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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D25 | E12 | F2 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 9, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 9, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Jul 2, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 5, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jan 15, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Dec 4, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 11, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 14, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 8, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 8, 2025 | Health | Health Standard | 13 | Potential harm | — | Open → |
| Mar 29, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 29, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Dec 7, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 15, 2026 | Civil money penalty (fine) | $8,044 | — | 455351|Fine|137055 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D25 | E12 | F2 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 9, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2026 | |
| Jul 9, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 | |
| Jul 9, 2026 | F-0656 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 3 facilities.
11 facilities in 2 states. CMS chain ID 307.
Chain average overall rating (CMS): 1.6
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bryan Propco, L.l.c | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Vdg LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bryan Propco, L.l.c | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Vdg LLC | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2025 |
| Justa Clark | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 1, 2025 |
| Billie Haynes | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2016 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Legacy Nursing and Rehabilitation 2202 N Travis Ave, Cameron, TX 76520 CCN 676174 | 104 | Feb 12, 2026 | 25 | — | |
| Los Arcos Del Norte Care Center 11169 Sean Haggerty Dr, El Paso, TX 79934 CCN 676283 | 124 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Legacy Nursing and Rehabilitation 2202 N Travis Ave, Cameron, TX 76520 CCN 676174 | 104 | Feb 12, 2026 | 25 | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Crestview Retirement Community 2505 E Villa Maria Rd, Bryan, TX 77802 CCN 675979 | 0.7 km | 48 | Jun 24, 2026 | 101 IJ | — | |
| Avir at Bryan 2333 Manor Dr, Bryan, TX 77802 CCN 675887 | 0.8 km | 81 | May 30, 2026 | 582 IJ | — | |
| Lampstand Nursing and Rehabilitation 2001 E 29th St, Bryan, TX 77802 CCN 676019 | 1.1 km | 140 | Jul 15, 2026 | 624 IJ1 harm | $31k | |
| Five Points Nursing & Rehabilitation of College St 3105 Corsair Drive, College Station, TX 77845 CCN 745051 | 8.1 km | 130 | Jul 30, 2026 | 473 IJ3 harm | $40k | |
| Fortress Nursing and Rehabilitation 1105 Rock Prairie Rd, College Station, TX 77845 CCN 455589 | 9.4 km | 120 | Aug 15, 2026 | 233 IJ1 harm | $17k | |
| Accel at College Station 1500 Medical Avenue, College Station, TX 77845 CCN 676437 | 10.3 km | 116 | Aug 20, 2026 | 696 IJ | $74k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455351 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455351 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care |
| E · Potential harm Pattern |
| Corrected Jul 10, 2026 |
| Jul 9, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 10, 2026 |
| Jul 9, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jul 9, 2026 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jul 9, 2026 | F-0727 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jul 10, 2026 |
| Jul 9, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 10, 2026 |
| Jul 9, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 10, 2026 |
| Jul 9, 2026 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Jul 10, 2026 |
| Jul 2, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 7, 2026 | Complaint |
| Feb 5, 2026 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 6, 2026 | Complaint |
| Feb 5, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 6, 2026 | Complaint |
| Jan 15, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 9, 2026 | Complaint |
| Dec 4, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 5, 2025 | Complaint |
| Dec 4, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 5, 2025 | Complaint |
| Jun 11, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2025 | Complaint |
| May 14, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 13, 2025 | Complaint |
| May 8, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 18, 2025 |
| May 8, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 6, 2025 |
| May 8, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 6, 2025 |
| Mar 29, 2024 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 24, 2024 |
| Mar 29, 2024 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 19, 2024 |
| Mar 29, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2024 |
| Mar 29, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 24, 2024 |
| Mar 29, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Mar 29, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 30, 2024 |
| Mar 29, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 3, 2024 |
| Mar 29, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 3, 2024 |
| Dec 7, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 5, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.94 (case-mix index 1.35).
| David Spraberry | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2016 |
| Anson Hospital District | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Bryan Opco LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Mathew Dymock | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 3, 2025 |
| Victor Gum | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Diana Stone | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2025 |
| Pete Klein | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2025 |
| Larry Lytle | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2025 |
| Max Shaw | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2025 |
| Teri Wilson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2025 |
| Justa Clark | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2025 |
| Billie Haynes | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2025 |
| David Spraberry | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2025 |
| Barbara Vest | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2025 |
| Bryan Opco LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Bryan Propco, L.l.c | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 24, 2025 |
| Dgprejean, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Jdgum, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| LP Holdings, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Mylesh, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Mathew Dymock | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Victor Gum | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Myles Holyfield | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| Diana Stone | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2025 |
| May 21, 2026 |
871 IJ1 harm |
| $39k |