Legacy at Town Creek
2212 W Reagan St, Palestine, TX 75801 · (903) 727-8500
Government - Hospital district · 199 certified beds
Legacy at Town Creek has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in August 2025, found 4 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $294,608 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on August 6, 2025 found 4 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 6, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.August 6, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have a policy regarding use and storage of foods brought to residents by family and other visitors.August 6, 2025 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 6, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 11 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.January 7, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.October 8, 2025 · F0695 · Level of harm: Actual harm · Residents affected: Few
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.July 31, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 6, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 6, 2024 · F0607 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 6, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.June 6, 2024 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 6, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 6, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.January 22, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 22, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $10,358October 8, 2025
- Fine of $284,250June 6, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.37 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.27 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.10 | 0.95 | 0.86 |
| Nurse aides | 2.00 | 2.01 | 2.32 |
| Total nursing staff turnover | 53.8% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 199 |
| Average residents per day | 77.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Trucare Living Centers Palestine · ★★★★★ 5 out of 5 stars
- Greenbrier Nursing & Rehabilitation Center of Pale Palestine · ★★★★★ 4 out of 5 stars
- Avir at Town Creek Palestine · ★★★★★ 3 out of 5 stars
- Avir at Elkhart Elkhart · ★★★★★ 3 out of 5 stars
Compare every nursing home in Palestine, TX · Nursing homes in Texas · Home health agencies in Palestine, TX
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Data from Medicare (CMS), updated October 2026, from Legacy at Town Creek on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.