Legacy at Town Creek

2212 W Reagan St, Palestine, TX 75801

Phone: 9037278500

CMS ratings and facility information

Legacy at Town Creek is a Medicare-certified nursing facility in Palestine, Anderson County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating1 of 5 stars
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measures rating2 of 5
Certified beds199
OwnershipGovernment - Hospital district
CMS certification number675998

Staffing

Total nurse hours per resident day3.37
RN hours per resident day0.27
Nurse aide hours per resident day2
Total nursing staff turnover percent53.8
RN turnover percent55.6

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations4.06events_per_1000_resident_days20250101-20251231
Emergency-department visits4.45events_per_1000_resident_days20250101-20251231
Falls with major injury4.35percent2025Q2-2026Q1
Pressure ulcers6percent2025Q2-2026Q1
Urinary tract infections0.32percent2025Q2-2026Q1
Antipsychotic medication use5.03percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-08-060812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2025-08-060755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-08-060813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D
2025-08-060880Provide and implement an infection prevention and control program.D
2024-07-310812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-07-310689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-07-310755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-07-310761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D
2024-07-310880Provide and implement an infection prevention and control program.D
2024-07-310925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D
2024-07-310640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B
2023-04-260552Ensure that residents are fully informed and understand their health status, care and treatments.E
2023-04-260584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E
2023-04-260655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE
2023-04-260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-04-260677Provide care and assistance to perform activities of daily living for any resident who is unable.E
2023-04-260695Provide safe and appropriate respiratory care for a resident when needed.E
2023-04-260758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E
2023-04-260921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2023-04-260550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D
2023-04-260657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2023-04-260690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2023-04-260692Provide enough food/fluids to maintain a resident's health.D
2023-04-260698Provide safe, appropriate dialysis care/services for a resident who requires such services.D
2023-04-260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-04-260880Provide and implement an infection prevention and control program.D
2023-04-260926Have policies on smoking.D

Penalties

DateTypeAmount
2025-10-08Fine,358
2024-06-06Fine4,250

Ownership records

NameTypeRole
LIBERTY COUNTY HOSPITAL DISTRICT NO 1Organization5% OR GREATER DIRECT OWNERSHIP INTEREST
STRATTON, CHARLESIndividualCORPORATE OFFICER
PMG OPCO- PALESTINE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
ADEWALE, ADEBAYOIndividualOPERATIONAL/MANAGERIAL CONTROL
FRANKLIN, BRADLEYIndividualOPERATIONAL/MANAGERIAL CONTROL
BOULWARE, DOUGLASIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
BOULWARE, SANDRAIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
BAUDER FAMILY INVESTMENTS, LLCOrganizationADP OF THE SNF
BOULWARE ST JAMES LLCOrganizationADP OF THE SNF
PMG REALCO- PALESTINE LLCOrganizationADP OF THE SNF
STEVEN BOULWARE FAMILY INVESTMENTS LLCOrganizationADP OF THE SNF
ADEWALE, ADEBAYOIndividualADP OF THE SNF
BAUDER, KELLYIndividualADP OF THE SNF
BAUDER, MADISONIndividualADP OF THE SNF
BAUDER, PARKERIndividualADP OF THE SNF
BAUDER, WILLIAMIndividualADP OF THE SNF
BOULWARE, STEVENIndividualADP OF THE SNF
BOULWARE, THOMASIndividualADP OF THE SNF
FRANKLIN, BRADLEYIndividualADP OF THE SNF
WALKER, KATIEIndividualADP OF THE SNF

Compare nursing homes in Anderson County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.