Legacy at Town Creek
Nursing home in Palestine, Texas, CMS certification number 675998
2212 W Reagan St, Palestine, TX 75801 · Anderson County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 199
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 6, 2025
- Deficiencies at that inspection
- 6
- Fines in 3 years
- $294,608 (2)
Does Legacy at Town Creek take Medicare and Medicaid?
Yes to both. Legacy at Town Creek is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | 1 of 5 |
Nurse staffing hours and turnover
These are the hours Legacy at Town Creek reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.20
- Registered nurse hours
- 0.19
- Licensed practical nurse hours
- 1.04
- Nurse aide hours
- 1.97
- Weekend total hours
- 2.94
- Nursing staff turnover
- 50.7%
- Registered nurse turnover
- 33.3%
Health inspections and complaints
Inspectors last made a standard visit on August 6, 2025 and cited 6 deficiencies, plus 2 from complaint visits.
The visit before, on July 31, 2024, found 7.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Legacy at Town Creek 2 times in the past 3 years, for $294,608 in total.
Beds and residents
On an average day 80.5 residents live here, about 40% of its 199 certified beds.
- Certified beds
- 199
- Average residents per day
- 80.5
- Certified since
- January 8, 2004
- Resident or family council
- Resident
Who owns Legacy at Town Creek
- Legal business name
- Liberty County Hospital District No 1
- Ownership type
- Government - Hospital district
- Chain
- 10 homes nationally under Southwest LTC, 2.3-star chain average
Other nursing homes near Legacy at Town Creek
- Trucare Living Centers2265 S Sycamore St, Palestine 75801
- Avir at Town Creek1816 Tile Factory Rd, Palestine 75801
- Greenbrier Nursing & Rehabilitation Center of Pale2404 State Highway 155, Palestine 75803
- Avir at Elkhart214 Jones Rd, Elkhart 75839
- Avir at Jacksonville305 Bonita St, Jacksonville 75766
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Legacy at Town Creek, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Legacy at Town Creek
What is the CMS star rating of Legacy at Town Creek?
1 out of 5 stars overall.
Does Legacy at Town Creek accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Legacy at Town Creek?
6 cited at the last standard visit.
Who owns Legacy at Town Creek?
Liberty County Hospital District No 1, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.