Legacy at Town Creek: Staffing, Turnover, and Inspection Record
Legacy at Town Creek is a 199-bed government-run nursing home in Palestine, Texas, part of Southwest LTC. In the CMS August 2026 release it reported 2.00 nurse aide hours per resident per day, about the same as the Texas average of 2.00, and 53.8% nursing staff turnover (Texas average 55.3%).
Legacy at Town Creek
2212 W Reagan StPalestine, TX 75801
Anderson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Legacy at Town Creek, nurse aides logged 2.00 hours per resident per day, about the same as the Texas average. With about 77 residents a day, that works out to roughly 154 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.00 | 2.00 | 2.32 |
| Licensed practical nurses | 1.10 | 0.95 | 0.86 |
| Registered nurses | 0.27 | 0.43 | 0.69 |
| All nursing staff | 3.37 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.06 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
53.8% of nursing staff at Legacy at Town Creek left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 55.6%.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 6, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $294,608 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 8, 2025 | Fine | $10,358 |
| Jun 6, 2024 | Fine | $284,250 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Legacy at Town Creek holds 1 of 5 overall; the Texas average is 2.6.
About Legacy at Town Creek
- Ownership: Government - Hospital district
- Chain: Southwest LTC, 10 homes
- Legal name: Liberty County Hospital District No 1
- Medicare and Medicaid certified since: Jan 8, 2004
- Councils: resident council
- Area: rural
Nursing homes near Legacy at Town Creek
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Trucare Living Centers Palestine | 1.7 | 120 | 2.51 | 3.59 | 25.0% | 5 | None |
| Avir at Town Creek Palestine | 1.7 | 102 | 2.01 | 3.76 | 47.1% | 3 | $49,065 |
| Greenbrier Nursing & Rehabilitation Center of Pale Palestine | 3.6 | 120 | 1.66 | 3.18 | 97.9% | 4 | None |
| Avir at Elkhart Elkhart | 9.6 | 98 | 2.34 | 3.38 | 54.3% | 3 | $65,397 |
| Avir at Jacksonville Jacksonville | 26.2 | 53 | 2.02 | 3.40 | 23.3% | 5 | None |
| Twin Oaks Health & Rehabilitation Center Jacksonville | 27.3 | 116 | 1.83 | 2.97 | 98.0% | 2 | $174,431 |
| The Arbors Healthcare and Rehabilitation Center Rusk | 29.1 | 110 | 1.69 | 3.11 | — | 2 | None |
| Legacy at Jacksonville Jacksonville | 29.3 | 101 | 1.76 | 3.17 | — | 3 | $27,345 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.