Nursing home report
PARIS, TX · Medicare-certified · 120 beds
Legend Healthcare and Rehabilitation - Paris has a 3-star overall rating, with 2-star staffing and 3-star health inspection ratings and 4-star quality measures. It reported 3.19 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $16,149 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.1915 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1915.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited February 2026 — limited pattern, potential for harm.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited February 2026 — limited pattern, potential for harm.
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2026 — limited pattern, potential for harm.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 14 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $16,149 was recorded.
Health inspection found 8 health deficiencies.
On record with Medicare: 1 fine · $16,149 in total fines.
Federal fine
Nov 20, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
