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
🏥 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
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately 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 GProvide safe and appropriate respiratory care for a resident when needed.Oct 7, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity EProcure 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 DProvide 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 DHave 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
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