Texas › Anderson County › Palestine
Legacy At Town Creek
2212 W Reagan St, Palestine, TX 75801
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 199 beds, Legacy At Town Creek serves Palestine in Anderson County, Texas and has taken Medicare and Medicaid residents since 2004.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 2.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (6, 7, 25 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 19.1 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $295K.
Reported nurse staffing is 3.4 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 53.8%.
Compared with county, state and nation
| Measure | This facility | Anderson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 23 | 25 | 28.7 |
| Citations per 100 beds | 19.1 | 19.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 53.8% | 53.8% | 52.1% | 45.8% |
| Fines listed | $294,608 | $49,065 | $16,801 | — |
County and state figures are medians across facilities (6 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Aug 2025, 31 Jul 2024.
Severity mix: K ×3 G ×2 D ×20 E ×11 F ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 Jan 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 8 Jan 2026 |
| 8 Oct 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | Complaint investigation | 9 Oct 2025 |
| 6 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Sep 2025 |
| 6 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Sep 2025 |
| 6 Aug 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 10 Sep 2025 |
| 6 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Sep 2025 |
| 31 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Aug 2024 |
| 31 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Aug 2024 |
| 31 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 12 Aug 2024 |
| 31 Jul 2024 | F0761 | 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. | D | Standard survey | 12 Aug 2024 |
| 31 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Aug 2024 |
| 31 Jul 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 12 Aug 2024 |
| 31 Jul 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 12 Aug 2024 |
| 6 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 7 Jun 2024 |
| 6 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 7 Jun 2024 |
| 6 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | K | Complaint investigation | 7 Jun 2024 |
| 6 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 7 Jun 2024 |
| 6 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 7 Jun 2024 |
| 6 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 7 Jun 2024 |
| 22 Jan 2024 | F0761 | 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. | E | Complaint investigation | 14 Feb 2024 |
| 22 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 14 Feb 2024 |
| 8 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 9 Aug 2023 |
| 26 Apr 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0584 | 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. | E | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 20 May 2023 |
| 26 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 16 May 2023 |
| 26 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 27 Apr 2023 |
| 26 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 12 May 2023 |
| 26 Apr 2023 | F0758 | 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. | E | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 1 May 2023 |
| 26 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 12 May 2023 |
| 26 Apr 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 May 2023 |
| 26 Apr 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 19 May 2023 |
| 26 Apr 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 12 May 2023 |
| 26 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 12 May 2023 |
| 26 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 May 2023 |
| 26 Apr 2023 | F0926 | Have policies on smoking. | D | Standard survey | 15 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Oct 2025 | Fine | $10,358 | |
| 6 Jun 2024 | Fine | $284,250 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 53.8%, RNs 55.6%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 36.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Liberty County Hospital District No 1. Chain: Southwest Ltc (10 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Liberty County Hospital District No 1 | 5% or greater direct ownership interest | 100% | 04/01/2018 |
| Pmg Opco- Palestine LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| Boulware St James LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Pmg Realco- Palestine LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Anderson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Legacy Midtown Park | Dallas | 54 | 5 | 5 | 5 | 7 | 13.0 | $28K | 16 Jun 2026 |
| Trucare Living Centers | Palestine | 120 | 5 | 5 | 3 | 10 | 8.3 | — | 17 Dec 2025 |
| Greenbrier Nursing & Rehabilitation Center of Pale | Palestine | 120 | 4 | 5 | 1 | 12 | 10.0 | — | 30 Apr 2026 |
| Avir At Elkhart | Elkhart | 98 | 3 | 3 | 2 | 26 | 26.5 | $65K | 21 Jan 2026 |
| Avir At Town Creek | Palestine | 102 | 3 | 3 | 3 | 23 | 22.5 | $49K | 18 Feb 2026 |
All 6 facilities in Anderson County
Questions and answers
How many deficiencies has Legacy At Town Creek been cited for?
38 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Legacy At Town Creek been fined?
Yes. CMS lists fines totalling $295K in the period covered.
How does staffing at Legacy At Town Creek compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Legacy At Town Creek?
It is part of the Southwest Ltc chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Liberty County Hospital District No 1 and Pmg Opco- Palestine LLC. Individual owners and managers are not listed on this site.
When was Legacy At Town Creek last inspected?
The most recent survey or investigation in the CMS record is dated 7 Jan 2026; the most recent standard health survey was 6 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.