Nursing Homes · Palestine, TX
Nursing Homes · Medicare certified
Legacy at Town Creek
2212 W Reagan St · Palestine, TX 75801 · 199 certified beds
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About Legacy at Town Creek
Legacy at Town Creek is a nursing home in Palestine, Texas. Its capacity is 199 beds, above the Anderson County median of 120 for nursing homes. It is run by a nonprofit operator and is part of Southwest LTC. It is Medicare certified. Its public inspection record shows 38 citations, the most recent on January 7, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.20 hours per resident per day. It is one of 4 nursing homes listed in Palestine. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (38)
Records from April 2023 to January 2026.
January 7, 2026
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 8, 2026.
October 8, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity G: isolated, actual harm. Corrected October 9, 2025.
August 6, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 10, 2025.
August 6, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 10, 2025.
August 6, 2025
Tag F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 10, 2025.
August 6, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 10, 2025.
July 31, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
July 31, 2024
Tag F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected August 12, 2024.
July 31, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
July 31, 2024
Tag F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
July 31, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
July 31, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
July 31, 2024
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 12, 2024.
June 6, 2024
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity K: pattern, immediate jeopardy. Corrected June 7, 2024.
June 6, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity K: pattern, immediate jeopardy. Corrected June 7, 2024.
June 6, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 7, 2024.
June 6, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 7, 2024.
June 6, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected June 7, 2024.
June 6, 2024
Tag F0610Respond appropriately to all alleged violations.
Severity K: pattern, immediate jeopardy. Corrected June 7, 2024.
January 22, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 14, 2024.
Penalties (2)
Total fines: $294,608
October 8, 2025 · Fine
CMS recorded a civil money penalty of $10,358 against this nursing home on October 8, 2025.
June 6, 2024 · Fine
CMS recorded a civil money penalty of $284,250 against this nursing home on June 6, 2024.
Staffing
3.20 nurse hours per resident per day in Q2 2026, down from 3.38 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Southwest LTC, a chain of 10 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.8 for health inspections, 1.8 for staffing, 2.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Palestine.
Nursing Homes · Palestine, TX
Greenbrier Nursing & Rehabilitation Center of Pale
Nursing Homes · Palestine, TX
Trucare Living Centers
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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