Federal inspection record · CMS data as of October 1, 2026
Legacy Nursing and Rehabilitation
2817 Kent Street, Bryan, TX · (979) 776-7521
- Certified beds
- 117
- Residents per day
- 107
- Ownership
- Government
- Chain
- Legacy Nursing & Rehabilitation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 7, 1969
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Legacy Nursing and Rehabilitation carries 96 inspection points. That is fewer than 38% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning11E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care11E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care or services that was trauma informed and/or culturally competent.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide safe, appropriate pain management for a resident who requires such services.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary5F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Pharmacy Service5E
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Rights2D
- D
Reasonably accommodate the needs and preferences of each resident.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Nursing and Physician Services1F
- F
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2026-07-09
16 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2025-05-08
15 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-03-29
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 50 min of nursing staff time a day, 12 min of it from a registered nurse.
This home
2 h 50 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 40% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,044 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-15 | Fine | $8,044 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 99.7% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts worse | 90.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 1.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.9 pts worse | 6.2% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 1.3% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts better | 15.2% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.5 pts worse | 16.3% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.4 pts better | 6.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5 pts better | 10.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.3% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 0.3% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts better | 10.2% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 4.9% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.8 pts better | 98.5% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts better | 11.8% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better | 1.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.9 pts better | 88.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.8 pts better | 18.7% | 25.5% | 23.4% |
·
Who owns and runs it
28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Anson Hospital District | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Bryan Opco LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Bryan Opco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Bryan Propco, L.l.c. | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Bryan Propco, L.l.c. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Clark, Justa | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Clark, Justa | Corporate Officer · Individual | 0% | 2 facilities |
| Dgprejean, LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Dymock, Mathew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dymock, Mathew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gum, Victor | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Gum, Victor | Adp Of The SNF · Individual | 0% | 10 facilities |
| Haynes, Billie | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Haynes, Billie | Corporate Officer · Individual | 0% | 3 facilities |
| Holyfield, Myles | Adp Of The SNF · Individual | 0% | 5 facilities |
| Jdgum, LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Klein, Pete | Corporate Director · Individual | 0% | 2 facilities |
| Lp Holdings, LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Lytle, Larry | Corporate Director · Individual | 0% | 2 facilities |
| Mylesh, LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Shaw, Max | Corporate Director · Individual | 0% | 2 facilities |
| Spraberry, David | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Spraberry, David | Corporate Officer · Individual | 0% | 2 facilities |
| Stone, Diana | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Stone, Diana | Adp Of The SNF · Individual | 0% | 3 facilities |
| Vdg LLC | Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Vest, Barbara | Corporate Officer · Individual | 0% | 2 facilities |
| Wilson, Teri | Corporate Director · Individual | 0% | 2 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper medical gas storage and administration areas.
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Other homes nearby
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Crestview Retirement Community
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 19 min
- Fines
- $0
-
Avir at Bryan
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Lampstand Nursing and Rehabilitation
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 23 min
- Fines
- $31,460