LEGACY AT TOWN CREEK

2212 W REAGAN ST, PALESTINE, TX 75801 · CCN 675998 · 199 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-10-08 ACTUAL HARM (tag F0695, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe and appropriate respiratory care for a resident when needed.
2024-06-06 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-06-06 IMMEDIATE JEOPARDY (tag F0610, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2024-06-06 IMMEDIATE JEOPARDY (tag F0607, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2024-06-06 IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.75

state median 2.67

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.21

registered nurses only

Contract (agency) staff

13%

share of all nursing hours

Days with zero RN hours reported

2

with residents present

Nursing staff turnover

54%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $294,608 in fines.

DateTypeAmount
2025-10-08Fine$10,358
2024-06-06Fine$284,250

Ownership

Ownership type: Government - Hospital district. Part of the SOUTHWEST LTC chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 2 · Potential for more than minimal harm: 32 · Immediate jeopardy: 3

Survey dateTagCategorySeverityCorrected
2026-01-07F0580Resident Rights DeficienciesDnot recorded
2025-10-08F0695Quality of Life and Care DeficienciesGnot recorded
2025-08-06F0755Pharmacy Service DeficienciesDnot recorded
2025-08-06F0812Nutrition and Dietary DeficienciesEnot recorded
2025-08-06F0813Nutrition and Dietary DeficienciesDnot recorded
2025-08-06F0880Infection Control DeficienciesDnot recorded
2024-07-31F0640Resident Assessment and Care Planning DeficienciesBnot recorded
2024-07-31F0689Quality of Life and Care DeficienciesDnot recorded
2024-07-31F0755Pharmacy Service DeficienciesDnot recorded
2024-07-31F0761Pharmacy Service DeficienciesDnot recorded
2024-07-31F0812Nutrition and Dietary DeficienciesFnot recorded
2024-07-31F0880Infection Control DeficienciesDnot recorded
2024-07-31F0925Environmental DeficienciesDnot recorded
2024-06-06F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-06-06F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-06-06F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-06-06F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-06-06F0689Quality of Life and Care DeficienciesGnot recorded
2024-06-06F0880Infection Control DeficienciesDnot recorded
2024-01-22F0695Quality of Life and Care DeficienciesDnot recorded
2024-01-22F0761Pharmacy Service DeficienciesEnot recorded
2023-08-08F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-04-26F0550Resident Rights DeficienciesDnot recorded
2023-04-26F0552Resident Rights DeficienciesEnot recorded
2023-04-26F0584Resident Rights DeficienciesEnot recorded
2023-04-26F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2023-04-26F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2023-04-26F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2023-04-26F0677Quality of Life and Care DeficienciesEnot recorded
2023-04-26F0690Quality of Life and Care DeficienciesDnot recorded
2023-04-26F0692Quality of Life and Care DeficienciesDnot recorded
2023-04-26F0695Quality of Life and Care DeficienciesEnot recorded
2023-04-26F0698Quality of Life and Care DeficienciesDnot recorded
2023-04-26F0755Pharmacy Service DeficienciesDnot recorded
2023-04-26F0758Pharmacy Service DeficienciesEnot recorded
2023-04-26F0880Infection Control DeficienciesDnot recorded
2023-04-26F0921Environmental DeficienciesEnot recorded
2023-04-26F0926Environmental DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “LEGACY AT TOWN CREEK, PALESTINE” at medicare.gov/care-compare.