Avir at Town Creek
Nursing home in Palestine, TX
Medicare & Medicaid certified3★ overall (CMS)
Public-record details
- Address
- 1816 Tile Factory Rd, Palestine, TX 75801
- Phone
- (903) 729-2261
- Listed under
- For-profit
- Medicare CCN
- 455565
- Overall star rating
- 3 of 5 ★★★☆☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 102
- Average residents per day
- 40
- Ownership
- For-profit, limited Liability company
- Legal business name
- Winnie-Stowell Hospital District
- Chain
- Avir Health Group (116 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jul 19, 1985
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Aug 13, 2025. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 9, 2023 to Feb 18, 2026): 11 from complaint inspections, 3 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Feb 18, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Aug 13, 2025 | Keep residents' personal and medical records private and confidential. | D |
| Aug 13, 2025 | 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 |
| Aug 13, 2025 | 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 |
| Aug 13, 2025 | Have policies on smoking. | D |
| Aug 13, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Aug 13, 2025 | Provide and implement an infection prevention and control program. | E |
| Mar 25, 2025 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| Mar 25, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| Feb 3, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H |
| Feb 3, 2025 | 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… | H |
| Oct 1, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and… | D |
Fines and payment denials
CMS records 2 fines totalling $49,065 in the last three years.
| Feb 3, 2025 | Fine: $17,345 |
| Apr 5, 2024 | Fine: $31,720 |
Staffing
- Total nurse staffing per resident per day
- 3.76 hours
- Registered nurse (RN) time per resident per day
- 0.37 hours
- Nurse aide time per resident per day
- 2.01 hours
- Total nurse staffing on weekends
- 3.37 hours
- Nursing staff turnover (yearly)
- 47%
- RN turnover (yearly)
- 40%
- Administrators who left in the past year
- 2
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.