Texas › Anderson County › Palestine
Avir At Town Creek
1816 Tile Factory Rd, Palestine, TX 75801
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avir At Town Creek is a For-profit, limited liability company nursing home in Palestine, Texas, certified for 102 beds and caring for about 40 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (7, 4, 12 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 22.5 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $49K.
Reported nurse staffing is 3.8 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 47.1%.
Compared with county, state and nation
| Measure | This facility | Anderson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 23 | 25 | 28.7 |
| Citations per 100 beds | 22.5 | 19.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 47.1% | 53.8% | 52.1% | 45.8% |
| Fines listed | $49,065 | $49,065 | $16,801 | — |
County and state figures are medians across facilities (6 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Aug 2025, 25 Mar 2025.
Severity mix: J ×1 H ×2 D ×11 E ×6 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Feb 2026 |
| 13 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Sep 2025 |
| 13 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Sep 2025 |
| 13 Aug 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 2 Sep 2025 |
| 13 Aug 2025 | F0584 | Honor 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. | D | Standard survey | 2 Sep 2025 |
| 13 Aug 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 2 Sep 2025 |
| 13 Aug 2025 | F0926 | Have policies on smoking. | D | Standard survey | 2 Sep 2025 |
| 25 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 28 Mar 2025 |
| 25 Mar 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint investigation | 28 Mar 2025 |
| 3 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Complaint investigation | 27 Jan 2025 |
| 3 Feb 2025 | F0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | H | Complaint investigation | 27 Jan 2025 |
| 1 Oct 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 31 Oct 2024 |
| 1 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 Oct 2024 |
| 1 Oct 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 31 Oct 2024 |
| 1 Oct 2024 | F0758 | Implement 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. | D | Standard survey | 31 Oct 2024 |
| 1 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Oct 2024 |
| 29 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Dec 2023 |
| 26 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 27 Oct 2023 |
| 26 Oct 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 27 Oct 2023 |
| 26 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Oct 2023 |
| 26 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Oct 2023 |
| 9 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 10 Aug 2023 |
| 9 Aug 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 10 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Feb 2025 | Fine | $17,345 | |
| 5 Apr 2024 | Fine | $31,720 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 47.1%, RNs 40.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Winnie-Stowell Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 1816 Tile Factory Rd Opco LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| 1816 Tile Factory Rd Opco LLC | Adp of the snf | NOT APPLICABLE | 03/05/2026 |
| 1816 Tile Factory Rd Property Owner LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Anderson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Legacy Midtown Park | Dallas | 54 | 5 | 5 | 5 | 7 | 13.0 | $28K | 16 Jun 2026 |
| Trucare Living Centers | Palestine | 120 | 5 | 5 | 3 | 10 | 8.3 | — | 17 Dec 2025 |
| Greenbrier Nursing & Rehabilitation Center of Pale | Palestine | 120 | 4 | 5 | 1 | 12 | 10.0 | — | 30 Apr 2026 |
| Avir At Elkhart | Elkhart | 98 | 3 | 3 | 2 | 26 | 26.5 | $65K | 21 Jan 2026 |
| Legacy At Town Creek | Palestine | 199 | 1 | 2 | 1 | 38 | 19.1 | $295K | 7 Jan 2026 |
All 6 facilities in Anderson County
Questions and answers
How many deficiencies has Avir At Town Creek been cited for?
23 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Town Creek been fined?
Yes. CMS lists fines totalling $49K in the period covered.
How does staffing at Avir At Town Creek compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Town Creek?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include 1816 Tile Factory Rd Opco LLC. Individual owners and managers are not listed on this site.
When was Avir At Town Creek last inspected?
The most recent survey or investigation in the CMS record is dated 18 Feb 2026; the most recent standard health survey was 13 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.