Overview
Legacy at Town Creek has a Medicare overall rating of 1 out of 5, below the Texas average of 2.8. It ranks 4th of 4 nursing homes in Palestine. Its strongest area is health inspections (2 of 5), and its weakest is staffing (1 of 5).
Residents receive about 3.2 hours of nursing care per day, fewer than at 61% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.2 hours come from registered nurses.
Its most recent standard inspection, on August 6, 2025, found 6 health deficiencies, fewer than the Texas average of 9.6. 2 of them came from complaint investigations. Medicare records 2 fines totaling $294,608 in the past three years.
Legacy at Town Creek is a government-run facility with 199 certified beds, caring for about 81 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2004.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 95%
Top 94%
Family reviews
- Ally HDecember 2022
The facility is very pretty and the rooms are large with private bathrooms. The staff seem to be very caring and nice, and although I haven't eaten here yet the food always smells delicious! Lots of activities, there is always something going on like live music or Bingo tournaments. I would give this facility a 5 star rating.
Inspections and penalties
- Most recent standard inspection
- August 6, 2025
- Health deficiencies cited
- 6
- Complaint-related deficiencies
- 2
- Fines in the last 3 years
- 2 totaling $294,608
- Payment denials
- 0
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.20 hrs
- Registered nurses (RN)0.19 hrs
- Licensed practical nurses (LPN)1.04 hrs
- Nurse aides1.97 hrs
- Physical therapists0.07 hrs
Facility details
- Ownership
- Government - Hospital district
- Certified beds
- 199
- Average residents per day
- 81
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- January 8, 2004
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes