Legacy At Town Creek
2212 W Reagan St, Palestine, TX, 75801
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Southwest Ltc
- Certified beds
- 199 · avg 86 residents/day
- Total nursing staff turnover
- 60.9% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $294,608 total
Medicare certification
- CMS Certification Number
- 675998
- Certified beds
- 199 beds · avg 86 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Liberty County Hospital District No.1
- Chain affiliation
- Southwest Ltc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Southwest Ltc chain — 13 facilities across 2 states. Chain-wide average overall rating 3.2 / 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 May 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.
- 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.
- D0880·Aug 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- 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 · $10K
- 20241 fine · $284K
Most recent events
- Oct 8, 2025Fine · $10K
- 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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Legacy At Town Creekinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.