2333 Manor Dr, Bryan, TX 77802 · Brazos County · (979) 821-7330
81 certified beds, about 76 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2001
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675887 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 14, 2026, inspectors cited 11 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 44 health citations since February 2024, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
98.6% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Gulf Coast LTC Partners, an affiliated group of 20 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 44 health citations on file.
Inspectors wroteBased on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation.1. The facility failed to ensure stored foods in the 3-door reach in refrigerator located in the kitchen was labeled and dated to include the use by date or prepared/ pulled date. 2. The facility failed to ensure foods were stored in a manner as to prevent contamination (sealed). 3. The facility failed to ensure bread in the dry storage area was sealed in a manner to prevent contamination. 4. The facility failed to ensure dietary staff maintained a sanitary environment (scoops left inside dry storage container of sugar, soiled dry storage container tops, soiled interior of the reach in refrigerator). [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents were informed orally of their rights for 10 confidential residents reviewed for resident rights. The facility failed to ensure residents were provided with ongoing communication of their rights during their stay at the facility. This failure could place residents at risk for a decreased quality of life and awareness and execution of their rights.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for 3 of 17 (Resident #19 Resident #51 and Resident #61 ) residents reviewed for activities. The facility failed to provide a sufficient variety of activities, including evening and weekend activities to meet resident interests and psychosocial needs. This failure could place residents at risks of boredom, depression, behavior, diminished quality of life and decreased cognitive function.
Inspectors wroteBased on observation, interview, and record review, the facility failed to make sure that drugs are stored in locked compartments and only authorized persons have access for 3 of 9 medication carts (MC #1, MC #2, and MC #3) reviewed for drug storage and labeling. The facility failed to ensure MC #1, MC #2 and MC #3 were locked, medications secured, and not accessible to other staff, residents, or visitors. This failure could place residents at risk of having unauthorized access to medications, decreased effectiveness of medication, or missing medications.
Inspectors wroteBased on interview and record review the facility failed to establish an infection prevention and control program (IPCP) that included, at a minimum, an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use for 3 of 3 residents (Resident # 17, #28, and #93) reviewed for antibiotic stewardship program.1. The facility failed to follow antibiotic stewardship policy by failing to include all required information per facility policy on their infection tracking log for Resident #17, Resident #28 and Resident #93.2. The facility failed to follow antibiotic stewardship policy for Resident #17, Resident #28, and Resident #93 by not ensuring an infection surveillance assessment was performed for all antibiotic orders. [...]
Inspectors wroteBased on observation, interviews and record reviews, the facility failed to provide a safe, functional, sanitary, and comfortable environment for 6 of 8 confidential residents reviewed for homelike environment. The facility failed to ensure resident's wheelchairs were cleaned, free from dirt and debris. This failure could place residents at risk of diminished quality of life by living in an unsanitary and uncomfortable environment .
Inspectors wroteBased on observation, interview, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 2 of 25 residents (Resident #29 and Resident #63) reviewed for resident rights. The facility failed to ensure CNA D knocked on Resident #63's door before entering the resident's room. The facility failed to ensure staff assisted Resident #29 with removing his hospital gown and putting on his clothing as preferred on .5/13/2026 and 5/14/2026. This failure could place residents at risk of feeling like their privacy was invaded, cause emotional distress, diminished feelings of self-worth and/or diminished quality of life. Findings Included:1. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the resident's right to personal privacy and confidentiality of his or her personal and medical records for 2 (Residents #63 and #65) of 8 residents reviewed for privacy and confidentiality. The facility failed to ensure that the Resident Identifier sheet and corresponding survey containing PHI of Residents #63 and #65 were not left in the public survey binder in the lobby of the facility. The failure could place the residents at risk of their medical information being exposed to unauthorized individuals.
Inspectors wroteBased on interview and record review, the facility failed to coordinate assessments with the PASRR program for 1 of 5 residents (Resident #38) reviewed for PASRR assessments. The facility did not complete a 1012 form (used by the state nursing facilities to review residents with a negative PASRR Level 1 screening and determine if further evaluation for mental illness or dementia is needed) to update resident #38's PASRR Level 1 with the newly evident mental health diagnosis. The facility did not refer Resident #38 to the appropriate state-designated mental health authority for review when she received a new diagnosis of Major Depressive disorder, recurrent severe (condition where person experiences repeated episodes of very intense sadness, loss of interest, low energy, and feelings of hopelessness) during her stay at the facility on 03/06/2025. [...]
Inspectors wroteBased on interview and record reviews, the facility failed to ensure all Pre-admission Screening and Resident Review (PASRR) Level I residents with a mental illness was completed correctly and were provided with a PASRR Level II assessment for one (Resident #7) of 8 residents reviewed for PASRR assessments. The facility failed to ensure the MDS RN entered Resident #7's PASRR Level l correctly into SimpleLTC portal (portal used by nursing facilities to manage resident's information) the PASRR entered did not indicate a diagnosis of mental illness, although diagnosis was present upon admission. This failure could place all residents who had a mental illness at risk for not receiving needed assessment, care, and services to meet their needs.
Inspectors wroteBased on observations, interviews and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs for 1 of 17 (Resident #23) residents reviewed for medication administration. The facility failed to ensure staff did not leave medication with Resident #23 when there was not a self-administer assessment completed. This failure could place residents at risk of not accurately receiving their medications, which could cause a change in condition. Findings Included: Record review of Resident #23's face sheet dated 05/14/2026 revealed a [AGE] year-old male who was admitted to the facility on [DATE]. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 1 dining rooms reviewed for infection control. The facility failed to ensure CNA D washed and sanitized her hands between passing breakfast trays to the residents. The facility failed to ensure CNA E washed and sanitized her hands between passing breakfast trays to the residents. These failures could place residents at risk for cross contamination and the spread of infection.
Inspectors wroteBased on interviews, and record review, the facility failed to ensure prompt resolution of grievances regarding the resident's right to file a grievance for 4 of 4 confidential residents reviewed for grievances. The facility failed to notify residents in writing of the findings and actions of the grievances they filed. This failure could affect resident's right to a written decision regarding the resolution of their grievance.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drug and biological) to meet the needs of each resident for one of four residents (Resident #1) reviewed for medications and pharmacy services. The facility failed to ensure Resident #1 had his prescribed clonidine (a medication for high blood pressure) 0.3mg/24HR transdermal (applied to the skin) patches available for administration. This failure could place residents at risk of not receiving the intended therapeutic benefits of the medication and symptomatic changes in vital signs.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drug and biologicals) to meet the needs of each resident for one of four residents (Resident #2) reviewed for medications and pharmacy services, in that: The facility failed to ensure Resident #2's physician ordered medications Bisacodyl, lactobacillus, and polyethylene glycol prescribed for his Ogilvie syndrome. These deficient practices could place residents at risk of not receiving therapeutic dosage of medications and symptomatic changes in vital signs.
Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure residents had the right to be free from exploitation and misappropriation of property for one of four residents (Resident #1) reviewed for misappropriation of resident property. The facility failed to protect Resident #1 from CNA A, who at some point during her employment from 10/30/2025 through 12/09/2025 took Resident #1's debit card and incurred at least 36 unauthorized charges from 11/29/2025 through 02/08/2026. This failure placed residents at risk of misappropriation of property and financial loss.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents are offered a therapeutic diet when there is a nutritional problem and the health care provider orders a therapeutic diet for one of four residents (Resident #2) reviewed for physician ordered supplements. The failed to ensure Resident #2 received his physician ordered supplement ensure clear with his lunch meal. This failure placed residents at risk for weight loss, malnutrition, and poor quality of life.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure parenteral fluids must be administered consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 6 residents (Resident #2) reviewed for parenteral fluids The facility failed to ensure Resident #2's PICC line dressing was changed per physician orders. This failure could place residents with PICC line dressing at risk for potential infections.
Inspectors wroteBased on observation, interview and record review the facility must provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 of 4 medication carts reviewed (station 1 medication cart). The facility failed to ensure on 09/04/2025 that expired medications (one bottle of Melatonin 1mg expired 08/2025 and one bottle of Aspirin 325 mg expired 08/2025) were removed from the station one medication cart once expired. This failure could place residents who received medications at risk of not receiving the intended therapeutic effect of the medications. Findings Included: Observation on 09/04/2025 at 2:30 pm of station one medication cart revealed a bottle of Melatonin 1mg expired 08/2025 and one bottle of Aspirin 325 mg expired 08/2025. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure storage of drugs and biologicals used in the facility for 1 of 4 medication carts reviewed (station 1 medication cart). The facility failed to ensure medications were stored and used in an orderly manner to ensure the liquid did not run down the sides of the bottle causing it to be sticky on the sides of the bottle and the bottle was stuck to the bottom of the medication cart drawer. This failure could place residents who received medications at risk of not receiving the intended therapeutic effect of the medications. Findings Included: Observation on 09/04/2025 at 2:30 pm of station one medication cart revealed a bottle of lactulose in the medication cart drawer which was sticky on the sides of the bottle and the bottle was stuck to bottom of cart. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 6 (Resident #1) residents reviewed for infection control practices. The facility failed to ensure LVN A followed standard precautions during wound care on 09/04/2025 for Resident #1's RLE stasis ulcer, when he failed to perform hand hygiene prior to wound care, and between glove changes and failed to use gloves that were not contaminated. This failure could place residents at risk for developing wound infections and risk for healthcare associated cross-contamination and infections.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure each resident's drug regimen was free from unnecessary drugs for 1 of 3 residents (Resident #1) reviewed unnecessary drugs. The facility failed to ensure PT/INR laboratory tests (to measure blood clotting time and thus ensure safe blood levels of the anticoagulant, warfarin) were obtained weekly as ordered for Resident #1 on 04/14/25, 04/28/25, 05/05/25, 05/12/25, 05/26/25, 06/09/25, 06/16/25 and 06/30/25. Resident #1 was presented with multiple, unexplained bruising to her face, tongue, and extremities on 07/05/25 and was hospitalized for a warfarin overdose on 07/07/25. An Immediate Jeopardy (IJ) was identified on 07/09/25. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure laboratory services were provided or obtained to meet the needs of its residents for 1 of 3 residents (Resident #1) reviewed for laboratory services. The facility failed to ensure PT/INR laboratory tests were obtained weekly as ordered for Resident #1 on 04/14/25, 04/28/25, 05/05/25, 05/12/25, 05/26/25, 06/09/25, 06/16/25 and 06/30/25. Resident #1 was presented with multiple, unexplained bruising to her face, tongue, and extremities on 07/05/25 and was hospitalized for a warfarin overdose on 07/07/25. An Immediate Jeopardy (IJ) was identified on 07/09/25. While the IJ was removed on 07/11/25, the facility remained out of compliance at a scope of isolated with the potential for more than minimal harm, due to the facility's need to evaluate the effectiveness of the corrective systems. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure nurse staffing information was posted to include: facility name, the current date, the total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift for, registered nurses, licensed practical nurses or licensed vocational nurses, certified nurse aides, and resident census for 1 of 1 day (07/09/25) reviewed for posted nurse staffing information. The facility failed to have daily nurse staffing posted on 07/09/25. This failure could place residents at risk of not knowing how many nursing staff should be present in the facility. Based on observation, interview and record review the facility failed to ensure nurse staffing information was posted to include: [...]
Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for one (Resident #1) of three residents reviewed for pharmacy services. The facility failed to prevent a diversion of Resident #1's Modafinil 100 MG tablet, 30 tablets received from the pharmacy on 06/15/2025 and reported missing on 06/16/2025. LVN A and LVN B failed to conduct shift change narcotics medication count on the morning of 06/16/2025. These failures could place residents at risk for medication error and delay therapy.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to maintain medical records in accordance with accepted professional standards and practices that are complete and accurately documented for 3 of 14 residents (Resident #1, Resident #2, and Resident #3) reviewed for medication administration, treatment administration, and wound administration. 1. The facility failed to complete Resident #1's Medication Administration Record (MAR), Treatment Administration Record (TAR), Wound Administration Record (WAR), and Controlled Drug Record for Norco 5-325 MG, Norco 10-325 MG, Pregabalin, tramadol PRN, tramadol three times a day and wound cleanse treatments. 2. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to implement a comprehensive care plan to meet the resident's highest practicable physical, mental, and psychosocial well-being of 3 (Resident #13, Resident #53, and Resident #212) of 12 residents reviewed for care plans. The facility failed to develop and implement the comprehensive person-centered care plan for Resident #13's refusal to be weighted monthly. The facility failed to develop and implement the comprehensive person-centered care plan for Resident #53's refusal to sit up out of bed at a 90-degree angle during all meals. The facility failed to develop and implement the comprehensive person-centered care plan for Resident #212's use of a CPAP machine. These failures could place residents at risk for not receiving appropriate care and treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received necessary services to maintain personal hygiene for three (Resident #5, Resident #209, Resident #212) of five residents reviewed for bathing. The facility failed to provide showers to Resident #5, Resident #209, Resident #212 in compliance with their shower schedules. This deficient practice could place residents at risk of a decline in their sense of well-being, level of satisfaction with life, and at risk for skin breakdown.
Inspectors wroteBased on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's nourishment refrigerators for 3 (Nourishment room [ROOM NUMBER], #3, and #4) of 5 nourishment room refrigerators reviewed for food and nutrition services. 1. The facility failed to ensure the nourishment room refrigerator temperature logs were maintained in dining room [ROOM NUMBER], and nourishment refrigerators #3 and #4. 2. The facility failed to ensure the dining room's refrigerator's cleanliness was maintained. 3. The facility failed to ensure the nourishment refrigerator in unit 1 was free of pests. These failures could place residents at risk for health complications, foodborne illnesses and decreased a quality of life.
Inspectors wroteBased on interview and record review, the facility failed to complete a comprehensive assessment within 14 calendar days after admission as required for 2 (Resident #209 and Resident #212) of 5 residents records reviewed for comprehensive assessment accuracy and timing. Resident #209 and Resident #212 did not have completed admission/comprehensive MDS assessments within 14 days following their admissions to the facility. This deficient practice could result in newly admitted residents not receiving the proper care required to attain or maintain the highest practicable physical, mental, and psychosocial well-being.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident is given the appropriate treatment and services to maintain or improve his or her ability to carry out the activities of daily living for 1 of 27 residents (Resident #18) reviewed for ADL activities The facility failed to ensure Resident #18 was monitored for assistance needs and failed to ensure she was positioned in a manner that would allow her to feed herself while in bed. This failure could place residents at risk for weight loss, ADL decline and poor self-esteem.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide treatment and care in accordance with professional standards of practice for 1 (Resident #5) of 5 residents reviewed for quality of care. The facility failed to ensure MA F waited for Resident #5 to consume her nighttime medications before leaving the resident's room. This failure could affect residents by putting them at risk of not receiving the therapeutic benefits of their medications.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who needed respiratory care, was provided such care, consistent with professional standards of practice for one (Resident #212) of 5 residents reviewed for respiratory care. The facility failed to have a physician's order and a plan of care for the use of a CPAP machine and a nebulizer for Resident #212 This failure could place residents at risk of receiving incorrect or inadequate treatment and could result in a health decline or infection.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide pharmaceutical services including procedures that assure the accurate acquiring, receiving, and dispensing of routine drugs and biologicals to meet the needs of each resident for 1of 4 resident reviewed for pharmacy services. (Resident #213) The facility failed to ensure Resident #213 ordered Thiamine (a B1 vitamin) and Ergocalciferol (a prescription strength vitamin D) medication was available for administration on 03/26/25. These failures could place residents at risk for not receiving medications as prescribed and a decline in health status
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 7.69% based on 2 out of 26 opportunities, which involved 1 of 4 residents (Resident #213) observed during medication administration reviewed for medication error. The facility failed to ensure Resident #213's ordered Thiamine (a B1 vitamin) and Ergocalciferol (a prescription strength vitamin D) medication was available for administration on 03/26/25. These failures could place residents at risk of not receiving medications as ordered
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications and biologicals were stored in locked compartments for 1 of 1 medication carts reviewed for medication storage. The facility failed to ensure the medication cart was locked and medications were secure and not accessible to other staff, resident, or visitors while unattended by MA E on 3/26/25 at 10:30am. This failure could have resulted in harm due to unauthorized access to medications, biologicals, and needles.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment, and to help prevent the development and transmission of communicable diseases and infections, for one of two medication aides (MA E) observed for infection control practices MA E failed to sanitize her hand, put on gloves prior to administration of eye drops to Resident #213 on 03/26/25 at 10:30am. This failure could place residents at risk for healthcare associated cross-contamination and infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to use appropriate alternatives prior to installing a side or bed rails, assess the resident for risk of entrapment, review the risk and benefits, and obtain informed consent prior to installation for 3 out of 6 residents (Residents #1, #2, and #3) reviewed for bedrails. The facility failed to assess and get signed consents for Residents #1, #2, and #3 prior to installing bed rails. This deficient practice could affect residents who utilized bed rails by placing them at risk for unintended entrapment of the head, neck, or limbs, restraints, and injuries.
Inspectors wroteBased on observation, interview, and record review, the facility failed to honor the residents right to choose his or her attending physician for 5 of 5 residents (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) and the entire facility reviewed for resident rights. The facility did not honor Resident #1, #2, #3, #4, and #5's right to choose his/her primary care physician after the facility terminated their Medical Director's agreement and changed the attending physician without notice to the residents or their representatives effective 07/04/24. This deficient practice could place residents at risk of decreased quality of care and treatment due to their lack of free choice for their attending physician care while in the facility.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls for 1 of 3 (Resident #1) residents reviewed for pharmacy services. 1. The facility failed to ensure Resident #1's medications (1 box of 20, 600mg Mucinex tablets and 1 single 10mg Baclofen tablet) were stored and locked in an area not accessible to other staff, residents, or visitors. 2. The facility failed to dispose of medication properly- 1 loose pill (Docusate sodium 50 mg tablet) was found in the private dining room trash can. These failures could place residents at risk of injury and result in residents not receiving doses of medication as well as not being maintained at their best therapeutic level.
Inspectors wroteBased on interviews, and record review, the facility failed to report incidents of injury of unknown sources to HHSC's state office within 24 hours for 1 (Resident #1) of 3 residents reviewed for unwitnessed falls. The facility failed to report allegations to the State Agency when Resident #1 had an unwitnessed fall and was sent out to a local hospital. This failure placed residents at risk of further injuries not being reported timely for a thorough prompt investigation to be conducted immediately. Findings Included: [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the residents environment remained as free of accident hazards as was possible in 14 of 50 resident room sinks (room [ROOM NUMBER], 226, 230, 303, 307, 310, 313, 317 319, 320, 325 329, 335, and 342) and 2 of 2 common shower areas (2nd and 3rd floor) reviewed for hot water. The facility failed to maintain resident use hot water at safe and comfortable temperatures. Resident use hot water was not reliably controlled and ranged from between 118.4 F and 129.4 in reviewed locations. This failure could place residents at risk for sustaining scalding injuries when using resident-use / resident accessible hot water.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for two of four residents reviewed for catheter care (Resident #46 and Resident #48). A) The facility failed to ensure Resident #46's catheter was secured to his body with a catheter secure device per the care plan and physician's orders. B) The facility failed to ensure Resident 48's catheter was secured to his body with a catheter secure device per the physician's orders and facility policy. This failure to secure catheters placed residents with urinary catheters at risk for traumatic removal and catheter acquired infections.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that a resident who needs respiratory care, is provided such care, consistent with professional standards of practice for 1 (Resident #18) of 4 residents reviewed for respiratory care. The facility failed to ensure that Resident #18's Nebulizer tubing and mouthpiece, which includes the nebulizing chamber (unit into which liquid medicine is converted into aerosol or mist by the pressurized air pumped through the tubing), were dated and replaced every seven (7) days. The facility failed to ensure that Resident #18's Nebulizer mouthpiece was bagged when not in use. These failures could place residents at risk for respiratory compromise and infection.
14 fire safety citations on file: 2 on May 14, 2026, 3 on March 27, 2025, 9 on February 7, 2024.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.47 | 3.39 | 3.86 |
| Registered nurses | 0.44 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.07 | 2.98 | 3.42 |
| Nurse aides | 1.92 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 98.6% | 55.3% | 45.8% |
| Registered nurse turnover | 88.9% | 54.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.79 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.63 on weekdays and 3.07 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.71 in April to June 2025 to 3.47 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.47 | 0.44 | 3.63 | 3.07 | 1.9% | 0 of 90 | 76 |
| Oct to Dec 2025 | 4.06 | 0.38 | 4.21 | 3.68 | 7.5% | 1 of 92 | 62 |
| Jul to Sep 2025 | 2.03 | 0.17 | 2.11 | 1.83 | 2.6% | 27 of 92 | 64 |
| Apr to Jun 2025 | 3.71 | 0.46 | 3.93 | 3.16 | 0.1% | 0 of 91 | 68 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.0 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.8 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 0.0 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.7 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.5 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.5 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.6 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Avir at Bryan's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (59.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
59.1% this home
Better than the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 278 eligible stays.
13.7% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 307 eligible stays.
7.1% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 139 eligible stays.
55.9% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 59 residents counted.
0.7% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 151 residents counted.
1.6% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 151 residents counted.
98.4% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 63 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BURLESON COUNTY HOSPITAL DISTRICT. CMS links this home to Gulf Coast LTC Partners, a group of 20 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Burleson County Hospital District | 5% or greater direct ownership interest | Organization | 100% | 04/15/2014 |
| Chapman, Wayne | Corporate director | Individual | 05/01/2000 | |
| 2333 Manor Dr Opco, LLC | Operational/managerial control | Organization | 08/01/2025 | |
| Freund, Nochum | Operational/managerial control | Individual | 08/01/2025 | |
| Jian, Peter | Operational/managerial control | Individual | 04/01/2024 | |
| Travitsky, Aaron | Operational/managerial control | Individual | 08/01/2025 | |
| Dagan, Amitai | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 01/05/2026 | |
| Goldberger, Abraham | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 01/05/2026 | |
| Goldberger, Faigy | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 01/05/2026 | |
| 2333 Manor Dr Property Owner, LLC | Adp of the SNF | Organization | 08/01/2025 | |
| Welltower Nnn Group, LLC | Adp of the SNF | Organization | 08/01/2025 | |
| Welltower Op, LLC | Adp of the SNF | Organization | 08/01/2025 | |
| Jian, Peter | Adp of the SNF | Individual | 04/01/2024 | |
| Starkey, Geiggi | Adp of the SNF | Individual | 04/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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