Avir at Paris
Paris · 2.2 mi · 98 beds
Citations0Substantiated0
Legend Healthcare and Rehabilitation - Paris
520 SE 8TH ST, Paris, TX, 75460
Nursing home120 licensed beds0 citations on record
4 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 15 deficiencies against Legend Healthcare and Rehabilitation - Paris in Paris, Texas at its most recent standard inspection on 2026-02-05, 2 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $16,149. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
120certified beds
15deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $16,149
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.42
Potential for minimal harmThe least serious band.0
Most recentEEEEEEEDDDDDDDDJEEED
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
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.
Administration Deficiencies · F0838 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2026-02-05 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Have policies on smoking.
Environmental Deficiencies · F0926 · 2026-02-05 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2025-07-24 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-11-20 · standard survey · Immediate jeopardy to resident health or safety
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · F0636 · 2024-11-20 · standard survey · No actual harm, potential for more than minimal harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · F0638 · 2024-11-20 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2024-11-20 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2024-11-20 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.19146
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$16,149
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Legend Healthcare and Rehabilitation - Paris
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 100% | since 04/01/2017 |
| BURNS, STEPHEN | Individual | NOT APPLICABLE | since 08/01/2022 |
| LAWRENCE, RA | Individual | NOT APPLICABLE | since 04/01/2017 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 04/01/2017 |
| SANDERSON, CLARK | Individual | NOT APPLICABLE | since 10/29/2012 |
| EIFFEL HEALTHCARE LLC | Organization | NOT APPLICABLE | since 04/01/2017 |
| BURNS, STEPHEN | Individual | NOT APPLICABLE | since 08/01/2022 |
| LAWRENCE, RA | Individual | NOT APPLICABLE | since 04/01/2017 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 05/01/2016 |
| SHERMAN HEALTH HOLDINGS LLC | Organization | NOT APPLICABLE | since 01/01/2022 |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | NOT APPLICABLE | since 01/01/2022 |
Part of the THE ENSIGN GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Brentwood Terrace Healthcare and Rehabilitation
Paris · 2.3 mi · 119 beds
Citations0Substantiated0
Stillhouse Rehabilitation and Healthcare Center
Paris · 2.4 mi · 150 beds
Citations0Substantiated0
Heritage House at Paris Rehab & Nursing
Paris · 3.0 mi · 90 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676049.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction