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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasLegacy at Town Creek

Legacy at Town Creek

2212 W Reagan St, Palestine, TX 758019037278500
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
2/5
Beds
199
certified
2 fine(s) totaling $300,185

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 199 certified beds with an average of 87.7 residents per day (44% occupancy)

• Last health inspection found 5 deficiencies (inspected Aug 6, 2025)

• Has been fined a total of $300,185 across 2 fine(s)

• Total nursing staff: 3.89 hours per resident per day

• Staff turnover rate: 63.2% (high)

• Part of the Southwest Ltc chain (13 facilities)

Legacy at Town Creek is a 2-star Medicare and Medicaid certified nursing home in Palestine, Texas with 199 certified beds. It has been operating since 2004. The facility scored below average compared to Texas facilities.

Beds
199
Avg Residents/Day
87.7
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 8, 2004
Sprinklers
Yes
Council
Resident
County
Anderson
Last Inspection
Aug 6, 2025
Deficiencies (Cycle 1)
5
Weighted Score
144.8
Infection Citations
0

Deficiency Citations (37)

F0695Actual Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 8, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0813Potential for Harm

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 6, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0640Minimal Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jul 31, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jan 22, 2024Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Jan 22, 2024Corrected: NoCycle: 3
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Aug 8, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Apr 26, 2023Corrected: NoCycle: 3

+ 7 more deficiencies

Total Fines
$300,185
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineOct 8, 2025
$15,935
FineJun 6, 2024
$284,250

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.63 hrs
National avg: 2.35 hrs
LPN0.93 hrs
National avg: 0.86 hrs
RN0.33 hrs
National avg: 0.68 hrs
Total Nursing3.89 hrs
National avg: 3.89 hrs
Weekend Total3.43 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
63.2%
RN Turnover
69.2%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
LIBERTY COUNTY HOSPITAL DISTRICT NO. 15% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2018
SOUTHWEST LTC- PALESTINE, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2018
STRATTON, CHARLESCORPORATE OFFICERIndividualN/AApr 1, 2018
BELTRAN, LARRYW-2 MANAGING EMPLOYEEIndividualN/AApr 6, 2018

Nearby Nursing Homes

All Texas facilities

Trucare Living Centers

Palestine, TX · 120 beds

Government
Health
Staffing
Quality
1.7 mi

Avir at Town Creek

Palestine, TX · 102 beds

For profit$76,268 in fines
Health
Staffing
Quality
1.7 mi

Greenbrier Nursing & Rehabilitation Center of Pale

Palestine, TX · 120 beds

Government
Health
Staffing
Quality
3.6 mi

Frequently Asked Questions

What is the CMS rating for Legacy at Town Creek?▾
Legacy at Town Creek has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated below average.
Has Legacy at Town Creek had any health inspection violations?▾
Legacy at Town Creek had 5 deficiency citations in its most recent health inspection (Aug 6, 2025). The facility has been fined a total of $300,185 across 2 fine(s).
What are the staffing levels at Legacy at Town Creek?▾
Legacy at Town Creek provides 3.89 total nursing staff hours per resident per day, including 0.33 RN hours, 0.93 LPN hours, and 2.63 nurse aide hours. The total staff turnover rate is 63.2%.
How many beds does Legacy at Town Creek have?▾
Legacy at Town Creek has 199 certified beds with an average of 87.7 residents per day, resulting in approximately 44% occupancy. The facility is Government - Hospital district owned and is part of the Southwest Ltc chain.
Are there other nursing homes near Legacy at Town Creek?▾
Yes, there are 3 other nursing homes in Palestine, Texas with an average rating of 2.8/5. You can compare all facilities on the Palestine nursing homes page.

Part of Southwest Ltc

This chain operates 13 facilities. View all →