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HomeTexasLegacy at Town Creek

Legacy at Town Creek

2212 W Reagan St, Palestine, TX 758019037278500WebsiteGoogle Maps
4.3on Google(112 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
2/5
Beds
199
certified
2 fine(s) totaling $294,608

How Legacy at Town Creek Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.37 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.27 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
53.8%
TX average
55.3%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported RN time is 0.27 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
16
deficiency citations
Inspected Jul 31, 2024
Most recent cycle
6
deficiency citations
Inspected Aug 6, 2025
The most recent cycle recorded 10 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Anderson County 65+
8,569
14.8% of county
County Population
58,077
Anderson County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Legacy at Town Creek is a 1-star Medicare and Medicaid certified nursing home in Palestine, Texas with 199 certified beds. It has been operating since 2004. Its overall CMS rating is 1 out of 5.

Beds
199
Avg Residents/Day
77.2
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)
6
Weighted Score
147.8
Infection Citations
0

Deficiency Citations (38)

F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jan 7, 2026Corrected: NoCycle: 1
F0695Actual Harm

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

Survey: Oct 8, 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
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
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
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
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
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
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
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: 3
F0607Immediate Jeopardy

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

Survey: Jun 6, 2024Corrected: NoCycle: 3
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Jun 6, 2024Corrected: NoCycle: 3
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: 3
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: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 6, 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
F0695Potential for Harm

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

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
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
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
F0695Potential for Harm

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

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0758Potential for Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey: Apr 26, 2023Corrected: NoCycle: 3
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Apr 26, 2023Corrected: NoCycle: 3

+ 8 more deficiencies

Total Fines
$294,608
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineOct 8, 2025
$10,358
FineJun 6, 2024
$284,250

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

Nurse Aide2.00 hrs
National avg: 2.32 hrs
LPN1.10 hrs
National avg: 0.86 hrs
RN0.27 hrs
National avg: 0.69 hrs
Total Nursing3.37 hrs
National avg: 3.86 hrs
Weekend Total3.06 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
53.8%
RN Turnover
55.6%
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 (20)

NameRoleTypeOwnership %Since
LIBERTY COUNTY HOSPITAL DISTRICT NO.15% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2018
STRATTON, CHARLESCORPORATE OFFICERIndividualN/AApr 1, 2018
PMG OPCO- PALESTINE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2025
ADEWALE, ADEBAYOOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
FRANKLIN, BRADLEYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2025
BOULWARE, DOUGLASINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 24, 2026
BOULWARE, SANDRAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/AMar 24, 2026
BAUDER FAMILY INVESTMENTS, LLCADP OF THE SNFOrganizationN/AOct 1, 2025
BOULWARE ST JAMES LLCADP OF THE SNFOrganizationN/AOct 1, 2025
PMG REALCO- PALESTINE LLCADP OF THE SNFOrganizationN/AOct 1, 2025
STEVEN BOULWARE FAMILY INVESTMENTS LLCADP OF THE SNFOrganizationN/AOct 1, 2025
ADEWALE, ADEBAYOADP OF THE SNFIndividualN/AOct 1, 2025
BAUDER, KELLYADP OF THE SNFIndividualN/AOct 1, 2025
BAUDER, MADISONADP OF THE SNFIndividualN/AOct 1, 2025
BAUDER, PARKERADP OF THE SNFIndividualN/AOct 1, 2025
BAUDER, WILLIAMADP OF THE SNFIndividualN/AOct 1, 2025
BOULWARE, STEVENADP OF THE SNFIndividualN/AOct 1, 2025
BOULWARE, THOMASADP OF THE SNFIndividualN/AOct 1, 2025
FRANKLIN, BRADLEYADP OF THE SNFIndividualN/AOct 1, 2025
WALKER, KATIEADP OF THE SNFIndividualN/AOct 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Legacy at Town Creek and nearby alternatives.

All Texas facilities
Legacy at Town Creek
Palestine, TXCurrent facility
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $294,608
Trucare Living Centers
Palestine, TX1.7 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Avir at Town Creek
Palestine, TX1.7 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $49,065
Greenbrier Nursing & Rehabilitation Center of Pale
Palestine, TX3.6 mi
CMS
4/5
Health
5/5
Staffing
1/5
Recorded fines: None
Avir at Elkhart
Elkhart, TX9.6 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $65,397
Avir at Jacksonville
Jacksonville, TX26.2 mi
CMS
5/5
Health
5/5
Staffing
4/5
Recorded fines: None
Twin Oaks Health and Rehabilitation Center
Jacksonville, TX27.3 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $174,431
FacilityDistanceCMSHealthStaffingRecorded fines
Legacy at Town Creek
Palestine, TX · Current facility
—1/52/51/5$294,608
Trucare Living Centers
Palestine, TX
1.7 mi5/55/53/5None recorded
Avir at Town Creek
Palestine, TX
1.7 mi3/53/53/5$49,065
Greenbrier Nursing & Rehabilitation Center of Pale
Palestine, TX
3.6 mi4/55/51/5None recorded
Avir at Elkhart
Elkhart, TX
9.6 mi3/53/52/5$65,397
Avir at Jacksonville
Jacksonville, TX
26.2 mi5/55/54/5None recorded
Twin Oaks Health and Rehabilitation Center
Jacksonville, TX
27.3 mi2/53/51/5$174,431

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Legacy at Town Creek?▾
Legacy at Town Creek has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Legacy at Town Creek cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Legacy at Town Creek participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Legacy at Town Creek had any health inspection violations?▾
Legacy at Town Creek had 6 deficiency citations in its most recent health inspection (Aug 6, 2025). The current CMS dataset records 2 fine(s) totaling $294,608.
What are the staffing levels at Legacy at Town Creek?▾
Legacy at Town Creek provides 3.37 total nursing staff hours per resident per day, including 0.27 RN hours, 1.10 LPN hours, and 2.00 nurse aide hours. The total staff turnover rate is 53.8%.
How many beds does Legacy at Town Creek have?▾
Legacy at Town Creek has 199 certified beds with an average of 77.2 residents per day, resulting in approximately 39% 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. This page lists 6 nearby nursing homes in Texas, including 3 in Palestine. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Legacy at Town Creek?▾
On Google Maps, Legacy at Town Creek has a rating of 4.3 out of 5 based on 112 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Southwest Ltc

This chain operates 13 facilities. View all →