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Nursing HomeMedicaid Investigative

Legend Healthcare and Rehabilitation Paris

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

520 Se 8th St, Paris, TX 75460120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 55 Google reviews

5
4
3
2
1
Legend Healthcare and Rehabilitation  Paris Nursing Home in Paris, TX — Street View
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4/ 10
moderate Risk

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

Source: Medicare data

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 details
Food5.0Staff9.0Clean9.0Activities5.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • 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

234'17(2)'19(8)'21(2)'23(3)'25(5)'26(5)

Distribution

5
49
4
2
3
0
2
0
1
4

How They Respond to Reviews

53%response rate
Good

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.

Long-term resident's family · 2024★★★★★

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!!

Rehab patient's family · 2024★★★★★

My grandfather endured severe mistreatment during his 10-day stay. He was degraded, spoken to with disrespect, and repeatedly neglected.

Rehab patient's family · 2025☆☆☆☆
Source: 55 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
78%
Registered nurses for medical care
Total Nursing
3.10hrs
76%
All nurses + aides combined

Both 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

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.9%
Mixed vs Avgs
Here
1.9%
US
12.1%
TX
2.5%
Lamar
1.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Lamar
89.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility18.9%
Mixed vs Avgs
Here
18.9%
US
19.5%
TX
18.4%
Lamar
26.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
15.4%
TX
9.4%
Lamar
13.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
15.3%
TX
14.9%
Lamar
13.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
14.4%
TX
16.1%
Lamar
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Lamar
89.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.2%
Better than Avg
Here
97.2%
US
79.7%
TX
88.0%
Lamar
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.7%
Worse than Avg
Here
2.7%
US
1.6%
TX
1.5%
Lamar
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
1penalties
Well above state avg (9.1)
3 complaint-triggered
$16,149 in fines

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, 2026Routine
13
0760ModerateCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0580ModerateCorrected

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0838ModerateCorrected

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0552MinorCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0761MinorCorrected

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.

0804MinorCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

Feb 5, 2026Complaint
1
0842ModerateCorrected

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, 2025Complaint
1
0842MinorCorrected

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, 2024Routine
9
0689Severe

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0636ModerateCorrected

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.

0638ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0757MinorCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0758MinorCorrected

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881MinorCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Oct 12, 2023Routine
19
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0578ModerateCorrected

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.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0690ModerateCorrected

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.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761ModerateCorrected

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.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0849ModerateCorrected

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0881ModerateCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0561MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0584MinorCorrected

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.

0656MinorCorrected

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.

0657MinorCorrected

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.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0712MinorCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

Sep 27, 2023Complaint
1
0880MinorCorrected

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

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

EIFFEL HEALTHCARE INC

Administrator

JENNIFER AWTRY

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 60 of 84

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Key personnel

Sanderson, ClarkOfficer / DirectorEiffel Healthcare LLCManagerBurnam, SoonManagerLawrence, RaManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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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