Starfile / Texas

LEGACY AT TOWN CREEK

2212 W REAGAN ST, PALESTINE, TX 75801 · CCN 675998

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$300,185

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

SOUTHWEST LTC

Facilities in chain

13

Chain avg overall

3.30 / 5

Inspection citations (38)3 immediate jeopardy2 actual harm

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2026-01-07 · Health

   Potential for more than minimal harm

2. GF0695Provide safe and appropriate respiratory care for a resident when needed.2025-10-08 · Health · corrected 2025-10-09

   Actual harm

3. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-06 · Health · corrected 2025-09-10

   Potential for more than minimal harm

4. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-06 · Health · corrected 2025-09-10

   Potential for more than minimal harm

5. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-08-06 · Health · corrected 2025-09-10

   Potential for more than minimal harm

6. DF0880Provide and implement an infection prevention and control program.2025-08-06 · Health · corrected 2025-09-10

   Potential for more than minimal harm

7. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-07-31 · Health · corrected 2024-08-12

   Potential for minimal harm

8. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-31 · Health · corrected 2024-08-12

   Potential for more than minimal harm

9. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-31 · Health · corrected 2024-08-12

   Potential for more than minimal harm

10. DF0761Ensure 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.2024-07-31 · Health · corrected 2024-08-12

    Potential for more than minimal harm

11. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-31 · Health · corrected 2024-08-12

    Potential for more than minimal harm

12. DF0880Provide and implement an infection prevention and control program.2024-07-31 · Health · corrected 2024-08-12

    Potential for more than minimal harm

13. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-07-31 · Health · corrected 2024-08-12

    Potential for more than minimal harm

14. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-06 · Health · corrected 2024-06-07

    Immediate jeopardy

15. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-06 · Health · corrected 2024-06-07

    Immediate jeopardy

16. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-06 · Health · corrected 2024-06-07

    Potential for more than minimal harm

17. KF0610Respond appropriately to all alleged violations.2024-06-06 · Health · corrected 2024-06-07

    Immediate jeopardy

18. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-06 · Health · corrected 2024-06-07

    Actual harm

19. DF0880Provide and implement an infection prevention and control program.2024-06-06 · Health · corrected 2024-06-07

    Potential for more than minimal harm

20. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-22 · Health · corrected 2024-02-14

    Potential for more than minimal harm

21. EF0761Ensure 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.2024-01-22 · Health · corrected 2024-02-14

    Potential for more than minimal harm

22. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-08 · Health · corrected 2023-08-09

    Potential for more than minimal harm

23. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-04-26 · Health · corrected 2023-05-12

    Potential for more than minimal harm

24. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

25. EF0584Honor 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.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

26. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-04-26 · Health · corrected 2023-05-20

    Potential for more than minimal harm

27. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-04-26 · Health · corrected 2023-05-16

    Potential for more than minimal harm

28. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

29. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-26 · Health · corrected 2023-04-27

    Potential for more than minimal harm

30. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-04-26 · Health · corrected 2023-05-15

    Potential for more than minimal harm

31. DF0692Provide enough food/fluids to maintain a resident's health.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

32. EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-04-26 · Health · corrected 2023-05-12

    Potential for more than minimal harm

33. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-04-26 · Health · corrected 2023-05-12

    Potential for more than minimal harm

34. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-26 · Health · corrected 2023-05-12

    Potential for more than minimal harm

35. EF0758Implement 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.2023-04-26 · Health · corrected 2023-05-19

    Potential for more than minimal harm

36. DF0880Provide and implement an infection prevention and control program.2023-04-26 · Health · corrected 2023-05-27

    Potential for more than minimal harm

37. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-26 · Health · corrected 2023-05-01

    Potential for more than minimal harm

38. DF0926Have policies on smoking.2023-04-26 · Health · corrected 2023-05-15

    Potential for more than minimal harm

Ownership

Other facilities in PALESTINE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.