Legacy At Town Creek
Palestine, TX · Medicare and Medicaid-certified nursing home (CCN 675998) · 199 certified beds
Health inspection: 2 · Quality measures: 2 · Staffing: 1
Federal fines: 2 totaling $294,608
Phone: (903) 727-8500 · Verify on Medicare Care Compare ↗
Legacy At Town Creek has a CMS overall rating of 1 out of 5 stars, below the Texas state average of 2.65 stars. Its health inspection rating is 2 stars and its staffing rating is 1 star.
Legacy At Town Creek reports total nurse staffing of 3.37 hours per resident per day, including 0.27 RN hours per resident per day, with a staffing star rating of 1 out of 5. Nursing staff turnover is reported at 53.8%.
CMS records show Legacy At Town Creek has 2 federal fines totaling $294,608.00 and 0 payment denials. CMS does not list an abuse icon or Special Focus status for this facility based on the data provided.
About this facility
Legacy At Town Creek is a government-owned (hospital district) nursing home in Palestine, Anderson County, Texas, certified for both Medicare and Medicaid since January 2004. The facility is licensed for 199 beds, with an average daily census of 77.2 residents.
According to CMS Care Compare, Legacy At Town Creek holds an overall star rating of 1 out of 5, below the Texas state average of 2.65 stars. Its component ratings are: health inspection 2 stars, quality measures 2 stars, and staffing 1 star.
CMS-reported nurse staffing levels show total nurse hours of 3.37 per resident per day, with registered nurse (RN) hours of 0.27 per resident per day. Nursing staff turnover is reported at 53.8%.
On its penalty record, CMS lists 2 federal fines totaling $294,608.00, and 0 payment denials for this facility.
Legacy At Town Creek is part of the Southwest Ltc chain, which operates 10 facilities with an average CMS rating of 2.4 stars across the chain. CMS records indicate no change of ownership in the past 12 months.
This profile is based on CMS Care Compare data; consult Care Compare directly for the most current inspection details and updates.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Legacy At Town Creek has an overall CMS rating of 1 out of 5 stars, below the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
It is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.37 hours per resident per day, with 0.27 RN hours per resident per day, and nursing staff turnover is 53.8%; the staffing star rating is 1 out of 5.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 2 fines totaling $294,608.00 and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
Based on the data provided, there is no abuse icon or Special Focus status listed for this facility.
How large is this facility and how many residents live there?
The facility is certified for 199 beds and has an average daily census of 77.2 residents.
Who owns this facility — and is it part of a chain?
It is government-owned (hospital district) and is part of the Southwest Ltc chain, which operates 10 facilities with an average rating of 2.4 stars.
How long has this facility been Medicare/Medicaid certified?
It has been certified since January 8, 2004.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures, each on a 1-5 scale; this facility scores 1, 2, 1, and 2 respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not included in the CMS data provided; contact the facility at 903-727-8500 or verify on Medicare Care Compare.
What should I look for when touring this facility?
This is not addressed by CMS data; contact the facility at 903-727-8500 to arrange a tour and verify details on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the current record at https://www.medicare.gov/care-compare/details/nursing-home/675998?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.