Nursing homes › Texas › Legend Healthcare and Rehabilitation - Paris
520 Se 8Th St, Paris, TX 75460 · 9037379820 · 120 certified beds
Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).
Total nurse staffing: 3.19 (Texas median: 3.27). RN hours: 0.67. Weekend total: 2.74.
All-time on record: 43 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-05 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Health | corrected 2026-02-13 |
| 2026-02-05 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-02-13 |
| 2026-02-05 | Ensure that residents are free from significant medication errors. | E | Health | corrected 2026-02-13 |
| 2026-02-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-02-13 |
| 2026-02-05 | 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. | E | Health | corrected 2026-02-13 |
| 2026-02-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2026-02-13 |
| 2026-02-05 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-02-13 |
| 2026-02-05 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2026-02-13 |
| 2026-02-05 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2026-02-13 |
| 2026-02-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-02-13 |
| 2026-02-05 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-02-13 |
| 2026-02-05 | 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. | D | Health | corrected 2026-02-13 |
| 2026-02-05 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Health | corrected 2026-02-13 |
| 2026-02-05 | Have policies on smoking. | D | Health | corrected 2026-02-13 |
| 2025-07-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-08-15 |
| 2024-11-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2024-11-14 |
| 2024-11-20 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Health | corrected 2024-12-24 |
| 2024-11-20 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Health | corrected 2024-12-24 |
| 2024-11-20 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-12-24 |
| 2024-11-20 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2024-12-24 |
| 2024-11-20 | 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. | D | Health | corrected 2024-12-24 |
| 2024-11-20 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-12-24 |
| 2024-11-20 | Implement a program that monitors antibiotic use. | D | Health | corrected 2024-12-24 |
| 2023-10-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-11-20 |
| 2023-10-12 | 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. | E | Health | corrected 2023-11-20 |
| 2023-10-12 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2023-11-20 |
| 2023-10-12 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Health | corrected 2023-11-20 |
| 2023-10-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2023-11-20 |
| 2023-10-12 | 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. | E | Health | corrected 2023-11-20 |
| 2023-10-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2023-11-20 |
| 2023-10-12 | 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. | E | Health | corrected 2023-11-20 |
| 2023-10-12 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-11-20 |
| 2023-10-12 | Implement a program that monitors antibiotic use. | E | Health | corrected 2023-11-20 |
| 2023-10-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-11-20 |
| 2023-10-12 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2023-11-20 |
| 2023-10-12 | 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. | D | Health | corrected 2023-11-20 |
| 2023-10-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2023-11-20 |
| 2023-10-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-11-20 |
| 2023-10-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-11-20 |
| 2023-10-12 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-11-20 |
| Date | Type | Amount |
|---|---|---|
| 2024-11-20 | Fine | $16,149 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2017 |
| BURNS, STEPHEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/01/2022 |
| LAWRENCE, RA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/01/2017 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2017 |
| SANDERSON, CLARK | Corporate Officer | Individual | NOT APPLICABLE | since 10/29/2012 |
| EIFFEL HEALTHCARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2017 |
| BURNS, STEPHEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/01/2022 |
| LAWRENCE, RA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/01/2017 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676049. Corrections: data@carerecords.org.