Legacy At Town Creek
Nursing Home · 2212 W Reagan St, Palestine, TX 75801 · 9037278500
C-
graded on 75% of our rubric
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 2.0 / 5 | high |
| Staffing | 2.1 / 5 | high |
| Clinical outcomes | 2.3 / 5 | high |
| Enforcement | 1.3 / 5 | high |
| Financial stability | 3.9 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 199 |
| Ownership | Government - Hospital District |
| Operator | Liberty County Hospital District No. 1 |
| Chain size | 13 facilities |
| Certified since | 2004-01-08 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
Inspection & enforcement record
- Health-inspection citations: 3 immediate jeopardy · 2 actual harm · 32 potential for harm · 1 minor
- Federal fines: $294,608 · payment denials: 0 · penalty actions: 2
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. Percentiles are national.
| Measure | Rate | vs US nursing homes |
|---|---|---|
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 34.4% | worse than 96% of US nursing homes |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 6.3% | worse than 90% of US nursing homes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 1.7% | worse than 84% of US nursing homes |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 22.5% | worse than 82% of US nursing homes |
| Percentage of long-stay residents with pressure ulcers (long stay) | 6.6% | worse than 77% of US nursing homes |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.8% | better than 55% of US nursing homes |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.3% | better than 72% of US nursing homes |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 3.8% | better than 91% of US nursing homes |
What this costs
- This facility's reported avg daily charge: $233/day · $ (price tier 1 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-09. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 54% Medicaid · 6% Medicare · 40% other/private · 66% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Compare nearby
- A The Legacy Midtown Park · Dallas
- A- Trucare Living Centers · Palestine
- B+ Greenbrier Nursing & Rehabilitation Center Of Pale · Palestine
- C+ Avir At Elkhart · Elkhart
- C Avir At Town Creek · Palestine
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Anderson County nursing homes coverage. Spot an error? Tell us.