PALESTINE, TX 75801
CMS Certification Number (CCN): 675998 · 199 beds
LEGACY AT TOWN CREEK is a Medicare-certified nursing home in PALESTINE, TX (CMS Certification Number 675998). CMS rates it 1 out of 5 stars overall (health inspection 2/5, staffing 1/5, quality measures 2/5). Federal inspection records list 38 health deficiencies, including 3 immediate jeopardy citations. The most recent survey date on record is January 7, 2026. Federal civil monetary penalties on record total $295K across 2 fines. Ownership / chain affiliation in CMS records: SOUTHWEST LTC. This page summarizes public CMS inspection, staffing, penalty, and ownership data so families can research a nursing home before choosing care. It is not medical advice or a recommendation.
| Overall CMS rating | ★☆☆☆☆ 1/5 |
| Health inspection | ★★☆☆☆ 2/5 |
| Staffing | ★☆☆☆☆ 1/5 |
| Quality measures | ★★☆☆☆ 2/5 |
| Total health deficiencies | 38 |
| Most recent inspection / survey date | January 7, 2026 |
| Serious deficiency flags | 5 |
| Harm citations | 2 |
| Immediate jeopardy citations | 3 |
| Total federal fines | $295K |
| Fine count | 2 |
| Staffing star rating | ★☆☆☆☆ 1/5 |
| RN hours per resident day | 0.27 |
| Total nurse staffing hours per resident day | 3.37 |
| Days with zero RN hours | 6.5% |
Chain / affiliated entity: SOUTHWEST LTC
Ownership type: Organization
This owner operates 35 facilities in the current extract.