Nursing homes › Texas › Legacy at Town Creek
2212 W Reagan St, Palestine, TX 75801 · 9037278500 · 199 certified beds
Per CMS filings, this facility is affiliated with Southwest Ltc, a group operating 13 facilities in 2 states. Group record: average rating 2.8/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $530,976 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 3.37 (Texas median: 3.27). RN hours: 0.27. Weekend total: 3.06. Nursing staff turnover: 54%.
All-time on record: 38 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-07 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-01-08 |
| 2025-10-08 | Provide safe and appropriate respiratory care for a resident when needed. | G | complaint | corrected 2025-10-09 |
| 2025-08-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-09-10 |
| 2025-08-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-09-10 |
| 2025-08-06 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2025-09-10 |
| 2025-08-06 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-09-10 |
| 2024-07-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-08-12 |
| 2024-07-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2024-08-12 |
| 2024-07-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-08-12 |
| 2024-07-31 | Ensure 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 | Health | corrected 2024-08-12 |
| 2024-07-31 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-08-12 |
| 2024-07-31 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | complaint | corrected 2024-08-12 |
| 2024-07-31 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Health | corrected 2024-08-12 |
| 2024-06-06 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2024-06-07 |
| 2024-06-06 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | complaint | corrected 2024-06-07 |
| 2024-06-06 | Respond appropriately to all alleged violations. | K | complaint | corrected 2024-06-07 |
| 2024-06-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-06-07 |
| 2024-06-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2024-06-07 |
| 2024-06-06 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-06-07 |
| 2024-01-22 | Ensure 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. | E | complaint | corrected 2024-02-14 |
| 2024-01-22 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-02-14 |
| 2023-08-08 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2023-08-09 |
| 2023-04-26 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Health | corrected 2023-05-19 |
| 2023-04-26 | Honor 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 | Health | corrected 2023-05-19 |
| 2023-04-26 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Health | corrected 2023-05-20 |
| 2023-04-26 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-05-16 |
| 2023-04-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2023-04-27 |
| 2023-04-26 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2023-05-12 |
| 2023-04-26 | Implement 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 | Health | corrected 2023-05-19 |
| 2023-04-26 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2023-05-01 |
| 2023-04-26 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2023-05-12 |
| 2023-04-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2023-05-19 |
| 2023-04-26 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2023-05-15 |
| 2023-04-26 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-05-19 |
| 2023-04-26 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Health | corrected 2023-05-12 |
| 2023-04-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-05-12 |
| 2023-04-26 | Provide and implement an infection prevention and control program. | D | Health | corrected 2023-05-27 |
| 2023-04-26 | Have policies on smoking. | D | Health | corrected 2023-05-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-10-08 | Fine | $10,358 |
| 2024-06-06 | Fine | $284,250 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2018 |
| STRATTON, CHARLES | Corporate Officer | Individual | NOT APPLICABLE | since 04/01/2018 |
| PMG OPCO- PALESTINE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2025 |
| ADEWALE, ADEBAYO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
| FRANKLIN, BRADLEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675998. Corrections: data@carerecords.org.