Nursing home · Palestine, TX
Legacy at Town Creek
2212 W Reagan St, Palestine, TX 75801 · (903) 727-8500
Legacy at Town Creek is a 199-bed government-owned nursing home in Palestine, Texas (Anderson County). It has been certified to provide Medicare and Medicaid services since 2004. On average it cares for 80 residents a day (about 40% of its certified beds). It is part of Southwest Ltc, a group of 10 nursing homes. CMS gives it an overall rating of 1 out of 5 stars; the average in Texas is 2.8.
Ratings
| CMS rating | Stars |
|---|---|
| Overall | ★★★★★ |
| Health inspections | ★★★★★ |
| Staffing | ★★★★★ |
| Quality measures | ★★★★★ |
Staffing
| Staffing | This home | Texas avg | US avg |
|---|---|---|---|
| Total nurse hours per resident per day | 3.20 | 3.42 | 3.90 |
| Registered nurse (RN) hours per resident per day | 0.19 | 0.44 | 0.69 |
| Nurse hours per resident per day, weekends | 2.94 | – | – |
| Nursing staff turnover | 51% | 51% | 45% |
| RN turnover | 33% | – | – |
| Administrators who left | – | – | – |
Inspections and penalties
| Inspections & penalties | This home |
|---|---|
| Most recent standard health inspection | August 6, 2025 |
| Health deficiencies cited (most recent cycle) | 6 below the state average of 10 |
| …of which from complaint inspections | 2 |
| Federal fines (as reported by CMS) | 2 totalling $294,608 |
| Medicare payment denials | 0 |
Source: CMS Provider Data Catalog, nursing home provider information, Oct 2026 release (CMS Provider Data Catalog: Nursing homes). Ownership: Government - Hospital district. Legal business name: Liberty County Hospital District No 1. Check the latest details and full inspection reports on Medicare Care Compare. How to read these ratings →
Nearby nursing homes
- Trucare Living Centers ★★★★★Palestine · 1.7 mi · 120 beds
- Avir at Town Creek ★★★★★Palestine · 1.7 mi · 102 beds
- Greenbrier Nursing & Rehabilitation Center of Pale ★★★★★Palestine · 3.6 mi · 120 beds
- Avir at Elkhart ★★★★★Elkhart · 9.6 mi · 98 beds
- Avir at Jacksonville ★★★★★Jacksonville · 26.2 mi · 53 beds
- Twin Oaks Health & Rehabilitation Center ★★★★★Jacksonville · 27.3 mi · 116 beds
Common questions
What is the star rating of Legacy at Town Creek?
CMS rates Legacy at Town Creek 1 out of 5 stars overall, with 2 stars for health inspections, 1 for staffing and 2 for quality measures (Medicare Care Compare).
How many beds does Legacy at Town Creek have?
199 certified beds, with an average of 80 residents a day.
Does Legacy at Town Creek accept Medicare and Medicaid?
CMS lists it as certified for Medicare and Medicaid. Ask the nursing home about current availability for your coverage.
What is the phone number for Legacy at Town Creek?
(903) 727-8500. Address: 2212 W Reagan St, Palestine, TX 75801.
Before you choose
- Visit at different times, including evenings and weekends.
- Ask how many residents each nurse and aide cares for on each shift.
- Read the latest inspection report and ask what has been fixed.
- Ask whether a bed is available for your coverage (Medicare, Medicaid or private pay).