LEGEND HEALTHCARE AND REHABILITATION – PARIS – PARIS, TX

CMS Verified | 2026-03-01

Legend Healthcare And Rehabilitation – Paris

520 SE 8TH ST, Paris, TX 75460
(903) 737-9820
120 beds
All Paris facilities
2.0*
Overall
3.0*
Health Inspection
3.0*
Quality Care
1.0*
Staffing
62.99
Score /100
#11089
National Rank

#11089
of 14703 facilities
National
24.6% position
#876
of 1177 in TX
State Rank
#4
of 5 in Lamar
County Rank
#4
of 5 in Paris
City Rank
#2
of 3 in ZIP 75460
ZIP Rank






About Legend Healthcare And Rehabilitation – ParisLegend Healthcare And Rehabilitation – Paris is located at 520 Se 8Th St, Paris, TX, reachable at (903) 737-9820. This For profit – Corporation facility operates 120.0 certified beds and serves an average of 73 residents per day. It is part of the The Ensign Group network (329 facilities nationwide). Medicare and Medicaid services have been provided since 2005-01-30. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Legend Healthcare And Rehabilitation – Paris

Address

520 Se 8Th St, Paris, TX 75460

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 120 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: THE ENSIGN GROUP

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 3 fine(s) over 5 years
5-Year Trend
Declining over 5 years
62.99
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#11089 of 14703 nationally – #876 of 1177 in Texas

Who Is This Facility Best For?

Legend Healthcare And Rehabilitation – Paris may be considered for families with limited options in Paris, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

3 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightLegend Healthcare And Rehabilitation – Paris currently provides 3 hours 12 minutes of total nurse staffing per resident per day, including 30 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 12 minutes
Nurse Aide Hours1 hour 43 minutes
Licensed Practical Nurse (LPN) Hours59 minutes
Registered Nurse (RN) Hours30 minutes
Physical Therapist Hours5 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 45 minutes
Weekend Registered Nurse (RN) Hours19 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $16,149. 9 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $16149.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 79.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#11,089
of 14,703
National
Bottom 25%
#876
TX State
Bottom 26% in TX
#4
of 5
️ Lamar County
#4 of 5
#4
of 5
️ Paris
#4 of 5
#2
of 3
ZIP 75460
#2 of 3

Nationally, Legend Healthcare And Rehabilitation – Paris ranks 11089th out of 14,703 facilities (composite score: 63.0/100), placing it in the bottom 25% nationwide. Within TX, it ranks 876th out of 1,177 nursing homes. In Paris, it ranks 4th out of 5 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #11,940 nationally and RN hours rank #8,739 nationally (#287 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.05 #11,405 / 14,703 #745 / 1,177 ⚠️ Bottom 25%
2023 3.34 #9,193 / 14,703 #463 / 1,177 Below average
2024 3.01 #12,456 / 14,703 #761 / 1,177 ⚠️ Bottom 25%
2025 2.94 #13,194 / 14,703 #911 / 1,177 ⚠️ Bottom 25%
2026 3.20 #11,940 / 14,703 #675 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.37 #11,387 / 14,703 #504 / 1,177 ⚠️ Bottom 25%
2023 0.54 #7,353 / 14,703 #147 / 1,177 Below average
2024 0.53 #7,603 / 14,703 #157 / 1,177 Below average
2025 0.49 #8,624 / 14,703 #266 / 1,177 Below average
2026 0.50 #8,739 / 14,703 #287 / 1,177 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Legend Healthcare And Rehabilitation – Paris is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2005-01-30. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (903) 737-9820 or your local Medicaid office to verify current eligibility.

Legend Healthcare And Rehabilitation – Paris holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (1★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 63.0/100, placing it #11089 of 14703 facilities nationally and #876 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Legend Healthcare And Rehabilitation – Paris receives a reported average of 3 hours 12 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 30 minutes; Licensed Practical Nurse (LPN) — 59 minutes; Nurse Aide — 1 hour 43 minutes. On weekends, total nurse staffing is 2 hours 45 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $16,149. 9 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $16,149, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 79.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Legend Healthcare And Rehabilitation – Paris ranks 11089th out of 14,703 facilities (composite score: 63.0/100), placing it in the bottom 25% nationwide. Within TX, it ranks 876th out of 1,177 nursing homes. In Paris, it ranks 4th out of 5 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #11,940 nationally and RN hours rank #8,739 nationally (#287 in TX). Our composite quality score of 63.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Paris, visit: https://nursinghomesnearme.org/texas/paris/

Contact and Location

ADR
Address

520 SE 8TH ST, Paris, TX 75460
Get directions on Google Maps

TEL
LLC
Legal Name

FANNIN COUNTY HOSPITAL AUTHORITY

MAP
Browse by Location

All Texas ·
Lamar County ·
Paris ·
ZIP 75460

Facility Details

Number of Certified Beds 120
Average Residents / Day 73 (61% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Lamar County, TX
City Paris, TX
ZIP Code 75460
Approved Since January 30, 2005
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676049
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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