Greenbrier Nursing & Rehabilitation Center of Pale
Cost data not yet available
Nursing Homes · Medicare certified
1816 Tile Factory Rd · Palestine, TX 75801 · 102 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1366498537. Look this up in the CMS NPPES registry (opens in a new tab)
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In Palestine, Texas, Avir at Town Creek is listed as a nursing home. Public records list 102 beds. It is Medicare certified. Ownership records list a nonprofit operator and tie the listing to Avir Health Group. We hold 30 inspection citations for this listing, the most recent dated 18 February 2026. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 3.76 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
18
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
25
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
18
Records from June 2023 to February 2026.
February 18, 2026 · D
Citation F0609Federal surveyors cited this nursing home on 2026-02-18 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2026-02-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 13, 2025 · D
Citation F0926Federal surveyors cited this nursing home on 2025-08-13 under CMS tag F0926 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have policies on smoking. The deficiency was recorded as corrected on 2025-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 13, 2025 · D
Citation F0584Federal surveyors cited this nursing home on 2025-08-13 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 13, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-08-13 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 13, 2025 · D
Citation F0693Federal surveyors cited this nursing home on 2025-08-13 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 13, 2025 · D
Citation F0583Federal surveyors cited this nursing home on 2025-08-13 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2025-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
August 13, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-08-13 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-09-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 25, 2025 · E
Citation F0677Federal surveyors cited this nursing home on 2025-03-25 under CMS tag F0677 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-03-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 25, 2025 · D
Citation F0813Federal surveyors cited this nursing home on 2025-03-25 under CMS tag F0813 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a policy regarding use and storage of foods brought to residents by family and other visitors. The deficiency was recorded as corrected on 2025-03-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 3, 2025 · H
Citation F0917Federal surveyors cited this nursing home on 2025-02-03 under CMS tag F0917 (CMS scope/severity H: pattern, actual harm) for 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. The deficiency was recorded as corrected on 2025-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 3, 2025 · H
Citation F0684Federal surveyors cited this nursing home on 2025-02-03 under CMS tag F0684 (CMS scope/severity H: pattern, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-01-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 1, 2024 · F
Citation F0812Federal surveyors cited this nursing home on 2024-10-01 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 1, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-10-01 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 1, 2024 · F
Citation F0851Federal surveyors cited this nursing home on 2024-10-01 under CMS tag F0851 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 1, 2024 · D
Citation F0758Federal surveyors cited this nursing home on 2024-10-01 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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 l…. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 1, 2024 · F
Citation F0727Federal surveyors cited this nursing home on 2024-10-01 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-10-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 29, 2023 · D
Citation F0880Federal surveyors cited this nursing home on 2023-11-29 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-12-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 26, 2023 · D
Citation F0609Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2023-10-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 26, 2023 · E
Citation F0607Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0607 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2023-10-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 26, 2023 · D
Citation F0689Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-10-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $49,065
February 3, 2025 · Fine
Citation FINE-113565CMS recorded a civil money penalty of $17,345 against this nursing home on 2025-02-03 (Fine ID: 113565). Source: CMS Care Compare Penalties (as of 2026-07-01).
April 5, 2024 · Fine
Citation FINE-112682CMS recorded a civil money penalty of $31,720 against this nursing home on 2024-04-05 (Fine ID: 112682). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.76 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.32 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Non profit
CMS Care Compare chain: Avir Health Group
Chain ID 719 · 116 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$5,627/moOther licensed providers in Palestine, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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