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Nursing Homes · Medicare certified

Avir at Town Creek

1816 Tile Factory Rd · Palestine, TX 75801 · 102 certified beds

(903) 729-2261

NPI 1366498537 (opens in a new tab)

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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

3.0

Staffing

3.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (30)

Records from June 2023 to February 2026.

  • February 18, 2026

    Tag F0609

    Timely 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 F0926

    Have policies on smoking.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 2, 2025.

  • August 13, 2025

    Tag F0584

    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: isolated, no actual harm, potential for more than minimal harm. Corrected September 2, 2025.

  • August 13, 2025

    Tag F0880

    Provide 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 F0693

    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: isolated, no actual harm, potential for more than minimal harm. Corrected September 2, 2025.

  • August 13, 2025

    Tag F0583

    Keep 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 F0812

    Procure 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 F0677

    Provide 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 F0813

    Have 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 F0917

    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: pattern, actual harm. Corrected January 27, 2025.

  • February 3, 2025

    Tag F0684

    Provide 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 F0812

    Procure 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 F0880

    Provide 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 F0851

    Electronically 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 F0758

    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….

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.

  • October 1, 2024

    Tag F0727

    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: widespread, no actual harm, potential for more than minimal harm. Corrected October 31, 2024.

  • November 29, 2023

    Tag F0880

    Provide 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 F0609

    Timely 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 F0607

    Develop 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 F0689

    Ensure 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.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

Texas median$5,627/mo

Nearby alternatives

Other licensed providers in Palestine.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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