The Home Place
State licensed115 Ne 27th St, Paris, TX 75460
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
Legend Healthcare and Rehabilitation - Paris
Paris, TexasMedicare inspection record
About Legend Healthcare and Rehabilitation - Paris
LEGEND HEALTHCARE AND REHABILITATION - PARIS combines compassionate care with medical expertise in Paris, Texas. Our skilled nursing and rehabilitation team helps patients regain strength and independence through personalized treatment plans and 24-hour professional support.
Community at a glance
Capacity
120 residents
Location
Paris, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
520 SE 8TH ST, Paris, Texas 75460
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 5, 2026, state inspectors cited 14 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 11 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Legend Healthcare and Rehabilitation - Paris once in the last three years, $16,149 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 11 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 40 minutesAbove the Texas average |
1 administrator has left the home in the past year.
Inspections
23 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 5, 2026 · Standard inspection · 14 citations
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.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Feb 13, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 13, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 13, 2026Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Feb 13, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Feb 13, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 13, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 13, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 13, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 13, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 13, 2026Have policies on smoking.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Feb 13, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 13, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 13, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 13, 2026
July 24, 2025 · Complaint investigation · 1 citation
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 15, 2025
November 20, 2024 · Standard inspection · 8 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareAlready fixed by Nov 14, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Dec 24, 2024Assure that each resident’s assessment is updated at least once every 3 months.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Dec 24, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Dec 24, 2024Implement 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 24, 2024Implement a program that monitors antibiotic use.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Dec 24, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Dec 24, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 24, 2024
Fines and payment denials
1 fine totaling $16,149 in the last three years.
- November 20, 2024Fine: $16,149
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Fannin County Hospital Authority
- Medicare-certified beds
- 120
- Average residents per day
- 80
- Accepts
- Medicare and Medicaid
- First certified
- January 30, 2005
- Part of a chain
- The Ensign Group, 344 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676049
Location
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520 SE 8TH STParis, TX 75460
11 other communities within 10 miles
Senior living near Paris
Pine Tree Ranch Assisted Living
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Spring Lake Assisted Living And Memory Care Community
State licensed750 N Collegiate Drive, Paris, TX 75460
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Questions about Legend Healthcare and Rehabilitation - Paris
How did Legend Healthcare and Rehabilitation - Paris do on its last inspection?+
State inspectors visited on February 5, 2026 and cited 14 health deficiencies, 1 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Legend Healthcare and Rehabilitation - Paris?+
Nurses and aides spend 3 hours 11 minutes with each resident per day, including 40 minutes from registered nurses.
Has Legend Healthcare and Rehabilitation - Paris been fined by Medicare?+
Yes. Medicare fined Legend Healthcare and Rehabilitation - Paris once in the last three years, totaling $16,149.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.