Legend Healthcare and Rehabilitation Paris
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 55 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (9 vs median 8.0)
Below average in Texas · Below recommended RN staffing · Below chain average · $16,149 in fines
What this means for your family
This facility is an excellent choice for those prioritizing high-quality physical therapy and a clean environment. However, because of specific, serious allegations regarding neglect and slow response times, families should perform their own unannounced visits and verify that call lights are being answered promptly.
Google Reviews
Google Reviews
55 reviews analyzed“Families considering Legend Healthcare and Rehabilitation in Paris will find a facility widely praised for its exceptional physical therapy team and compassionate nursing staff. While many long-term residents and rehab patients report a warm, clean, and welcoming environment, there are serious allegations from a small number of reviewers regarding severe neglect and lack of responsiveness to call buttons.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional rehabilitation and physical therapy services
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Welcoming and family-oriented atmosphere
Concerns
- Allegations of patient neglect and lack of hygiene care (mentioned by 2 reviewers)
- Slow response times to call buttons (mentioned by 2 reviewers)
- Lack of communication with family members regarding care decisions (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides highly personalized responses to positive reviews, often addressing specific details like staff members, cleanliness, or therapy services. For negative feedback, the owner uses an empathetic tone and attempts to move the conversation to a private channel for resolution.
Questions for Your Tour
- 1We've heard wonderful things about your rehabilitation and physical therapy services; could you tell us more about how the therapy team works with residents to reach their goals?
- 2How do you ensure that nursing staff are able to respond quickly to call buttons, especially during busy shifts?
- 3What is your process for keeping family members updated and involved in important care decisions?
- 4We noticed the facility is very well-maintained; what are your specific protocols for ensuring daily hygiene and cleanliness for every resident?
- 5How does the nursing team handle medical emergencies or changes in a resident's condition during the overnight hours?
- 6What kind of daily activities or social events do you host to help create that family-oriented atmosphere mentioned by others?
Personalized based on this facility's data
Key Review Excerpts
“As I was in her room collecting her things I was extremely blessed as each employee, from the lady who mops the floors to the nurses and aids filed into her room to share things about mom and simply console me.”
“Legend rehabilitation is THE ABSOLUTE BEST!!! HANDS DOWN!!! The staff is AMAZING!! They are all So Compassionate and work Very Well together as a team!!”
“My grandfather endured severe mistreatment during his 10-day stay. He was degraded, spoken to with disrespect, and repeatedly neglected.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
3
measures
4
measures
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose walking got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with 37 deficiencies across multiple surveys, including two complaint-triggered issues where families filed reports about infection control and medical records protection. The most recurring problems involve resident assessment and care planning, infection control appearing in three separate surveys, and medication management issues. While the facility has correction dates for all deficiencies, the repeated issues with infection control and assessment practices suggest ongoing challenges with basic care standards that families should investigate thoroughly.
Feb 5, 2026Routine13
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Environmental Deficiencies
Have policies on smoking.
Feb 5, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 24, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 20, 2024Routine9
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Smoke Deficiencies
Provide properly protected cooking facilities.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Oct 12, 2023Routine19
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Environmental Deficiencies
Have policies on smoking.
Sep 27, 2023Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Nov 20, 2024
$16,149
Ownership & Operations
Who Operates This Facility
Fannin County Hospital Authority
for profit
EIFFEL HEALTHCARE INC
JENNIFER AWTRY
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 60 of 84
Ownership & Management
Owners
Fannin County Hospital Authority
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
55 reviews from families & visitors
Official Website
Visit legendhealthcareparis.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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