Legacy At Town Creek
2212 W Reagan St, Palestine, TX 75801 · Anderson County
Government · 199 certified beds · 39% occupancy · (903) 727-8500
The U.S. government (CMS) rates Legacy At Town Creek 1 out of 5 stars overall — much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.37 nurse hours per resident per day. 3% above the Texas median of 3.27.
Nursing staff turnover: 53.8% · RN turnover: 55.6%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Actual harmTag F0695 · Oct 8, 2025ComplaintCorrected Oct 9, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Aug 6, 2025Corrected Sep 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0580 · Jan 7, 2026ComplaintCorrected Jan 8, 2026
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
- Potential for harmTag F0755 · Aug 6, 2025Corrected Sep 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0813 · Aug 6, 2025Corrected Sep 10, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Aug 6, 2025Corrected Sep 10, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0812 · Jul 31, 2024Corrected Aug 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0689 · Jul 31, 2024Corrected Aug 12, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · Jul 31, 2024Corrected Aug 12, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Jul 31, 2024Corrected Aug 12, 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 locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Showing the 10 most recent and serious of 38 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Southwest Ltc chain (13 facilities), chain average overall rating 2.8★.