Elder Care Record

Texas › Brazos County › Bryan

Legacy Nursing and Rehabilitation

2817 Kent Street, Bryan, TX 77802

CCN 455351 · For-profit, limited liability company · 117 certified beds · chain Legacy Nursing & Rehabilitation

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 117 beds, Legacy Nursing and Rehabilitation serves Bryan in Brazos County, Texas and has taken Medicare and Medicaid residents since 1969.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 3.

Inspectors recorded 39 health deficiencies across the three most recent survey cycles (19, 10, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 33.3 per 100 beds, more than the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $12K.

Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 46.8%.

39health deficiencies, 3 survey cycles1 at actual harm or worse
$12Kfines listed by CMS1 penalty in period
3.0nurse hours per resident per daystate median 3.3
86%occupancy (residents ÷ beds)100 residents a day

Compared with county, state and nation

MeasureThis facilityBrazos Co. medianTexas medianUS average
Overall star rating1133.0
Health citations, 3 cycles39392528.7
Citations per 100 beds33.333.322.526.8
Total nurse hours per resident day3.03.23.33.9
RN hours per resident day0.20.40.40.7
Nursing staff turnover46.8%79.7%52.1%45.8%
Fines listed$12,375$17,014$16,801—

County and state figures are medians across facilities (7 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)19
Cycle 210
Cycle 310

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 May 2025, 29 Mar 2024.

Severity mix: G ×1 D ×25 E ×12 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
2 Jul 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation7 Aug 2026
5 Feb 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation6 Feb 2026
5 Feb 2026F0699Provide care or services that was trauma informed and/or culturally competent.DComplaint investigation6 Feb 2026
15 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation9 Feb 2026
4 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation5 Dec 2025
4 Dec 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation5 Dec 2025
11 Jun 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation10 Jul 2025
14 May 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation13 Jun 2025
8 May 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey6 Jun 2025
8 May 2025F0697Provide safe, appropriate pain management for a resident who requires such services.EStandard survey6 Jun 2025
8 May 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey6 Jun 2025
8 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Jun 2025
8 May 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey6 Jun 2025
8 May 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey6 Jun 2025
8 May 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey6 Jun 2025
8 May 2025F0688Provide 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.DStandard survey6 Jun 2025
8 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey6 Jun 2025
8 May 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey6 Jun 2025
8 May 2025F0759Ensure medication error rates are not 5 percent or greater.DStandard survey6 Jun 2025
8 May 2025F0761Ensure 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.DStandard survey6 Jun 2025
8 May 2025F0880Provide and implement an infection prevention and control program.DStandard survey6 Jun 2025
29 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 May 2024
29 Mar 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard survey19 Apr 2024
29 Mar 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey30 Apr 2024
29 Mar 2024F0638Assure that each resident’s assessment is updated at least once every 3 months.DStandard survey24 Apr 2024
29 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey22 Apr 2024
29 Mar 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey24 Apr 2024
29 Mar 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey30 Apr 2024
29 Mar 2024F0880Provide and implement an infection prevention and control program.DStandard survey3 May 2024
7 Dec 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation5 Jan 2024
27 Jan 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey3 Mar 2023
27 Jan 2023F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey3 Mar 2023
27 Jan 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Mar 2023
27 Jan 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey3 Mar 2023
27 Jan 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey3 Mar 2023
27 Jan 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey3 Mar 2023
27 Jan 2023F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey3 Mar 2023
27 Jan 2023F0803Ensure 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.DStandard survey3 Mar 2023
27 Jan 2023F0814Dispose of garbage and refuse properly.DStandard survey3 Mar 2023

Penalties

DateTypeAmountDetail
15 Jan 2026Fine$12,375

Staffing

Total nursing3 h
Nurse aides1.99 h
LPN0.78 h
RN0.23 h
Weekend total2.56 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 46.8%, RNs 60.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.6%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.4%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.7%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.0%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.0%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Anson Hospital District. Chain: Legacy Nursing & Rehabilitation (9 facilities).

OrganisationRole in the CMS recordInterestSince
Anson Hospital District5% or greater direct ownership interestNO PERCENTAGE PROVIDED09/01/2025
Bryan Propco, L.L.C.Indirect ownership interestNOT APPLICABLE09/01/2025
Vdg LLCIndirect ownership interestNOT APPLICABLE09/01/2025
Anson Hospital DistrictOperational/managerial controlNOT APPLICABLE09/01/2025
Bryan Opco LLCOperational/managerial controlNOT APPLICABLE09/01/2025
Bryan Opco LLCAdp of the snfNOT APPLICABLE09/01/2025
Bryan Propco, L.L.C.Adp of the snfNOT APPLICABLE09/24/2025
Dgprejean, LLCAdp of the snfNOT APPLICABLE09/01/2025
Jdgum, LLCAdp of the snfNOT APPLICABLE09/01/2025
LP Holdings, LLCAdp of the snfNOT APPLICABLE09/01/2025
Mylesh, LLCAdp of the snfNOT APPLICABLE09/01/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Brazos County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Crestview Retirement CommunityBryan485541020.8—24 Jun 2026
Accel At College StationCollege Station1162114942.2$74K29 Jan 2026
Fortress Nursing and RehabilitationCollege Station1202311915.8$17K22 Jan 2026
Avir At BryanBryan811114454.3—30 May 2026
Five Points Nursing & Rehabilitation of College Stabuse iconCollege Station1301112922.3$40K8 May 2026
Lampstand Nursing and RehabilitationBryan1401215237.1$31K24 Jun 2026

All 7 facilities in Brazos County

Questions and answers

How many deficiencies has Legacy Nursing and Rehabilitation been cited for?

39 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Legacy Nursing and Rehabilitation been fined?

Yes. CMS lists fines totalling $12K in the period covered.

How does staffing at Legacy Nursing and Rehabilitation compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Legacy Nursing and Rehabilitation?

It is part of the Legacy Nursing & Rehabilitation chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Anson Hospital District, Bryan Propco, L.L.C. and Vdg LLC. Individual owners and managers are not listed on this site.

When was Legacy Nursing and Rehabilitation last inspected?

The most recent survey or investigation in the CMS record is dated 2 Jul 2026; the most recent standard health survey was 8 May 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.