CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
+ 8 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2018 |
| STRATTON, CHARLES | CORPORATE OFFICER | Individual | N/A | Apr 1, 2018 |
| PMG OPCO- PALESTINE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 1, 2025 |
| ADEWALE, ADEBAYO | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2025 |
| FRANKLIN, BRADLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2025 |
| BOULWARE, DOUGLAS | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Mar 24, 2026 |
| BOULWARE, SANDRA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Mar 24, 2026 |
| BAUDER FAMILY INVESTMENTS, LLC | ADP OF THE SNF | Organization | N/A | Oct 1, 2025 |
| BOULWARE ST JAMES LLC | ADP OF THE SNF | Organization | N/A | Oct 1, 2025 |
| PMG REALCO- PALESTINE LLC | ADP OF THE SNF | Organization | N/A | Oct 1, 2025 |
| STEVEN BOULWARE FAMILY INVESTMENTS LLC | ADP OF THE SNF | Organization | N/A | Oct 1, 2025 |
| ADEWALE, ADEBAYO | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| BAUDER, KELLY | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| BAUDER, MADISON | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| BAUDER, PARKER | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| BAUDER, WILLIAM | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| BOULWARE, STEVEN | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| BOULWARE, THOMAS | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| FRANKLIN, BRADLEY | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
| WALKER, KATIE | ADP OF THE SNF | Individual | N/A | Oct 1, 2025 |
Compare CMS ratings and recorded fines for Legacy at Town Creek and nearby alternatives.
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.
This chain operates 13 facilities. View all →