Legacy Nursing and Rehabilitation, Bryan
Legacy Nursing and Rehabilitation, Bryan is a 117-bed nursing home in Bryan, Texas. CMS has certified it for Medicare and Medicaid since 1969-02-07. It averages 100.2 residents a day.
What harm was found in the violations cited at Legacy Nursing and Rehabilitation, Bryan?
CMS lists 39 health-inspection deficiencies for Legacy Nursing and Rehabilitation, Bryan since 2023-01-27, 30 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-07-02.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-07-02 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2026-02-05 | F0655, F0699 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care or services that was trauma informed and/or culturally competent. | D |
| 2026-01-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-12-04 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-12-04 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-06-11 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2025-05-14 | F0690 | 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 |
| 2025-05-08 | F0677, F0697, F0804, F0812 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-05-08 | F0655, F0656, F0657, F0688, F0689, F0755, F0759, F0761, F0880 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-03-29 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-03-29 | F0645, F0804 | PASARR screening for Mental disorders or Intellectual Disabilities / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2024-03-29 | F0638, F0656, F0690, F0695, F0880 | Assure that each resident’s assessment is updated at least once every 3 months. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2023-12-07 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-01-27 | F0804, F0805, F0812, F0842 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2023-01-27 | F0677, F0755, F0770, F0803, F0814 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Ensure 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. / Dispose of garbage and refuse properly. | D |
Why was Legacy Nursing and Rehabilitation, Bryan fined?
| Date | Type | Amount |
|---|---|---|
| 2026-01-15 | Fine | $12,375 |
How is Legacy Nursing and Rehabilitation, Bryan staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.00178 | 3.38539 |
| Total nursing staff turnover (%) | 46.8 | 55.3 |
| Average number of residents per day | 100.2 | 75.8 |
Who owns Legacy Nursing and Rehabilitation, Bryan, and what chain is it in?
Legacy Nursing and Rehabilitation, Bryan is registered with CMS as For profit - Limited Liability company, operates under the legal business name ANSON HOSPITAL DISTRICT and belongs to the LEGACY NURSING & REHABILITATION chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | ANSON HOSPITAL DISTRICT | since 09/01/2025 |
| INDIRECT OWNERSHIP INTEREST | BRYAN PROPCO, L.L.C., VDG LLC | since 09/01/2025 |
| MANAGING CONTROL - GOVERNING BODY | CLARK, JUSTA, HAYNES, BILLIE, SPRABERRY, DAVID | since 01/01/2016 |
| CORPORATE DIRECTOR | KLEIN, PETE, LYTLE, LARRY, SHAW, MAX, WILSON, TERI | since 09/01/2025 |
| CORPORATE OFFICER | CLARK, JUSTA, HAYNES, BILLIE, SPRABERRY, DAVID, VEST, BARBARA | since 09/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | ANSON HOSPITAL DISTRICT, BRYAN OPCO LLC, DYMOCK, MATHEW, GUM, VICTOR, STONE, DIANA | since 09/01/2025 |
| ADP OF THE SNF | BRYAN OPCO LLC, BRYAN PROPCO, L.L.C., DGPREJEAN, LLC, JDGUM, LLC, LP HOLDINGS, LLC, MYLESH, LLC, DYMOCK, MATHEW, GUM, VICTOR, HOLYFIELD, MYLES, STONE, DIANA | since 09/01/2025 |
Were you or a family member harmed at Legacy Nursing and Rehabilitation, Bryan?