F
LEGACY AT TOWN CREEK
24/100 score
0.27 hrs RN staffing
6 deficiencies
TRUCARE LIVING CENTERS
2265 S SYCAMORE ST, PALESTINE, TX 75801
Operator
FANNIN COUNTY HOSPITAL AUTHORITY · 54 facilities
- Provider number (CCN)
- 676257
- Certification
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Certified beds
- 120
- Phone
- (903) 723-2592
- CMS data as of
- July 1, 2026
C
What the records show
CMS rates TRUCARE LIVING CENTERS 5 out of 5 stars overall, with 5 of 5 for health inspections, 3 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 10 health deficiencies across the last three survey cycles, most recently surveyed in 2025. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility is operated by FANNIN COUNTY HOSPITAL AUTHORITY, which scores 17 points below the national average. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Reviews, Ratings and Official Records
This page reviews TRUCARE LIVING CENTERS using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
Below the repealed 0.55 hr RN benchmark — average inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.28 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
10
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★★ (5/5)
Health inspection: ★★★★★ (5/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★★☆☆ (3/5)
|
|
NursingHomeGrade Score
|
60/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.28 hrs |
|---|---|
| TX median | 0.38 hrs |
| National average | 0.69 hrs |
Total nursing staff turnover: 25.0%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Audit and Inspection Reports
TRUCARE LIVING CENTERS is a Government - Hospital district facility. The records on this page are the federal health-inspection and enforcement records CMS publishes. We do not hold, and have not reviewed, any separate financial or performance audit issued by a county, state or independent auditor — if one exists for this facility, it is not part of the data described below.
- Most recent standard health survey: December 17, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from August 16, 2023 to December 17, 2025.
Source records: CMS Care Compare profile for provider 676257 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
10 deficiencies found. 10 corrected. None involved actual harm.
Most recent inspection (December 17, 2025)
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected January 6, 2026
D
Potential harm — isolated
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected January 6, 2026
D
Potential harm — isolated
F0656
Status: Corrected
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected January 6, 2026
Inspection cycle 2 (September 18, 2024)
D
Potential harm — isolated
F0813
Status: Corrected
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected October 2, 2024
E
Potential harm — pattern
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected October 2, 2024
E
Potential harm — pattern
F0700
Status: Corrected
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected October 2, 2024
E
Potential harm — pattern
F0641
Status: Corrected
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected October 2, 2024
E
Potential harm — pattern
F0656
Status: Corrected
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected October 2, 2024
D
Potential harm — isolated
F0644
Status: Corrected
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected October 2, 2024
Inspection cycle 3 (August 16, 2023)
D
Potential harm — isolated
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected August 21, 2023
Fines and Enforcement Actions
CMS lists no fines and no payment denials for TRUCARE LIVING CENTERS in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- TRUCARE LIVING CENTERS
- Legal business name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Address
- 2265 S SYCAMORE ST, PALESTINE, TX 75801
- Phone
- (903) 723-2592
- Provider number (CCN)
- 676257
- Ownership type
- Government - Hospital district
- Operator
- FANNIN COUNTY HOSPITAL AUTHORITY · 54 facilities
- Medicare/Medicaid certified since
- July 22, 2010
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in PALESTINE
Compare local nursing homes using the same CMS-backed grading method.
C
Avir at Town Creek
50/100 score
0.37 hrs RN staffing
7 deficiencies
D
GREENBRIER NURSING & REHABILITATION CENTER OF PALE
47/100 score
0.38 hrs RN staffing
6 deficiencies
Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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