 12, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected November 20, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 20, 2024 | Fine | $16,149 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676049 · certified since January 30, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.