Nursing homeActive
Legacy Nursing and Rehabilitation
2817 Kent Street, Bryan, TX 778029797767521117 certified beds · 100 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
10
since 2023
Deficiencies
39
● 0● 38● 1
Penalties · 3 yrs
$12,375
1 fine
Last survey
2026-07-02
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-07-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-02-05 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2026-01-15 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-12-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-06-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-14 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-08 | Standard | 0130 | CMS-2567 (Care Compare) | — |
| 2024-03-29 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2023-12-07 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-01-27 | Standard | 090 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-08-07Record 455351-20260702-F656
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-06Record 455351-20260205-F655
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-06Record 455351-20260205-F699
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-02-09Record 455351-20260115-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-05Record 455351-20251204-F755
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-05Record 455351-20251204-F880
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-10Record 455351-20250611-F644
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-13Record 455351-20250514-F690
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F677
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F697
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-06Record 455351-20250508-F880
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 455351-20240329-F638
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-19Record 455351-20240329-F645
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 455351-20240329-F656
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 455351-20240329-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 455351-20240329-F695
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-30Record 455351-20240329-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 455351-20240329-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-03Record 455351-20240329-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-05Record 455351-20231207-F609
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 455351-20230127-F677
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 455351-20230127-F755
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 455351-20230127-F770
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 455351-20230127-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 455351-20230127-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 455351-20230127-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 455351-20230127-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 455351-20230127-F814
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-03Record 455351-20230127-F842
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-01-15 | Civil money penalty | $12,375 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.23
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.00
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.56
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover47%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover60%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.5% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.0% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.6% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.0% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.9% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Anson Hospital District Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Anson Hospital District Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bryan Opco LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dymock, Mathew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gum, Victor Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stone, Diana Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bryan Opco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bryan Propco, L.L.C. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bryan Propco, L.L.C. Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Clark, Justa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Clark, Justa Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Dgprejean, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dymock, Mathew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gum, Victor Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Haynes, Billie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Haynes, Billie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Holyfield, Myles Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jdgum, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Klein, Pete Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| LP Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lytle, Larry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mylesh, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shaw, Max Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Spraberry, David Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Spraberry, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stone, Diana Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Vdg LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Vest, Barbara Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wilson, Teri Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Legacy Nursing & Rehabilitation — 9 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Brazos.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Crestview Retirement Community Bryan | 0.5 mi | 2026-06-24 | 070 |
| Avir at Bryan Bryan | 0.5 mi | 2026-05-30 | 0422 |
| Lampstand Nursing and Rehabilitation Bryan | 0.7 mi | 2026-06-24 | 0475 |
| Five Points Nursing & Rehabilitation of College St College Station | 5.1 mi | 2026-05-08 | 2216 |
| Fortress Nursing And Rehabilitation College Station | 5.9 mi | 2026-01-22 | 0144 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |