Legacy Nursing and Rehabilitation

2817 Kent Street, Bryan, TX 77802

Phone: 9797767521

CMS ratings and facility information

Legacy Nursing and Rehabilitation is a Medicare-certified nursing facility in Bryan, Brazos County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measures rating3 of 5
Certified beds117
OwnershipFor profit - Limited Liability company
CMS certification number455351

Staffing

Total nurse hours per resident day3
RN hours per resident day0.23
Nurse aide hours per resident day1.99
Total nursing staff turnover percent46.8
RN turnover percent60

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations1.64events_per_1000_resident_days20250101-20251231
Emergency-department visits2.18events_per_1000_resident_days20250101-20251231
Falls with major injury1.42percent2025Q2-2026Q1
Pressure ulcers4.51percent2025Q2-2026Q1
Urinary tract infections0.3percent2025Q2-2026Q1
Antipsychotic medication use15percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-05-080677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2025-05-080697Provide safe, appropriate pain management for a resident who requires such services.E
2025-05-080804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-05-080812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-05-080655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2025-05-080656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-05-080657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2025-05-080688Provide 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
2025-05-080689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-05-080755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-05-080759Ensure medication error rates are not 5 percent or greater.D
2025-05-080761Ensure 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.D
2025-05-080880Provide and implement an infection prevention and control program.D
2024-03-290812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-03-290645PASARR screening for Mental disorders or Intellectual DisabilitiesE
2024-03-290804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-03-290638Assure that each resident’s assessment is updated at least once every 3 months.D
2024-03-290656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-03-290690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-03-290695Provide safe and appropriate respiratory care for a resident when needed.D
2024-03-290880Provide and implement an infection prevention and control program.D
2023-01-270804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2023-01-270805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E
2023-01-270812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2023-01-270842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2023-01-270677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2023-01-270755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-01-270770Provide timely, quality laboratory services/tests to meet the needs of residents.D
2023-01-270803Ensure 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.D
2023-01-270814Dispose of garbage and refuse properly.D

Penalties

DateTypeAmount
2026-01-15Fine,375

Ownership records

NameTypeRole
ANSON HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
BRYAN PROPCO, L.L.C.OrganizationINDIRECT OWNERSHIP INTEREST
VDG LLCOrganizationINDIRECT OWNERSHIP INTEREST
CLARK, JUSTAIndividualMANAGING CONTROL - GOVERNING BODY
HAYNES, BILLIEIndividualMANAGING CONTROL - GOVERNING BODY
SPRABERRY, DAVIDIndividualMANAGING CONTROL - GOVERNING BODY
KLEIN, PETEIndividualCORPORATE DIRECTOR
LYTLE, LARRYIndividualCORPORATE DIRECTOR
SHAW, MAXIndividualCORPORATE DIRECTOR
WILSON, TERIIndividualCORPORATE DIRECTOR
CLARK, JUSTAIndividualCORPORATE OFFICER
HAYNES, BILLIEIndividualCORPORATE OFFICER
SPRABERRY, DAVIDIndividualCORPORATE OFFICER
VEST, BARBARAIndividualCORPORATE OFFICER
ANSON HOSPITAL DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROL
BRYAN OPCO LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
DYMOCK, MATHEWIndividualOPERATIONAL/MANAGERIAL CONTROL
GUM, VICTORIndividualOPERATIONAL/MANAGERIAL CONTROL
STONE, DIANAIndividualOPERATIONAL/MANAGERIAL CONTROL
BRYAN OPCO LLCOrganizationADP OF THE SNF
BRYAN PROPCO, L.L.C.OrganizationADP OF THE SNF
DGPREJEAN, LLCOrganizationADP OF THE SNF
JDGUM, LLCOrganizationADP OF THE SNF
LP HOLDINGS, LLCOrganizationADP OF THE SNF
MYLESH, LLCOrganizationADP OF THE SNF
DYMOCK, MATHEWIndividualADP OF THE SNF
GUM, VICTORIndividualADP OF THE SNF
HOLYFIELD, MYLESIndividualADP OF THE SNF
STONE, DIANAIndividualADP OF THE SNF

Compare nursing homes in Brazos County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.