Legacy At Town Creek
2212 W REAGAN ST, Palestine, TX, 75801
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Southwest Ltc
- Certified beds
- 199 · avg 88 residents/day
- Total nursing staff turnover
- 63.2% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 69.2% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $300,185 total
State licensing & capacity
- License number
- 149605
- Service type
- Medicare/medicaid
- Licensed capacity
- 199 beds
- Bed type breakdown
- 38 Medicare-only · 161 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- April 1, 1997
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Pmg Opco Palestine, Llc
- Administrator
- Tracey M Kinney
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Southwest Ltc chain — 13 facilities across 2 states. Chain-wide average overall rating 3.3 / 5.
Disclosed owners (4 on record)
- Larry Beltran
W-2 Managing Employee · since 2018
- Charles Bruce Stratton
Corporate Officer · since 2018
- Liberty County Hospital District No. 1
5% or Greater Direct Ownership Interest · 100% · since 2018
- Southwest Ltc- Palestine, Llc
Operational/managerial Control · since 2018
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 38)
- D0580·Jan 7, 2026Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- G0695·Oct 8, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0880·Aug 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0813·Aug 6, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0812·Aug 6, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0755·Aug 6, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0925·Jul 31, 2024Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D0880·Jul 31, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20251 fine · $16K
- 20241 fine · $284K
Most recent events
- Oct 8, 2025Fine · $16K
- Jun 6, 2024Fine · $284K
Largest single fine on record: $284K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Aug 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Legacy at Town Creek is a 199-bed nursing home in Palestine, Texas, operating at 44% of licensed capacity with 87 residents on an average day. CMS rates it 2 stars overall — health inspection, staffing, and quality measures each rate 2 stars, with long-stay quality outcomes at 1 star. Two CMS fines total $300,185. The facility is government-licensed through Liberty County Hospital District and managed by PMG Opco Palestine, LLC.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 233 minutes of nursing care per day — roughly 8 minutes less than at a 4-star-staffing facility in Texas, which places this facility in the bottom third of Texas nursing homes on staffing. The staff hours per resident actually exceed what the resident mix would typically require, meaning the raw-minutes gap understates the shortfall relative to peers: residents here are, on average, less dependent or less medically complex than at comparable facilities, so the staff is stretched less thin than those numbers alone would suggest.
About 6 in 10 nursing staff left in the past year — above the 75th-percentile cutoff for Texas, meaning turnover is higher than roughly three-quarters of nursing homes in this state. RN turnover runs at roughly 7 in 10, also in the high tier. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
Two CMS fines total $300,185. The state median for fined facilities in Texas is about $20,699, making this total roughly 14 times the state median. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at 44% of its 199 licensed beds, with an average of 87 residents per day. This level of vacancy is well below typical occupancy for Texas nursing homes and coincides with the facility's 2-star overall rating, high turnover, and fine history.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reasons for low occupancy
The facility runs at 44% of licensed capacity — ask leadership why so many beds are unfilled and whether any units or wings are currently closed.
Context behind $300,000 in fines
Two CMS fines total $300,185, roughly 14 times the Texas median for fined facilities — ask what the violations were and what corrective steps have been completed.
Staffing plan given high turnover
About 6 in 10 nursing staff left in the past year; ask how the facility recruits replacements and how long it typically takes to fill an open nursing position.
RN coverage on nights and weekends
Reported RN hours average about 20 minutes per resident per day — ask how many registered nurses are on duty during overnight and weekend shifts.
Long-stay quality outcomes
Long-stay quality measures rate 1 star on CMS — ask which specific measures drove that score and what the facility is doing to address them.
Management company's role
Day-to-day operations are run by PMG Opco Palestine, LLC under a hospital district license — ask how long this management arrangement has been in place and who holds ultimate accountability for care decisions.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.