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Avir at Town Creek

Open-data reference.

Avir at Town Creek is a for profit - limited liability company facility in PALESTINE, TX with 102 certified beds and a 1-star overall CMS rating. The facility has 29 deficiency records on file. Total penalties: $76K.

1816 TILE FACTORY RD, PALESTINE, TX 75801

Phone: 9037292261

Overall Rating

1/5

Health Inspection

1/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
455565
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
102
Residents
30
In Hospital
No
County
Anderson
Last Inspection
Aug 13, 2025

Staffing Data

RN Hours
0.68 (nat'l avg: 0.68)
LPN Hours
1.55
CNA Hours
2.22
Total Nursing Hours
4.45 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
52.5%
RN Turnover
60.0%

What the CMS Record Reveals About Avir at Town Creek

Avir at Town Creek operates 102 certified beds in PALESTINE, TX with approximately 30 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 29 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $76K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.45 total nursing hours per resident day (national average 3.89), with RN coverage at 0.68 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Avir at Town Creek falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 52.5%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (29 most recent)

D — Isolated - Minimal harm Aug 13, 2025 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Sep 2, 2025

E — Pattern - Minimal harm Aug 13, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 2, 2025

E — Pattern - Minimal harm Aug 13, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 2, 2025

D — Isolated - Minimal harm Aug 13, 2025 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 2, 2025

D — Isolated - Minimal harm Aug 13, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 2, 2025

D — Isolated - Minimal harm Aug 13, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Sep 2, 2025

D — Isolated - Minimal harm Mar 25, 2025 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 28, 2025

E — Pattern - Minimal harm Mar 25, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 28, 2025

H — Pattern - Actual harm Feb 3, 2025 Tag: 0917

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.

Category: Environmental Deficiencies

Corrected: Jan 27, 2025

H — Pattern - Actual harm Feb 3, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 27, 2025

D — Isolated - Minimal harm Oct 1, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 31, 2024

F — Widespread - Minimal harm Oct 1, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Oct 31, 2024

F — Widespread - Minimal harm Oct 1, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 31, 2024

D — Isolated - Minimal harm Oct 1, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 31, 2024

F — Widespread - Minimal harm Oct 1, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 31, 2024

D — Isolated - Minimal harm Nov 29, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 26, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 27, 2023

D — Isolated - Minimal harm Oct 26, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 27, 2023

E — Pattern - Minimal harm Oct 26, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 27, 2023

E — Pattern - Minimal harm Oct 26, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 27, 2023

J — Isolated - Jeopardy Aug 9, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 10, 2023

E — Pattern - Minimal harm Aug 9, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 10, 2023

D — Isolated - Minimal harm Jun 28, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 29, 2023

D — Isolated - Minimal harm Jun 28, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jun 29, 2023

K — Pattern - Jeopardy Jun 28, 2023 Tag: 0740

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 29, 2023

J — Isolated - Jeopardy Jun 28, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 29, 2023

K — Pattern - Jeopardy Jun 28, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 10, 2023

E — Pattern - Minimal harm Jun 28, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 10, 2023

K — Pattern - Jeopardy Jun 28, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 10, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 31.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 2.0% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 33.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 0.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.0% Yes

Penalty History 3 penalties totaling $76K

Date Type Amount
Feb 3, 2025 Fine $17K
Apr 5, 2024 Fine $32K
Jun 28, 2023 Fine $27K
Jun 28, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Avir at Town Creek?
Avir at Town Creek has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at Avir at Town Creek?
Avir at Town Creek reports 4.45 total nursing hours per resident day (national average: 3.89). RN hours are 0.68 per resident day (national average: 0.68). Nursing staff turnover is 52.5%.
How many beds does Avir at Town Creek have?
Avir at Town Creek has 102 certified beds with approximately 30 residents. The facility is located at 1816 TILE FACTORY RD, PALESTINE, TX 75801.
Does Avir at Town Creek have any deficiencies on record?
Yes, Avir at Town Creek has 29 deficiencies on record from recent inspections. Of these, 7 are classified as causing actual harm or jeopardy.
Has Avir at Town Creek received any fines or penalties?
Yes, Avir at Town Creek has received 3 penalties totaling $76K.
Who owns Avir at Town Creek?
Avir at Town Creek is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Avir at Town Creek last inspected?
The most recent health inspection for Avir at Town Creek was on Aug 13, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Avir at Town Creek?
Avir at Town Creek is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial