Legacy at Town Creek
2212 W Reagan St · Palestine, TX · 75801 · 9037278500
199 certified beds Government - Hospital district Chain: Southwest Ltc
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $10,358 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 2 · $294,608 |
Inspection citations (38 in the current record)
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Potential for harm · D January 7, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 8, 2026 · Resident Rights
-
Actual harm · G October 8, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 9, 2025 · Quality of Life and Care
-
Potential for harm · D August 6, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 10, 2025 · Pharmacy Service
-
Potential for harm · E August 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 10, 2025 · Nutrition and Dietary
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Potential for harm · D August 6, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected September 10, 2025 · Nutrition and Dietary
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Potential for harm · D August 6, 2025
Provide and implement an infection prevention and control program.
Corrected September 10, 2025 · Infection Control
-
Potential for harm · D July 31, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 12, 2024 · Quality of Life and Care
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Potential for harm · D July 31, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 12, 2024 · Pharmacy Service
-
Potential for harm · D July 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected August 12, 2024 · Pharmacy Service
-
Potential for harm · F July 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 12, 2024 · Nutrition and Dietary
-
Potential for harm · D July 31, 2024
Provide and implement an infection prevention and control program.
Corrected August 12, 2024 · Infection Control
-
Potential for harm · D July 31, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 12, 2024 · Environmental
-
No harm found · B July 31, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected August 12, 2024 · Resident Assessment and Care Planning
-
Immediate jeopardy · K June 6, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 6, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 6, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 6, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 7, 2024 · Quality of Life and Care
-
Potential for harm · E June 6, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 6, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 7, 2024 · Infection Control
-
Potential for harm · D January 22, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 14, 2024 · Quality of Life and Care
-
Potential for harm · E January 22, 2024 · found via complaint
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.
Corrected February 14, 2024 · Pharmacy Service
-
Potential for harm · D August 8, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 9, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 26, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 12, 2023 · Resident Rights
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Potential for harm · E April 26, 2023
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 19, 2023 · Resident Rights
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Potential for harm · E April 26, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 19, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 8, 2025 | Fine | $10,358 |
| June 6, 2024 | Fine | $284,250 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675998 · certified since January 8, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.