nursing home in Palestine, TX
Avir at Town Creek
1816 Tile Factory Rd, Palestine, TX 75801 · (903) 729-2261
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Town Creek at a glance
Avir at Town Creek is a 102-bed for-profit nursing home in Palestine, Texas (Anderson County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.8 hours of nursing care per day (0.4 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (August 13, 2025) found 7 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $49,065.
Nursing staff turnover is 47.1% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 102
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- July 19, 1985
- Resident/family council
- Resident
- County
- Anderson County
- CMS Certification Number
- 455565
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.76 hrs | 3.39 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.37 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.01 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.37 hrs | 2.98 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 47.1% | 55.3% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 40% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 55.8 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $49,065 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 102 | 113 | 107 | |
| Average residents per day | 40 | 76 | 86 | |
| Occupancy | 39.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.9% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 10.2% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 28.7% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 20.1% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 32.3% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 9.1% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.1% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 21 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 18, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected February 25, 2026 |
| August 13, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 15, 2025 |
| August 13, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected September 8, 2025 |
| August 13, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 22, 2025 |
| August 13, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| August 13, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 2, 2025 |
| August 13, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 2, 2025 |
| August 13, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected September 2, 2025 |
| August 13, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected September 2, 2025 |
| August 13, 2025 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected September 2, 2025 |
| August 13, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected September 2, 2025 |
| March 25, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 22, 2025 |
| March 25, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| March 25, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected March 28, 2025 |
| March 25, 2025 Complaint | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected March 28, 2025 |
| February 3, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | H Actual harm, pattern | Corrected January 27, 2025 |
| February 3, 2025 Complaint | 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. Environmental Deficiencies · Tag F0917 | H Actual harm, pattern | Corrected January 27, 2025 |
| October 1, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 1, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected November 20, 2024 |
| October 1, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| October 1, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected October 31, 2024 |
| October 1, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected October 31, 2024 |
| October 1, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected October 31, 2024 |
| October 1, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 1, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected October 31, 2024 |
| November 29, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 26, 2023 |
| October 26, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected October 27, 2023 |
| October 26, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected October 27, 2023 |
| October 26, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 27, 2023 |
| October 26, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 27, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $49,065 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 3, 2025 | Fine | $17,345 |
| April 5, 2024 | Fine | $31,720 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 1816 TILE FACTORY RD OPCO LLC Organization | adp of the snf | NOT APPLICABLE | 03/05/2026 |
| 1816 TILE FACTORY RD PROPERTY OWNER LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| HEKIMIAN, KHOREN Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| JONES, JEREMY Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| MURRELL, EDWARD Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/09/2026 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/09/2026 |
| GOLDBERGER, FAIGY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/09/2026 |
| 1816 TILE FACTORY RD OPCO LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
Other nursing homes near Avir at Town Creek
Legacy at Town Creek
2212 W Reagan St, Palestine, TX 75801 · 1.7 mi
Government · 199 beds · Part of Southwest LTC
★★★★★1Much below averageTrucare Living Centers
2265 S Sycamore St, Palestine, TX 75801 · 2.9 mi
Government · 120 beds
- CMS high performer
★★★★★5Much above averageGreenbrier Nursing & Rehabilitation Center of Pale
2404 State Highway 155, Palestine, TX 75803 · 5.1 mi
For-profit · 120 beds · Part of Creative Solutions in Healthcare
★★★★★4Above averageAvir at Elkhart
214 Jones Rd, Elkhart, TX 75839 · 9.7 mi
Government · 98 beds · Part of Avir Health Group
- New owner (last 12 months)
★★★★★3AverageFairview Healthcare Residence
601 E Reunion St, Fairfield, TX 75840 · 27.9 mi
Government · 84 beds · Part of Coryell County Memorial Hospital Authority
★★★★★4Above averageAvir at Jacksonville
305 Bonita St, Jacksonville, TX 75766 · 27.9 mi
For-profit · 53 beds · Part of Avir Health Group
- New owner (last 12 months)
★★★★★5Much above average
Frequently asked questions
What is Avir at Town Creek's rating?
Avir at Town Creek has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Avir at Town Creek receive?
Its most recent standard health inspection found 7 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Town Creek accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avir at Town Creek?
It is for profit - limited liability company and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Town Creek and how do I contact it?
Avir at Town Creek is at 1816 Tile Factory Rd, Palestine, TX 75801. Phone: (903) 729-2261.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.