For profit - Limited Liability company · 102 certified beds · CMS number 455565
Avir at Town Creek, Palestine, TX
CMS records 21 health deficiencies at Avir at Town Creek in Palestine, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 13, 2025. The highest severity cited is H (actual harm (not immediate jeopardy)). CMS lists 2 fines totaling $49,065 in the last three years.
- 21deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Hhighest severity · Actual harm
- $49,065fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Town Creek as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Town Creek may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Aug 13, 2025. CMS counts 7 health deficiencies and 4 fire safety deficiencies in this cycle.
Feb 18, 2026 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 25, 2026
Aug 13, 2025 · Standard inspection
6 deficiencies, highest E
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 2, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 2, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 2, 2025
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 2, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 2, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 2, 2025
Previous cycle: 4 deficiencies (standard inspection Mar 25, 2025)
Standard inspection Mar 25, 2025. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.
Mar 25, 2025 · Standard + complaint inspection
2 deficiencies, highest E
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 28, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 28, 2025
Feb 3, 2025 · Complaint inspection
2 deficiencies, highest H
F917 · Bed, bedding, furniture, and closet space
Requirement cited (CMS): 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.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Past non-compliance (fixed before the inspection), Jan 27, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Past non-compliance (fixed before the inspection), Jan 27, 2025
Earlier cycle: 10 deficiencies (standard inspection Oct 1, 2024)
Standard inspection Oct 1, 2024. CMS counts 10 health deficiencies and 3 fire safety deficiencies in this cycle.
Oct 1, 2024 · Standard inspection
5 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F851 · Reporting staffing data to CMS
Requirement cited (CMS): Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Oct 31, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Oct 31, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 31, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Oct 31, 2024
Nov 29, 2023 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 26, 2023
Oct 26, 2023 · Complaint inspection
4 deficiencies, highest E
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 27, 2023
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Avir at Town Creek; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 3 | Aug 13, 2025; Oct 1, 2024; Nov 29, 2023 |
| F609 Reporting suspected abuse and crimes | 2 | Feb 18, 2026; Oct 26, 2023 |
| F812 Food safety and sanitation | 2 | Aug 13, 2025; Oct 1, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 3, 2025 | Fine | $17,345 |
| Apr 5, 2024 | Fine | $31,720 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.76 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.37 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.37 h
- Nursing staff turnover
- 47.1% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
CMS figures for Avir at Town Creek, copied as published; Texas medians are ours.
Facility details
- Address
- 1816 Tile Factory Rd, Palestine, TX 75801
- Phone
- (903) 729-2261
- County
- Anderson
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Avir Health Group
- Certified beds
- 102
- Average residents per day
- 40
- In Medicare/Medicaid since
- Jul 19, 1985
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 3 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 1 time)
Other nursing homes in Palestine and the same chain
- Legacy at Town Creek
Palestine · 37 deficiencies - Greenbrier Nursing & Rehabilitation Center of Pale
Palestine · 12 deficiencies - Trucare Living Centers
Palestine · 10 deficiencies - Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.