Legend Healthcare And Rehabilitation Paris
520 SE 8TH ST, Paris, TX, 75460
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 120 · avg 73 residents/day
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $16,149 total
State licensing & capacity
- License number
- 147756
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 30 Medicare-only · 90 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- February 2, 1999
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Eiffel Healthcare Inc
- Administrator
- Jennifer Awtry
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (5 on record)
- Eiffel Healthcare Llc
Operational/managerial Control · since 2021
- ra Lawrence
Operational/managerial Control · 100% · since 2017
- Soon Burnam
Operational/managerial Control · since 2016
- Clark r Sanderson
Corporate Officer · 100% · since 2012
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2012
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 34)
- D0842·Jul 24, 2025Complaint
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.
- D0881·Nov 20, 2024
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
- D0880·Nov 20, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0758·Nov 20, 2024
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 li…
- J0689·Nov 20, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0677·Nov 20, 2024
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0638·Nov 20, 2024
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
- E0636·Nov 20, 2024
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.
Federal penalties
By year
- 20241 fine · $16K
Most recent events
- Nov 20, 2024Fine · $16K
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Nov 20, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Legend Healthcare and Rehabilitation in Paris, TX is a 120-bed nursing home licensed for Medicare and Medicaid, managed by Eiffel Healthcare Inc under a hospital district license. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier, shared by about 38% of Texas nursing homes. Occupancy sits at roughly 61%, meaning beds are available. One CMS fine of $16,149 has been issued.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier. Each resident receives about 192 minutes of nursing care per day, roughly 49 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility, so the same staffing hours stretch thinner than the raw minutes suggest. Registered nurses account for only 30 of those 192 minutes each day, compared to 37 minutes at a 4-star-staffing Texas facility.
One administrator has turned over in the past year — an elevated rate for this facility size. Organizational transitions at the leadership level can affect how consistently care policies are carried out.
One CMS fine totaling $16,149 has been issued. About 30% of Texas nursing homes have received no fines; this facility's single fine falls below the Texas median fine amount of $20,699.
This facility is operating at roughly 61% of its 120 licensed beds — about 73 residents on a typical day. That level of vacancies, alongside the staffing and other signals, is a data point families will want to ask about directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
Weekend nursing hours here average 2.74 hours per resident per day — lower than the weekday figure; ask how many nurses and aides are scheduled on Saturdays and Sundays.
Why occupancy is at 61%
With roughly 47 of 120 beds vacant on a typical day, ask what has driven lower census and whether any services or units have changed recently.
Recent administrator transition
One administrator left in the past year; ask who is currently in the role, how long they have been here, and how staffing decisions are made during leadership transitions.
Registered nurse coverage hours
Reported RN time is about 30 minutes per resident per day; ask how many registered nurses are on the floor each shift and whether an RN is always on site overnight.
The 2023 CMS fine
CMS issued one fine of $16,149; ask what deficiency triggered it and what operational changes followed.
Family Council availability
CMS records show a Resident Council but no Family Council; ask whether families have a formal channel to raise concerns collectively and how staff respond to those concerns.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.