Legacy At Town Creek

Nursing Home

2212 W Reagan St
Palestine, TX 75801 · Anderson County
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Call (903) 727-8500

Official website not yet verified

Overall Medicare rating★★★★★
Overall: state avg 2.8 · U.S. 3.0
Health inspections★★★★★
Staffing★★★★★
Staffing: state avg 1.9 · U.S. 3.0
Quality measures★★★★★

Source: CMS Care Compare (data as of October 1, 2026)

View Safety Report

Safety at a glance

5Serious citations (actual harm or immediate jeopardy), last 3 inspection cycles
37Total health citations, last 3 inspection cycles
$294,608Federal fines, last 3 years (2 fines)

Most recent standard inspection: January 7, 2026.

Most recent serious findings

G
Provide safe and appropriate respiratory care for a resident when needed.
October 8, 2025 · Inspectors rated this “actual harm to a resident (not immediate jeopardy).” The problem affected one or a very small number of residents or staff. Found during a complaint investigation.
K
Respond appropriately to all alleged violations.
June 6, 2024 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected more than a very small number of residents, or happened repeatedly. Found during a complaint investigation.
K
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
June 6, 2024 · Inspectors rated this “immediate jeopardy to resident health or safety.” The problem affected more than a very small number of residents, or happened repeatedly. Found during a complaint investigation.

View the full Safety Report →

Availability

Availability Unknown

This facility has not confirmed current availability. We never estimate vacancies. Please call (903) 727-8500 to ask about openings and waiting lists.

We'll show the answer here once the facility provides it.

Nurse staffing

Total nurse hours per resident per day
3.20 hours · state avg 3.42, U.S. 3.90
Registered nurse (RN) hours per resident per day
0.19 hours
Total nurse hours on weekends
2.94 hours · state avg 2.99
Nursing staff turnover (yearly)
50.7% · state avg 50.8%
RN turnover (yearly)
33.3%
Administrators who left (yearly)
Not Available

Hours per resident per day = total nursing hours worked ÷ number of residents. Higher usually means more hands-on time. Values are from payroll records reported to CMS (Payroll-Based Journal).

Source: CMS Provider Information (data as of October 1, 2026)

Paying for care

Medicaid: This nursing home is certified to accept Medicaid. It is also Medicare certified, so Medicare can pay for short-term skilled care after a qualifying hospital stay.

In Texas, Medicaid long-term care is provided through STAR+PLUS (incl. STAR+PLUS HCBS).

Ways to pay for care in Texas →

Pricing

Published price: Not Yet Verified

What families report paying

No family reports yet. To protect privacy and avoid misleading figures, we show a summary only after 5 reports.

Yearly price increases

No increase reports yet. Shown after 5 reports.

We'll show the answer here once the facility provides it.

Nursing home care may be paid by Medicare (short-term skilled care after a qualifying hospital stay), Medicaid (if eligible), long-term care insurance, or privately. This facility is Medicaid certified.

Family Cameras & Video Access

Family-installed room cameras
Not Verified
Facility-provided room cameras
Not Verified
Authorized remote family viewing
Not Verified
Live video visitation
Not Verified
We'll show the answer here once the facility provides it.

We have not yet verified this facility’s camera policy. Rules for in-room cameras vary by state and usually require consent from the resident and any roommate. Ask the facility for its written electronic-monitoring policy.

Applying & contacting

Online admission application
Not yet checked
Online waiting-list form
Not yet checked
Online inquiry form
Not yet checked
Online tour scheduling
Not yet checked
We'll show the answer here once the facility provides it.

Application checklist & links Applying to several facilities? Add each one to your compare list and open the apply page.

Ownership

Ownership type
Government - Hospital district
Chain / affiliation
Southwest LTC
Legal business name
Liberty County Hospital District No 1
Owner or managerRoleShare
LIBERTY COUNTY HOSPITAL DISTRICT NO 15% OR GREATER DIRECT OWNERSHIP INTEREST100%
ADEWALE, ADEBAYOADP OF THE SNF—
ADEWALE, ADEBAYOOPERATIONAL/MANAGERIAL CONTROL—
BAUDER FAMILY INVESTMENTS, LLCADP OF THE SNF—
BAUDER, KELLYADP OF THE SNF—
BAUDER, MADISONADP OF THE SNF—
BAUDER, PARKERADP OF THE SNF—
BAUDER, WILLIAMADP OF THE SNF—
BOULWARE ST JAMES LLCADP OF THE SNF—
BOULWARE, DOUGLASINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—
BOULWARE, SANDRAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—
BOULWARE, STEVENADP OF THE SNF—

Source: CMS Provider Information (data as of October 1, 2026)

About this listing

CMS Certification Number
675998
Certified beds
199
Average residents per day
80.5
Medicare / Medicaid
Medicare and Medicaid
Continuing care retirement community
No
First certified
January 8, 2004
Last confirmed by official source
October 1, 2026

Read full inspection narratives at Medicare Care Compare or ProPublica Nursing Home Inspect.

Work at this facility? Manage this listing to report availability, prices, Medicaid acceptance and camera policies — free. Facilities can never edit government inspection findings or family price reports.

Nearby facilities

Trucare Living Centers

2265 S Sycamore St, Palestine, TX 75801 · 1.7 miles away
Nursing Home120 certified bedsAccepts MedicaidMedicare certified(903) 723-2592
Availability Unknown
Overall (Medicare)★★★★★
Health inspections★★★★★
Staffing★★★★★
Serious citations*0
View details

Avir At Town Creek

1816 Tile Factory Rd, Palestine, TX 75801 · 1.7 miles away
Nursing Home102 certified bedsAccepts MedicaidMedicare certified(903) 729-2261
Availability Unknown
Overall (Medicare)★★★★★
Health inspections★★★★★
Staffing★★★★★
Serious citations*2
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