Nursing home / skilled nursing
Legacy At Town Creek
Nursing home / skilled nursing in Palestine, Texas
| Provider details | |
|---|---|
| Address | 2212 W REAGAN ST |
| City | Palestine |
| State | Texas |
| ZIP code | 75801 |
| County | Anderson |
| Phone | 903-727-8500 |
| Website | https://www.legacytowncreek.com/ |
| CMS certification number (CCN) | 675998 |
| Ownership | Government - Hospital district |
| Certified beds | 199 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | January 8, 2004 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services, short-term rehabilitation, long-term care, telehealth services, physical therapy, occupational therapy, speech therapy, outpatient therapy |
Legacy At Town Creek is in 2212 W REAGAN ST, Palestine, TX 75801. Phone: 903-727-8500. Ownership: Government - Hospital district. CMS rates it 1 out of 5 stars overall (health inspection 2, staffing 1, quality measures 2).
Legacy at Town Creek in Palestine offers short-term rehabilitation and long-term care, with round-the-clock skilled nursing. Its Robinson Ridge Rehab Express program helps people recover after surgery, illness, or injury, with on-site physical, occupational, and speech therapy and a goal of returning home. Families can call the facility to schedule a tour. CMS inspection and staffing detail: total weighted health survey score 146.750; 2 federal fines totaling $294608.00; total nursing staff turnover 50.7%.
More about this provider
| Legacy at Town Creek in Palestine is a skilled nursing center offering short-term rehabilitation through its Robinson Ridge Rehab Express program and long-term care. The site also lists round-the-clock skilled nursing and telehealth. | |
| Services and programs | Short-term rehabilitation and long-term care. Programs and services named on the site include the Robinson Ridge Rehab Express short-term rehabilitation program, round-the-clock skilled nursing care, rehabilitation services, telehealth virtual consultations, and on-site physical, occupational and speech rehabilitation services including outpatient therapy. The rehab program lists a rehabilitation gym, clinical pathways for more than 20 diagnostic groups, specialized nutrition adaptive training, and modalities for pain, muscle re-education, edema and joint restriction. Site features include healthy meals and engaging activities. |
| Who it serves | Adults who are recovering from serious illness, those who need rehabilitation after an injury or illness, and those who need skilled nursing care in a residential environment; short-term rehabilitation patients recovering from a progressive illness, surgery, or injury, including stroke and neurologic conditions, post-surgery recovery, joint replacement recovery, and cardiac- and pulmonary-related illness. |
| Visiting and contact details | Address shown on the site: 2212 W. Reagan Street, Palestine, TX 75801. Phone shown on the site: (903) 727-8500. Hours shown on the site: Mon, Tue, Wed, Thu, Fri, Sat, Sun: 00:00-23:59. The site invites visitors to call today to schedule a tour or submit a tour request. |
| Website | https://www.legacytowncreek.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 1 of 5 |
| Health inspection rating | 2 of 5 |
| Staffing rating | 1 of 5 |
| Quality measure rating | 2 of 5 |
| Long-stay quality rating | 2 of 5 |
| Short-stay quality rating | 1 of 5 |
| RN staffing hours per resident per day | 0.19 |
| Total nurse staffing hours per resident per day | 3.20 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 44 |
| Total Weighted Health Survey Score | 146.750 |
| Rating Cycle 2/3 Total Health Score | 455 |
| Rating Cycle 1 Health Deficiency Score | 44 |
| Rating Cycle 2/3 Health Deficiency Score | 455 |
| Rating Cycle 1 Standard Survey Health Date | 2025-08-06 |
| Rating Cycle 1 Total Number of Health Deficiencies | 6 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 15 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 4 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 2 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 9 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.39635 |
| Registered Nurse turnover | 33.3 |
| Nursing Case-Mix Index Ratio | 0.99014 |
| Total nursing staff turnover | 50.7 |
| Reported LPN Staffing Hours per Resident per Day | 1.03863 |
| Reported Licensed Staffing Hours per Resident per Day | 1.23055 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.97034 |
| Registered Nurse hours per resident per day on the weekend | 0.16210 |
| Total number of nurse staff hours per resident per day on the weekend | 2.94335 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 2 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Total Amount of Fines in Dollars | 294608.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 481 |
| Chain Name | SOUTHWEST LTC |
| Legal Business Name | LIBERTY COUNTY HOSPITAL DISTRICT NO 1 |
| Chain Average QM Rating | 2.4 |
| Chain Average Staffing Rating | 1.8 |
| Number of Facilities in Chain | 10 |
| Chain Average Overall 5-star Rating | 2.3 |
| Chain Average Health Inspection Rating | 2.8 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 80.5 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Anderson County
- Avir At Town Creek — Palestine
- Greenbrier Nursing & Rehabilitation Center Of Pale — Palestine
- Trucare Living Centers — Palestine
Common questions about Legacy At Town Creek
Where is Legacy At Town Creek located?
Legacy At Town Creek is at 2212 W REAGAN ST, Palestine, Texas 75801.
What care and services does Legacy At Town Creek offer?
Legacy At Town Creek offers skilled nursing, rehab services, skilled nursing care, rehabilitation services, short-term rehabilitation, long-term care, telehealth services, physical therapy.
Is Legacy At Town Creek Medicare-certified?
Yes. Legacy At Town Creek is certified for both Medicare and Medicaid.
What is Legacy At Town Creek's quality rating?
CMS gives Legacy At Town Creek an overall star rating of 1 out of 5.
How do I contact Legacy At Town Creek?
Call Legacy At Town Creek at 903-727-8500.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.