Nursing homes › Texas › Legacy Nursing and Rehabilitation
2817 Kent Street, Bryan, TX 77802 · 9797767521 · 117 certified beds
Per CMS filings, this facility is affiliated with Legacy Nursing & Rehabilitation, a group operating 9 facilities in 2 states. Group record: average rating 1.3/5, 3 abuse citation icons, 0 facilities on the Special Focus list, $1,508,674 in federal fines. This facility rates below its group average (1.3/5).
Total nurse staffing: 3.00 (Texas median: 3.27). RN hours: 0.23. Weekend total: 2.56. Nursing staff turnover: 47%.
All-time on record: 38 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-02-05 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2026-02-06 |
| 2026-02-05 | Provide care or services that was trauma informed and/or culturally competent. | D | complaint | corrected 2026-02-06 |
| 2026-01-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2026-02-09 |
| 2025-12-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-12-05 |
| 2025-12-04 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-12-05 |
| 2025-06-11 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2025-07-10 |
| 2025-05-14 | 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 | complaint | corrected 2025-06-13 |
| 2025-05-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2025-06-06 |
| 2025-05-08 | Provide safe, appropriate pain management for a resident who requires such services. | E | Health | corrected 2025-06-06 |
| 2025-05-08 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-06-06 |
| 2025-05-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-06-06 |
| 2025-05-08 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-06-06 |
| 2025-05-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-06 |
| 2025-05-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-06-06 |
| 2025-05-08 | 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 | Health | corrected 2025-06-06 |
| 2025-05-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-06-06 |
| 2025-05-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-06-06 |
| 2025-05-08 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2025-06-06 |
| 2025-05-08 | 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. | D | Health | corrected 2025-06-06 |
| 2025-05-08 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-06 |
| 2024-03-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-05-03 |
| 2024-03-29 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Health | corrected 2024-04-19 |
| 2024-03-29 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-04-30 |
| 2024-03-29 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Health | corrected 2024-04-24 |
| 2024-03-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-04-22 |
| 2024-03-29 | 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 | Health | corrected 2024-04-24 |
| 2024-03-29 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-04-30 |
| 2024-03-29 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-05-03 |
| 2023-12-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-01-05 |
| 2023-01-27 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2023-03-03 |
| 2023-01-27 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Health | corrected 2023-03-03 |
| 2023-01-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-03-03 |
| 2023-01-27 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2023-03-03 |
| 2023-01-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-03-03 |
| 2023-01-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-03-03 |
| 2023-01-27 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | corrected 2023-03-03 |
| 2023-01-27 | 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. | D | Health | corrected 2023-03-03 |
| 2023-01-27 | Dispose of garbage and refuse properly. | D | Health | corrected 2023-03-03 |
| Date | Type | Amount |
|---|---|---|
| 2026-01-15 | Fine | $12,375 |
No detailed ownership records on file.
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455351. Corrections: data@carerecords.org.