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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.