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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasAvir at Town Creek

Avir at Town Creek

1816 Tile Factory Rd, Palestine, TX 758019037292261
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
3/5
Beds
102
certified
3 fine(s) totaling $76,268

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 102 certified beds with an average of 29.8 residents per day (29% occupancy)

• Last health inspection found 8 deficiencies (inspected Aug 13, 2025)

• Has been fined a total of $76,268 across 3 fine(s)

• Total nursing staff: 4.45 hours per resident per day

• Staff turnover rate: 52.5% (high)

• Part of the Avir Health Group chain (79 facilities)

Avir at Town Creek is a 1-star Medicare and Medicaid certified nursing home in Palestine, Texas with 102 certified beds. It has been operating since 1985. The facility scored below average compared to Texas facilities.

Beds
102
Avg Residents/Day
29.8
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jul 19, 1985
Sprinklers
Yes
Council
Resident
County
Anderson
Last Inspection
Aug 13, 2025
Deficiencies (Cycle 1)
8
Weighted Score
221.3
Infection Citations
0

Deficiency Citations (29)

F0684Actual Harm

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

Survey: Feb 3, 2025Corrected: NoCycle: 1
F0917Actual Harm

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.

Survey: Feb 3, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 13, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Aug 13, 2025Corrected: NoCycle: 1
F0693Potential for Harm

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.

Survey: Aug 13, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Aug 13, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 13, 2025Corrected: NoCycle: 1
F0926Potential for Harm

Have policies on smoking.

Survey: Aug 13, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Mar 25, 2025Corrected: NoCycle: 2
F0813Potential for Harm

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

Survey: Mar 25, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Nov 29, 2023Corrected: NoCycle: 3
F0600Potential for Harm

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

Survey: Oct 26, 2023Corrected: NoCycle: 3
F0607Potential for Harm

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

Survey: Oct 26, 2023Corrected: NoCycle: 3
F0609Potential for Harm

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

Survey: Oct 26, 2023Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Oct 26, 2023Corrected: NoCycle: 3
F0602Potential for Harm

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

Survey: Aug 9, 2023Corrected: NoCycle: 3
F0607Immediate Jeopardy

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

Survey: Aug 9, 2023Corrected: NoCycle: 3
F0600Immediate Jeopardy

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

Survey: Jun 28, 2023Corrected: NoCycle: 3
F0602Potential for Harm

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

Survey: Jun 28, 2023Corrected: NoCycle: 3
F0607Immediate Jeopardy

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

Survey: Jun 28, 2023Corrected: NoCycle: 3
F0689Immediate Jeopardy

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

Survey: Jun 28, 2023Corrected: NoCycle: 3
F0740Immediate Jeopardy

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

Survey: Jun 28, 2023Corrected: NoCycle: 3
F0755Potential for Harm

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

Survey: Jun 28, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 28, 2023Corrected: NoCycle: 3
F0727Potential for Harm

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.

Survey: Oct 1, 2024Corrected: NoCycle: 3
F0758Potential for Harm

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.

Survey: Oct 1, 2024Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Oct 1, 2024Corrected: NoCycle: 3
F0851Potential for Harm

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

Survey: Oct 1, 2024Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 1, 2024Corrected: NoCycle: 3
Total Fines
$76,268
Number of Fines
3
Payment Denials
1
Total Penalties
4

Penalty History

FineFeb 3, 2025
$17,345
FineJun 28, 2023
$27,203
FineApr 5, 2024
$31,720
Payment DenialJun 28, 2023
13 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.22 hrs
National avg: 2.35 hrs
LPN1.55 hrs
National avg: 0.86 hrs
RN0.68 hrs
National avg: 0.68 hrs
Total Nursing4.45 hrs
National avg: 3.89 hrs
Weekend Total4.02 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
52.5%
RN Turnover
60.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
WINNIE-STOWELL HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2024
SLP PALESTINE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2024
LEONARD, JOSHUAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
MURRELL, EDWARDCORPORATE DIRECTORIndividualN/AJan 1, 2024
CARLISLE TAYLOR WHITWORTH 2020 IRREVOCABLE TRUST5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2024
GARY SCOTT WHITWORTH 2019 IRREVOCABLE TRUST5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2024
LQCP MANAGEMENT, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2024
WM 41 PALESTINE RE, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2024
WM-LQC MM, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2024
WT HOLDINGS, LP5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2024

Nearby Nursing Homes

All Texas facilities

Legacy at Town Creek

Palestine, TX · 199 beds

Government$300,185 in fines
Health
Staffing
Quality
1.7 mi

Trucare Living Centers

Palestine, TX · 120 beds

Government
Health
Staffing
Quality
2.9 mi

Greenbrier Nursing & Rehabilitation Center of Pale

Palestine, TX · 120 beds

Government
Health
Staffing
Quality
5.1 mi

Frequently Asked Questions

What is the CMS rating for Avir at Town Creek?▾
Avir at Town Creek has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated below average.
Has Avir at Town Creek had any health inspection violations?▾
Avir at Town Creek had 8 deficiency citations in its most recent health inspection (Aug 13, 2025). The facility has been fined a total of $76,268 across 3 fine(s).
What are the staffing levels at Avir at Town Creek?▾
Avir at Town Creek provides 4.45 total nursing staff hours per resident per day, including 0.68 RN hours, 1.55 LPN hours, and 2.22 nurse aide hours. The total staff turnover rate is 52.5%.
How many beds does Avir at Town Creek have?▾
Avir at Town Creek has 102 certified beds with an average of 29.8 residents per day, resulting in approximately 29% occupancy. The facility is For profit - Limited Liability company owned and is part of the Avir Health Group chain.
Are there other nursing homes near Avir at Town Creek?▾
Yes, there are 3 other nursing homes in Palestine, Texas with an average rating of 2.8/5. You can compare all facilities on the Palestine nursing homes page.

Part of Avir Health Group

This chain operates 79 facilities. View all →