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Data / Nursing homes / Texas / Legacy at Town Creek

Legacy at Town Creek, Palestine, TX: 1 star rating, fined $294,608 across 2 fines

Legacy at Town Creek in Palestine, TX is owned by Liberty County Hospital District No 1, is rated 1 of 5 stars by Medicare, and was fined $294,608 across 2 fines in the three years to October 1, 2026. CMS lists 21 health citations from inspections in that time, the latest survey on January 7, 2026, and 5 of them found actual harm or immediate jeopardy.

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Address
2212 W Reagan St, Palestine, TX 75801
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5
Certified beds
199
Residents per day
80 on average
Ownership type
Government, Hospital district
Legal business name
Liberty County Hospital District No 1
Chain
Southwest LTC, 10 facilities
Fines
$294,608 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
21, of which 5 with actual harm or immediate jeopardy
Latest survey
January 7, 2026
CMS Certification Number
675998
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
October 8, 2025Fine$10,358Not listeddata.cms.gov
June 6, 2024Fine$284,250Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
January 7, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 8, 2026data.cms.gov
October 8, 2025F695Provide safe and appropriate respiratory care for a resident when needed.G: isolated, actual harmCorrectedOctober 9, 2025data.cms.gov
August 6, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
August 6, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
August 6, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
August 6, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 10, 2025data.cms.gov
July 31, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
July 31, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
July 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
July 31, 2024F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
July 31, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
July 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 12, 2024data.cms.gov
July 31, 2024F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B: pattern, minimal harm potentialCorrectedAugust 12, 2024data.cms.gov
June 6, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJune 7, 2024data.cms.gov
June 6, 2024F610Respond appropriately to all alleged violations.K: pattern, immediate jeopardyCorrectedJune 7, 2024data.cms.gov
June 6, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.K: pattern, immediate jeopardyCorrectedJune 7, 2024data.cms.gov
June 6, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedJune 7, 2024data.cms.gov
June 6, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 7, 2024data.cms.gov
June 6, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 7, 2024data.cms.gov
January 22, 2024F761Ensure 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: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov
January 22, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 14, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (2 managers, 3 officers, directors or trustees, 9 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Liberty County Hospital District No 1Direct owner100%April 1, 2018data.cms.gov
PMG OPCO- Palestine LLCOperational or managerial controlNot listedOctober 1, 2025data.cms.gov
Bauder Family Investments, LLCAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov
Boulware St James LLCAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov
PMG Realco- Palestine LLCAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov
Steven Boulware Family Investments LLCAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.