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Legacy At Town Creek

2212 W Reagan St, Palestine, TX 75801
9037278500
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Overall CMS Rating

2.0/5

vs State Average: 2.8 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.1/5

2.0/5

Quality Measures

vs State Average: 3.8/5

2 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

About This Facility

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
2 Penalties in last 3 years
2 Fines issued
Citation Date Description Severity
Oct 8, 2025 Provide safe and appropriate respiratory care for a resident when needed. G
Aug 6, 2025 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E
Aug 6, 2025 Have a policy regarding use and storage of foods brought to residents by family and other visitors. D
Aug 6, 2025 Provide and implement an infection prevention and control program. D
Aug 6, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D
Score
2.0
State Average
2.1
National Average
2.9
0.3 RN Hours / Resident / Day
3.9 Total Nurse Hours / Resident / Day
69.2% RN Turnover Rate
Score
2.0
State Average
3.8
National Average
3.6
1.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
87.7 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL SOUTHWEST LTC- PALESTINE, LLC
CORPORATE OFFICER STRATTON, CHARLES
W-2 MANAGING EMPLOYEE BELTRAN, LARRY
Recent Penalties
Date Type Fine
Oct 8, 2025 Fine $15,935
Jun 6, 2024 Fine $284,250

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