Nursing Homes · Medicare certified
Avir at Town Creek
1816 Tile Factory Rd · Palestine, TX 75801 · 102 certified beds
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About Avir at Town Creek
Avir at Town Creek is a nursing home in Palestine, Texas. Its capacity is 102 beds, below the Anderson County median of 120 for nursing homes. It is run by a nonprofit operator and is part of Avir Health Group. It is Medicare certified. Its public inspection record shows 30 citations, the most recent on February 18, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.75 hours per resident per day. It is one of 4 nursing homes listed in Palestine. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
3.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (30)
Records from June 2023 to February 2026.
February 18, 2026
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 25, 2026.
August 13, 2025
Tag F0926Have policies on smoking.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 2, 2025.
August 13, 2025
Tag F0584Honor 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: isolated, no actual harm, potential for more than minimal harm. Corrected September 2, 2025.
August 13, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 2, 2025.
August 13, 2025
Tag F0693Ensure 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: isolated, no actual harm, potential for more than minimal harm. Corrected September 2, 2025.
August 13, 2025
Tag F0583Keep residents' personal and medical records private and confidential.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 2, 2025.
August 13, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 2, 2025.
March 25, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 28, 2025.
March 25, 2025
Tag F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 28, 2025.
February 3, 2025
Tag F0917Make 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: pattern, actual harm. Corrected January 27, 2025.
February 3, 2025
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity H: pattern, actual harm. Corrected January 27, 2025.
October 1, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 1, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 1, 2024
Tag F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 1, 2024
Tag F0758Implement 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 l….
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
October 1, 2024
Tag F0727Have 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: widespread, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.
November 29, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 26, 2023.
October 26, 2023
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 27, 2023.
October 26, 2023
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 27, 2023.
October 26, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 27, 2023.
Penalties (2)
Total fines: $49,065
February 3, 2025 · Fine
CMS recorded a civil money penalty of $17,345 against this nursing home on February 3, 2025.
April 5, 2024 · Fine
CMS recorded a civil money penalty of $31,720 against this nursing home on April 5, 2024.
Staffing
3.75 nurse hours per resident per day in Q2 2026, down from 4.09 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Avir Health Group, a chain of 118 nursing homes.
Average CMS star ratings across the chain: 2.2 overall, 2.4 for health inspections, 1.5 for staffing, 3.8 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Palestine.
Legacy at Town Creek
Trucare Living Centers
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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