Public Record
Legacy at Town Creek
Operated by Southwest LTC
From CMS
Facility profile
- CMS overall rating
- 1 / 5
- Certified beds
- 199
- Avg. residents per day
- 86.1
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 38
- Fire safety findings
- 4
- Inspections on file
- 11
- Last inspection
- 2026-01-07
*CMS
*CMS
*CMS
*CMS
Citations
38 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0580Generalpotential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0695Seriousactual harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0925Generalpotential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0761Generalpotential for harm
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.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0640Generalno actual harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0600Seriousimmediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0607Seriousimmediate jeopardy
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0609Generalpotential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- 0610Seriousimmediate jeopardy
Respond appropriately to all alleged violations.
- 0689Seriousactual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0761Generalpotential for harm
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.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0607Generalpotential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0584Generalpotential for harm
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.
- 0552Generalpotential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
- 0550Generalpotential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0926Generalpotential for harm
Have policies on smoking.
- 0921Generalpotential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0758Generalpotential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 0698Generalpotential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- 0755Generalpotential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0692Generalpotential for harm
Provide enough food/fluids to maintain a resident's health.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection1 deficiency
675998 01/07/2026 Legacy at Town Creek 2212 W Reagan St Palestine, TX 75801 F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that…
Read full statement of deficiencies - Inspection1 deficiency
675998 10/08/2025 Legacy at Town Creek 2212 W Reagan St Palestine, TX 75801 F 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews…
Read full statement of deficiencies - View inspection reportInspectionFire Safety2 deficiencies
- Inspection4 deficiencies
675998 08/06/2025 Legacy at Town Creek 2212 W Reagan St Palestine, TX 75801 F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist…
Read full statement of deficiencies - Inspection7 deficiencies
675998 07/31/2024 Legacy at Town Creek 2212 W Reagan St Palestine, TX 75801 F 0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Level of Harm - Potential for minimal harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies - View inspection reportInspectionFire Safety1 deficiency
- Inspection6 deficiencies
675998 06/06/2024 Legacy at Town Creek 2212 W Reagan St Palestine, TX 75801 F 0600 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect…
Read full statement of deficiencies - Inspection2 deficiencies
675998 01/22/2024 Legacy at Town Creek 2212 W Reagan St Palestine, TX 75801 F 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based…
Read full statement of deficiencies - Inspection1 deficiency
675998 08/08/2023 Legacy at Town Creek 2212 W Reagan St Palestine, TX 75801 F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…
Read full statement of deficiencies - View inspection reportInspectionFire Safety1 deficiency
Showing the 10 most recent inspections. 1 earlier inspection is also on record.
Ownership
Southwest LTC
13nursing homes nationwide, in CMS records
7 in Texas, 6 in other states.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Legacy at Town Creek?
- Legacy at Town Creek is a Medicare- and Medicaid-certified nursing home in Palestine, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 675998.
- What is the CMS rating for Legacy at Town Creek?
- Legacy at Town Creek has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Legacy at Town Creek have?
- Legacy at Town Creek is certified for 199 beds. It serves an average of 86.1 residents per day.
- How many citations does Legacy at Town Creek have?
- Legacy at Town Creek has 38 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Legacy at Town Creek last inspected?
- Legacy at Town Creek was last inspected on January 7, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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