Avir at Town Creek

1816 TILE FACTORY RD, PALESTINE, TX 75801 · CCN 455565 · 102 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2025-02-03 ACTUAL HARM (tag F0917, severity H)
Environmental Deficiencies · correction not recorded in CMS data
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.
2025-02-03 ACTUAL HARM (tag F0684, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-08-09 IMMEDIATE JEOPARDY (tag F0607, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Staffing, from payroll records

Nursing hours / resident / day

3.33

state median 2.67

Weekend staffing gap

+1%

more nursing hours on weekends · state median −7%

RN hours / resident / day

0.23

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

17

with residents present

Nursing staff turnover

47%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $49,065 in fines.

DateTypeAmount
2025-02-03Fine$17,345
2024-04-05Fine$31,720

Ownership

Ownership type: For profit - Limited Liability company. Part of the AVIR HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 20 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-02-18F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-08-13F0583Resident Rights DeficienciesDnot recorded
2025-08-13F0584Resident Rights DeficienciesDnot recorded
2025-08-13F0693Quality of Life and Care DeficienciesDnot recorded
2025-08-13F0812Nutrition and Dietary DeficienciesEnot recorded
2025-08-13F0880Infection Control DeficienciesEnot recorded
2025-08-13F0926Environmental DeficienciesDnot recorded
2025-03-25F0677Quality of Life and Care DeficienciesEnot recorded
2025-03-25F0813Nutrition and Dietary DeficienciesDnot recorded
2025-02-03F0684Quality of Life and Care DeficienciesHnot recorded
2025-02-03F0917Environmental DeficienciesHnot recorded
2024-10-01F0727Nursing and Physician Services DeficienciesFnot recorded
2024-10-01F0758Pharmacy Service DeficienciesDnot recorded
2024-10-01F0812Nutrition and Dietary DeficienciesFnot recorded
2024-10-01F0851Administration DeficienciesFnot recorded
2024-10-01F0880Infection Control DeficienciesDnot recorded
2023-11-29F0880Infection Control DeficienciesDnot recorded
2023-10-26F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2023-10-26F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2023-10-26F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-10-26F0689Quality of Life and Care DeficienciesDnot recorded
2023-08-09F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2023-08-09F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Avir at Town Creek, PALESTINE” at medicare.gov/care-compare.