Legacy at Town Creek
Nursing Home · Palestine, TX
CMS certification number675998
Contact & location
2212 W Reagan STPalestine, TX 75801
Anderson County
- Phone
- (903) 727-8500
- ZIP code
- 75801 – all care providers
Facility details
- Certified beds
- 199
- Residents per day
- 77.2 (39% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Liberty County Hospital District No 1
- Chain
- Southwest LTC (10 facilities, avg 2.4★)
- Medicare certified since
- January 8, 2004
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.37 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.27 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.10 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.00 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.06 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 53.8 (state 55.3 · U.S. 45.8)%
- RN turnover
- 55.6 (state 54.6 · U.S. 42.9)%
Inspections
- Last standard inspection
- August 6, 2025
- Health deficiencies (last cycle)
- 6.0 (state 9.3 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 38 health · 4 fire safety · includes immediate jeopardy
| Date | Citation | Severity | 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. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-10-08 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
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. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-10 |
| 2025-08-06 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-10 |
| 2025-08-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-12 |
| 2024-07-31 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-12 |
| 2024-07-31 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0640 · Resident Assessment and Care Planning Deficiencies |
B No actual harm, potential for minimal harm |
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. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-06-07 |
| 2024-06-06 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-06-07 |
| 2024-06-06 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-06-07 |
| 2024-06-06 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-14 |
| 2024-01-22 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-14 |
| 2023-08-08 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-09 |
| 2023-04-26 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
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 F0655 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-16 |
| 2023-04-26 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-04-27 |
| 2023-04-26 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0758 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-15 |
| 2023-04-26 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-19 |
| 2023-04-26 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-04-26 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-27 |
| 2023-04-26 | Have policies on smoking. F0926 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $294,608 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-10-08 | Fine | $10,358 |
| 2024-06-06 | Fine | $284,250 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Liberty County Hospital District No 1 (organization) | 5%+ Direct Ownership Interest · 100% | |
| Adewale, Adebayo (individual) | Administrator · NOT APPLICABLE | |
| Bauder Family Investments, LLC (organization) | Administrator · NOT APPLICABLE | |
| Bauder, Kelly (individual) | Administrator · NOT APPLICABLE | |
| Bauder, Madison (individual) | Administrator · NOT APPLICABLE | |
| Bauder, Parker (individual) | Administrator · NOT APPLICABLE | |
| Bauder, William (individual) | Administrator · NOT APPLICABLE | |
| Boulware ST James LLC (organization) | Administrator · NOT APPLICABLE | |
| Boulware, Steven (individual) | Administrator · NOT APPLICABLE | |
| Boulware, Thomas (individual) | Administrator · NOT APPLICABLE | |
| Franklin, Bradley (individual) | Administrator · NOT APPLICABLE | |
| PMG Realco- Palestine LLC (organization) | Administrator · NOT APPLICABLE | |
| Steven Boulware Family Investments LLC (organization) | Administrator · NOT APPLICABLE | |
| Walker, Katie (individual) | Administrator · NOT APPLICABLE | |
| Stratton, Charles (individual) | Corporate Officer · NOT APPLICABLE | |
| Boulware, Douglas (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Boulware, Sandra (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Adewale, Adebayo (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Franklin, Bradley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| PMG Opco- Palestine LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Legacy at Town Creek?
Legacy at Town Creek has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Legacy at Town Creek have?
It has 199 certified beds and cares for about 77 residents per day.
Has Legacy at Town Creek been fined?
Yes. CMS lists 2 penalties totaling $294,608 in the last three years.
Who owns Legacy at Town Creek?
It is part of Southwest LTC and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Legacy at Town Creek?
(903) 727-8500. The facility is located at 2212 W Reagan ST, Palestine, TX 75801.
Other nursing homes in Palestine
-
Trucare Living Centers
Nursing Home · Palestine, TX · 120 beds
★★★★★ -
Greenbrier Nursing & Rehabilitation Center of Pale
Nursing Home · Palestine, TX · 120 beds
★★★★ -
Avir at Town Creek
Nursing Home · Palestine, TX · 102 beds
★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.