Legend Healthcare and Rehabilitation - Paris: Staffing, Turnover, and Inspection Record
Legend Healthcare and Rehabilitation - Paris is a 120-bed for-profit nursing home in Paris, Texas, part of The Ensign Group. In the CMS August 2026 release it reported 1.85 nurse aide hours per resident per day, 7% below the Texas average of 2.00.
Legend Healthcare and Rehabilitation - Paris
520 Se 8th StParis, TX 75460
Lamar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Legend Healthcare and Rehabilitation - Paris, nurse aides logged 1.85 hours per resident per day, 7% below the Texas average. With about 80 residents a day, that works out to roughly 148 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.85 | 2.00 | 2.32 |
| Licensed practical nurses | 0.67 | 0.95 | 0.86 |
| Registered nurses | 0.67 | 0.43 | 0.69 |
| All nursing staff | 3.19 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.74 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Legend Healthcare and Rehabilitation - Paris in this release. 1 administrator left over the same period.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 5, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $16,149 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 20, 2024 | Fine | $16,149 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Legend Healthcare and Rehabilitation - Paris holds 3 of 5 overall; the Texas average is 2.6.
About Legend Healthcare and Rehabilitation - Paris
- Ownership: For profit - Limited Liability company
- Chain: The Ensign Group, 342 homes
- Legal name: Fannin County Hospital Authority
- Medicare and Medicaid certified since: Jan 30, 2005
- Councils: resident council
- Area: rural
Nursing homes near Legend Healthcare and Rehabilitation - Paris
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Brentwood Terrace Healthcare and Rehabilitation Paris | 1.8 | 119 | 1.73 | 3.04 | 92.9% | 1 | $234,447 |
| Avir at Paris Paris | 2.2 | 98 | 1.52 | 3.04 | 40.7% | 5 | None |
| Stillhouse Rehabilitation and Healthcare Center Paris | 2.3 | 150 | 2.06 | 3.24 | 32.8% | 2 | $8,162 |
| Heritage House at Paris Rehab & Nursing Paris | 2.9 | 90 | 2.00 | 3.40 | 46.3% | 2 | $10,358 |
| Honey Grove Nursing Center Honey Grove | 20.9 | 102 | 1.72 | 3.50 | — | 2 | $80,698 |
| Birchwood Nursing and Rehabilitation Cooper | 21.4 | 100 | 1.73 | 3.11 | 93.6% | 4 | None |
| Homestead of Hugo Hugo · many days without an RN | 23.6 | 124 | 1.81 | 2.91 | 70.9% | 1 | $33,262 |
| Elmbrook of Hugo Hugo · abuse citation | 24.9 | 100 | 2.10 | 3.50 | 42.9% | 2 | $29,580 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.