Government - Hospital district ·
199 certified beds ·
Medicare and Medicaid
· Part of Southwest Ltc (13 facilities)
2
Overall CMS Rating
★★☆☆☆
Legacy At Town Creek is a Medicare-certified nursing home in Palestine, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.89 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Aug 6, 2025 cited 6 deficiencies.
2 fines totaling $300,185 in CMS records.
2 total penalties
Not SLA EnrolledThis facility hasn't enrolled in resident survey verification. Learn about enrollment →
CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★☆☆☆ 2/5
Health Inspections
★★☆☆☆ 2/5
Staffing
★★☆☆☆ 2/5
Quality Measures
★★☆☆☆ 2/5
Long-Stay QM
★☆☆☆☆ 1/5
Short-Stay QM
★★★☆☆ 3/5
How Legacy At Town Creek compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Texas avg
National avg
Total nurse staffing (hrs/resident/day)
3.89
3.40
3.89
above avg
RN staffing (hrs/resident/day)
0.33
0.44
0.68
below avg
Aide staffing (hrs/resident/day)
2.63
2.01
2.34
above avg
Nursing staff turnover
63.2%
51.5%
46.4%
above avg
Deficiencies cited, last inspection
6.0
9.1
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
3.89
Total Nurse Hrs/Resident/Day
0.33
RN Hrs/Resident/Day
0.93
LPN Hrs/Resident/Day
2.63
Aide Hrs/Resident/Day
3.43
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
63.2%
Registered Nurses
69.2%
Administrator Changes—
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Aug 6, 2025
Most Recent Inspection Date
6
Total Deficiencies Found
44
Health Inspection Score
2
Number of Fines
What inspectors found at Legacy At Town Creek
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies · Jan 7, 2026
Actual harm
Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Oct 8, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Aug 6, 2025
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Aug 6, 2025
Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.Nutrition and Dietary Deficiencies · Aug 6, 2025
Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies · Aug 6, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Jul 31, 2024
Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies · Jul 31, 2024
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Jul 31, 2024
Potential 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.Pharmacy Service Deficiencies · Jul 31, 2024
Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies · Jul 31, 2024
Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies · Jul 31, 2024
About This Facility
Address
2212 W Reagan St Palestine, TX 75801
CMS Certification #
675998
Ownership
Government - Hospital district
Certified Beds
199
Avg Residents/Day
87.7
Provider Type
Medicare and Medicaid
First Certified
2004-01-08
Chain
Southwest Ltc (13 facilities)
Setting
Rural
Part of Southwest Ltc
13
Facilities Nationwide
Southwest Ltc operates 13 nursing facilities across the United States.
CMS gives Legacy At Town Creek an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Legacy At Town Creek reports 3.89 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 6 deficiencies.
Legacy At Town Creek is certified for 199 beds.
Admissions at Legacy At Town Creek
For admissions, availability and rehab questions, call (903) 727-8500. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
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