Legacy at Town Creek
Nursing home in Palestine, TX
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 2212 W Reagan St, Palestine, TX 75801
- Phone
- (903) 727-8500
- Listed under
- Government-owned
- Medicare CCN
- 675998
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 199
- Average residents per day
- 77
- Ownership
- Government, hospital district
- Legal business name
- Liberty County Hospital District No 1
- Chain
- Southwest LTC (10 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 8, 2004
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Aug 6, 2025. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 26, 2023 to Jan 7, 2026): 12 from complaint inspections, 5 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Jan 7, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| Oct 8, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | G |
| Aug 6, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Aug 6, 2025 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| Aug 6, 2025 | Provide and implement an infection prevention and control program. | D |
| Aug 6, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Jul 31, 2024 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B |
| Jul 31, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Jul 31, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Jul 31, 2024 | 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… | D |
| Jul 31, 2024 | Provide and implement an infection prevention and control program. | D |
| Jul 31, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
Fines and payment denials
CMS records 2 fines totalling $294,608 in the last three years.
| Oct 8, 2025 | Fine: $10,358 |
| Jun 6, 2024 | Fine: $284,250 |
Staffing
- Total nurse staffing per resident per day
- 3.37 hours
- Registered nurse (RN) time per resident per day
- 0.27 hours
- Nurse aide time per resident per day
- 2.00 hours
- Total nurse staffing on weekends
- 3.06 hours
- Nursing staff turnover (yearly)
- 54%
- RN turnover (yearly)
- 56%
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.