Legacy At Town Creek

Inspection history (38)

• January 7, 2026 · D

  Citation F0580

  Federal surveyors cited this nursing home on 2026-01-07 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-01-07.GOV

• October 8, 2025 · G

  Citation F0695

  Federal surveyors cited this nursing home on 2025-10-08 under CMS tag F0695 (CMS scope/severity G: isolated, actual harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2025-10-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-08.GOV

• August 6, 2025 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-09-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

• August 6, 2025 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-09-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

• August 6, 2025 · D

  Citation F0813

  Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0813 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a policy regarding use and storage of foods brought to residents by family and other visitors. The deficiency was recorded as corrected on 2025-09-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

• August 6, 2025 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2025-08-06 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-09-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-08-06.GOV

• July 31, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-08-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV

• July 31, 2024 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-08-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV

• July 31, 2024 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-08-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV

• July 31, 2024 · D

  Citation F0925

  Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0925 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2024-08-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV

• July 31, 2024 · B

  Citation F0640

  Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0640 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. The deficiency was recorded as corrected on 2024-08-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV

• July 31, 2024 · D

  Citation F0755

  Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-08-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV

• July 31, 2024 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2024-07-31 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-07-31.GOV

• June 6, 2024 · K

  Citation F0610

  Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0610 (CMS scope/severity K: pattern, immediate jeopardy) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-06-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOV

• June 6, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-06-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOV

• June 6, 2024 · E

  Citation F0609

  Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0609 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-06-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOV

• June 6, 2024 · K

  Citation F0607

  Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0607 (CMS scope/severity K: pattern, immediate jeopardy) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-06-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOV

• June 6, 2024 · G

  Citation F0689

  Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-06-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOV

• June 6, 2024 · K

  Citation F0600

  Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0600 (CMS scope/severity K: pattern, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2024-06-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOV

• January 22, 2024 · D

  Citation F0695

  Federal surveyors cited this nursing home on 2024-01-22 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-22.GOV

Penalties

Total fines on file: $294,608

Staffing

Latest: 3.38 nurse staffing hours per resident per day (2026-06-01)

Ownership

Government - Hospital district

1. Parent organization: Liberty County Hospital District No. 1

   parent · PAC 3678766227