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Avir At Town Creek

1816 Tile Factory Rd, Palestine, TX 75801 · Anderson County

For-profit · 102 certified beds · 39% occupancy · (903) 729-2261

The U.S. government (CMS) rates Avir At Town Creek 3 out of 5 stars overall — average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.76 nurse hours per resident per day. 15% above the Texas median of 3.27.

Total nurse
3.76 hrs
RN
0.37 hrs
LPN
1.39 hrs
Aide
2.01 hrs

Nursing staff turnover: 47.1% · RN turnover: 40%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

23
total findings
1
immediate jeopardy
2
caused actual harm
11
from complaints
  • Potential for harmTag F0812 · Aug 13, 2025Corrected Sep 2, 2025

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0880 · Aug 13, 2025Corrected Sep 2, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0609 · Feb 18, 2026ComplaintCorrected Feb 25, 2026

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0583 · Aug 13, 2025Corrected Sep 2, 2025

    Keep residents' personal and medical records private and confidential.

    Resident Rights Deficiencies

  • Potential for harmTag F0584 · Aug 13, 2025Corrected Sep 2, 2025

    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

  • Potential for harmTag F0693 · Aug 13, 2025Corrected Sep 2, 2025

    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

  • Potential for harmTag F0926 · Aug 13, 2025Corrected Sep 2, 2025

    Have policies on smoking.

    Environmental Deficiencies

  • Actual harmTag F0684 · Feb 3, 2025ComplaintCorrected Jan 27, 2025

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

    Quality of Life and Care Deficiencies

  • Actual harmTag F0917 · Feb 3, 2025ComplaintCorrected Jan 27, 2025

    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

  • Potential for harmTag F0677 · Mar 25, 2025Corrected Mar 28, 2025

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

    Quality of Life and Care Deficiencies

Showing the 10 most recent and serious of 23 findings. See the full inspection history on Medicare.gov.

Ownership

Part of the Avir Health Group chain (119 facilities), chain average overall rating 2.3★.