Legacy at Town Creek
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 114 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- High staff turnover (63%)
- High RN turnover (69%)
Below average in Texas · Critically understaffed (RN) · Above average staffing · Below chain average · $300,185 in fines
What this means for your family
This facility offers a beautiful, clean environment and many wonderful staff members who truly care. However, families must be extremely vigilant regarding medication administration and dietary accuracy, as recent trends show significant lapses in these critical areas.
Google Reviews
Google Reviews
114 reviews analyzed“Families considering Legacy at Town Creek will find a facility praised for its clean, beautiful environment and many warm, compassionate nursing staff members. However, there are significant, recurring reports of inconsistent medication management, neglectful wound care, and a decline in food quality and dietary accuracy.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained facility
- Compassionate and friendly nursing staff
- Beautiful outdoor courtyards and amenities
- Engaging activities and community programs
Concerns
- Inconsistent medication administration and management (mentioned by 3 reviewers)
- Declining food quality and dietary errors (mentioned by 4 reviewers)
- Neglect regarding wound care and hygiene (mentioned by 2 reviewers)
- Slow response times to call lights (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about the beautiful courtyards and outdoor spaces; could you show us how residents typically enjoy those areas during the day?
- 2What kind of engaging activities or community programs do you have planned for the residents this month?
- 3Can you walk us through your specific process for ensuring medications are administered accurately and on schedule every day?
- 4How does the nursing team manage call lights to ensure that residents receive timely assistance when they need it?
- 5With the dining experience being such an important part of daily life, how do you ensure dietary needs are met and that food quality remains consistent?
- 6What is the protocol for managing medical emergencies or urgent clinical needs during the overnight hours?
Personalized based on this facility's data
Key Review Excerpts
“He seems to be well taken care of, and often states how nice he thinks the staff and the facility is. Chelsie Cagle is one of his nurses and she is taking EXCELLENT care of him. She is always very informative when I ask about how my family member is doing.”
“The staff and facility took great care of her during this time. Her care team was always available to answer any questions I had and I found the facility well maintained and clean.”
“My mother has been living here the past two years and the food has gone downhill every single day. She was fed two sandwiches today for lunch and dinner.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Legacy at Town Creek has concerning patterns including 12 family-filed complaints across multiple surveys targeting serious issues like abuse protection, infection control, and medication management. Recent problems include uncorrected notification failures and recurring respiratory care deficiencies. While most violations appear corrected, the persistent complaint-driven inspections and repeated safety issues in core care areas suggest ongoing quality concerns that warrant careful investigation before placement.
Jan 7, 2026Complaint1
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.
Oct 8, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Aug 6, 2025Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 31, 2024Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Jul 31, 2024Complaint1
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jun 6, 2024Complaint6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Oct 8, 2025
$10,358
Fine
Jun 6, 2024
$284,250
Ownership & Operations
Who Operates This Facility
Kirbyville I Enterprises, LLC
for profit
PMG OPCO PALESTINE, LLC
TRACEY M KINNEY
Chain Affiliation
Southwest Ltc
13 facilities nationwide
Chain avg rating: 3.4/5 · Rank 5 of 7
Ownership & Management
Owners
Liberty County Hospital District no. 1
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
114 reviews from families & visitors
Official Website
Visit legacytowncreek.com
Medicare data downloads
Original nursing home datasets
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