LEGEND HEALTHCARE AND REHABILITATION - PARIS

CCN 676049 · FANNIN COUNTY HOSPITAL AUTHORITY · For profit - Limited Liability company · THE ENSIGN GROUP chain · 120 certified beds · Lamar · TX


LEGEND HEALTHCARE AND REHABILITATION - PARIS is a 120-bed nursing home in PARIS, Texas. CMS has certified it for Medicare and Medicaid since 2005-01-30. It averages 79.9 residents a day.

What harm was found in the violations cited at LEGEND HEALTHCARE AND REHABILITATION - PARIS?

CMS lists 43 health-inspection deficiencies for LEGEND HEALTHCARE AND REHABILITATION - PARIS, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-02-05.

Survey dateTagDeficiencySeverity
2026-02-05F0580, F0759, F0760, F0812, F0838, F0842, F0880Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2026-02-05F0550, F0552, F0689, F0755, F0761, F0804, F0926Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Have policies on smoking.D
2025-07-24F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-11-20F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-11-20F0636, F0638, F0677Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Provide care and assistance to perform activities of daily living for any resident who is unable.E
2024-11-20F0757, F0758, F0880, F0881Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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 limited. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.D
2023-10-12F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-10-12F0578, F0641, F0690, F0755, F0761, F0804, F0849, F0880, F0881Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure each resident receives an accurate assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use.E
2023-10-12F0550, F0561, F0584, F0656, F0657, F0677, F0695, F0712, F0926Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Have policies on smoking.D
2023-09-27F0880Provide and implement an infection prevention and control program.D

Why was LEGEND HEALTHCARE AND REHABILITATION - PARIS fined?

DateTypeAmount
2024-11-20Fine$16,149

How is LEGEND HEALTHCARE AND REHABILITATION - PARIS staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.191463.38539
Average number of residents per day79.975.8

Who owns LEGEND HEALTHCARE AND REHABILITATION - PARIS, and what chain is it in?

LEGEND HEALTHCARE AND REHABILITATION - PARIS is registered with CMS as For profit - Limited Liability company, operates under the legal business name FANNIN COUNTY HOSPITAL AUTHORITY and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFANNIN COUNTY HOSPITAL AUTHORITYsince 04/01/2017
MANAGING CONTROL - GOVERNING BODYBURNS, STEPHEN, LAWRENCE, RAsince 04/01/2017
CORPORATE OFFICERBURNAM, SOON, KEETCH, CHAD, SANDERSON, CLARKsince 04/01/2017
OPERATIONAL/MANAGERIAL CONTROLEIFFEL HEALTHCARE LLC, BURNS, STEPHEN, LAWRENCE, RAsince 04/01/2017
ADP OF THE SNFENSIGN SERVICES INC, SHERMAN HEALTH HOLDINGS LLC, STANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP INC, BURNS, STEPHEN, LAWRENCE, RAsince 01/01/2022

Were you or a family member harmed at LEGEND HEALTHCARE AND REHABILITATION - PARIS?