F

LEGACY AT TOWN CREEK

2212 W REAGAN ST, PALESTINE, TX 75801
Score: 20 / 100

Legacy At Town Creek has received an F grade based on CMS data, with a score of 20/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Palestine facility should carefully review its inspection history and quality metrics.

Staffing at Legacy At Town Creek is near the national average, with 3.89 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 38 deficiencies at Legacy At Town Creek, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.89 3.8 Average
Registered Nurses (RN) 0.33 0.7 Below Average
Licensed Practical Nurses (LPN) 0.93 0.7 Above Average
Certified Nursing Assistants (CNA) 2.63 2.4 Average
Weekend Total Nursing 3.43 3.8 Average
Weekend RN Hours 0.29 0.7 Below Average

🔍 Inspection & Deficiency History

38
Total Deficiencies
Jan 6, 2026
Most Recent Inspection
⚪ 1 Minor 🟠 34 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Jan 6, 2026 · Resident Rights Deficiencies
  • Tag 0695 Severity G
    Provide safe and appropriate respiratory care for a resident when needed.
    Oct 7, 2025 · Quality of Life and Care Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Aug 5, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0755 Severity D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    Aug 5, 2025 · Pharmacy Service Deficiencies
  • Tag 0813 Severity D
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    Aug 5, 2025 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.7% 4.5% Worse
Falls with major injury 6.7% 3.0% Worse
On antipsychotic medication 6.8% 14.5% Better
Urinary tract infections 0.3% 2.5% Better
ADL decline (daily activities) 21.5% 14.0% Worse
Excessive weight loss 4.3% 7.5% Better
New/worsened incontinence 25.7% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $300,185

How This Grade Was Calculated

This facility's grade of F is based on a score of 20 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
199
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 5, 2025
Deficiencies (Cycle 1)
6