Legacy Nursing and Rehabilitation
A nursing home in Bryan, Texas 77802
2817 Kent Street, Bryan, Texas 77802. (979) 776-7521.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 15 health citations at the latest inspection cycle Texas average: 9.6
- 2.84 nurse hours per resident per day Texas average: 3.42
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
15 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Jul 9, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Jan 15, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
40 citations in 8 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 40 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 9 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 9, 2026: standard inspection10 citations
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Reasonably accommodate the needs and preferences of each resident.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
Jul 2, 2026: complaint inspection1 citation
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Feb 5, 2026: complaint inspection2 citations
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide care or services that was trauma informed and/or culturally competent.
Jan 15, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 4, 2025: complaint inspection2 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide and implement an infection prevention and control program.
Jun 11, 2025: complaint inspection1 citation
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
May 14, 2025: complaint inspection1 citation
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
May 8, 2025: standard inspection13 citations
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide 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.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe, appropriate pain management for a resident who requires such services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure medication error rates are not 5 percent or greater.
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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.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Mar 29, 2024: standard inspection8 citations
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Assure that each resident’s assessment is updated at least once every 3 months.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Dec 7, 2023: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 7, 1969.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as government, hospital district.
- 117 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $8,044 in all.
- No Medicare payment denials in the last three years.
- 9 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 15, 2026 | Fine | $8,044 |
Who does the caring?
2.84 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 2.84 | 3.42 |
| Of which registered nurses | 0.21 | 0.44 |
| At weekends | 2.37 | 2.99 |
| Nursing staff turnover | 54.2% | 50.8% |
| Registered nurse turnover | 40% | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Anson Hospital District owns an unstated share directly since Sep 1, 2025.
- Bryan Opco LLC and Anson Hospital District run it.
- 23 owners or officers are people: Justa Clark (corporate officer, 100%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (owns a share through other companies); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (owns a share through other companies); Victor D Gum (runs it (operational or managerial control)); Victor D Gum (additional disclosable party (controls, leases property to, or provides services to the home)); David T Spraberry (corporate officer, 0%); David T Spraberry (on the governing body (managing control)); Pete Klein (corporate director, 0%); Mathew Dymock (runs it (operational or managerial control)); Mathew Dymock (additional disclosable party (controls, leases property to, or provides services to the home)); Barbara Vest (corporate officer, 0%); Max Shaw (corporate director, 0%); Myles Holyfield (additional disclosable party (controls, leases property to, or provides services to the home)); Justa Clark (on the governing body (managing control)); Larry Lytle (corporate director, 0%); Teri Wilson (corporate director, 0%); Billie K Haynes (corporate officer, 0%); Billie K Haynes (on the governing body (managing control)); Diana L Stone (runs it (operational or managerial control)); Diana L Stone (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Legacy Nursing & Rehabilitation (11 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Bryan Opco LLC | Runs it (operational or managerial control) | Sep 1, 2025 | |
| Bryan Opco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2025 | |
| LP Holdings, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2025 | |
| Anson Hospital District | Owns 5% or more directly | Sep 1, 2025 | |
| Anson Hospital District | Runs it (operational or managerial control) | Sep 1, 2025 | |
| Mylesh, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2025 | |
| Jdgum, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2025 | |
| Vdg LLC | Owns a share through other companies | Sep 1, 2025 | |
| Dgprejean, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 1, 2025 | |
| Bryan Propco, L.L.C. | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 24, 2025 | |
| Bryan Propco, L.L.C. | Owns a share through other companies | Sep 1, 2025 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 24.7 miles, this one had the 7th most health citations at the latest inspection cycle (15; the middle value was 15.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Legacy Nursing and Rehabilitation This nursing home | 15 | |
| Crestview Retirement Community | 0.5 | 4 |
| Avir at Bryan | 0.5 | 17 |
| Lampstand Nursing and Rehabilitation | 0.7 | 23 |
| Five Points Nursing & Rehabilitation of College St | 5.1 | 16 |
| Fortress Nursing and Rehabilitation | 5.9 | 2 |
| Accel at College Station | 6.4 | 22 |
| Crossroads Nursing & Rehabilitation | 20.8 | 9 |
| Copperas Hollow Nursing & Rehabilitation Center | 23.1 | 4 |
| Navasota Nursing & Rehabilitation | 24.0 | 16 |
| Golden Creek Healthcare and Rehabilitation Center | 24.7 | 6 |
| Avir at Caldwell | 24.7 | 16 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.