Legend Healthcare And Rehabilitation - Paris has received an F grade based on CMS data, with a score of 38/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Paris facility should carefully review its inspection history and quality metrics.
With 3.20 total nurse hours per resident per day, Legend Healthcare And Rehabilitation - Paris falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 34 deficiencies at Legend Healthcare And Rehabilitation - Paris, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.20 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.99 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.71 | 2.4 | Below Average |
| Weekend Total Nursing | 2.74 | 3.8 | Below Average |
| Weekend RN Hours | 0.32 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarJul 23, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 19, 2024 · Quality of Life and Care Deficiencies
- Tag 0636 Severity EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Nov 19, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0638 Severity EAssure that each resident’s assessment is updated at least once every 3 months.Nov 19, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Nov 19, 2024 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.2% | 4.5% | Better |
| Falls with major injury | 3.2% | 3.0% | Average |
| On antipsychotic medication | 6.8% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 27.2% | 14.0% | Worse |
| Excessive weight loss | 5.7% | 7.5% | Better |
| New/worsened incontinence | 18.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $16,149
How This Grade Was Calculated
This facility's grade of F is based on a score of 38 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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