Legacy at Town Creek
Nursing Home Facility
2212 W Reagan St, Palestine, TX 75801
Legacy at Town Creek is a senior care community located in Palestine, TX. It provides assisted living, memory care, nursing home care, and senior living for older adults in the Palestine area. To learn more or schedule a tour, call (903) 727-8500.
Operated by Southwest LTC, which runs 10 communities in our directory.
With 199 beds, Legacy at Town Creek is one of the larger communities in the area, senior care communities in Palestine average about 108 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 39% of its licensed beds, so availability is more likely here than at busier communities nearby.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Palestine average about 3.2 stars. Its most recent standard health inspection was in August 2025 and recorded 6 deficiencies.
Residents receive about 3.4 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 54%.
The community is located in Anderson County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 38 problems at Legacy at Town Creek. 5 findings involved harm to a resident, including 3 that put residents in immediate danger. 12 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $294,608.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Legacy at Town Creek offers assisted living, memory care, nursing home care, and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 199
- Occupancy 39%
- Nursing hours per resident/day 3.4
- Annual staff turnover 54%
- Last health inspection August 2025
Resident & family reviews
No one has shared a review of Legacy at Town Creek yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.