Avir at Town Creek
1816 Tile Factory Rd · Palestine, TX · 75801 · 9037292261
102 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $17,345 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.72 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 3 · $76,268 |
Inspection citations (30 in the current record)
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Potential for harm · D February 18, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 13, 2025
Keep residents' personal and medical records private and confidential.
Corrected September 2, 2025 · Resident Rights
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Potential for harm · D August 13, 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.
Corrected September 2, 2025 · Resident Rights
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Potential for harm · D August 13, 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.
Corrected September 2, 2025 · Quality of Life and Care
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Potential for harm · E August 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 2, 2025 · Nutrition and Dietary
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Potential for harm · E August 13, 2025
Provide and implement an infection prevention and control program.
Corrected September 2, 2025 · Infection Control
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Potential for harm · D August 13, 2025
Have policies on smoking.
Corrected September 2, 2025 · Environmental
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Potential for harm · E March 25, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 28, 2025 · Quality of Life and Care
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Potential for harm · D March 25, 2025 · found via complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected March 28, 2025 · Nutrition and Dietary
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Actual harm · H February 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 27, 2025 · Quality of Life and Care
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Actual harm · H February 3, 2025 · found via 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.
Corrected January 27, 2025 · Environmental
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Potential for harm · F October 1, 2024
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.
Corrected October 31, 2024 · Nursing and Physician Services
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Potential for harm · D October 1, 2024
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.
Corrected October 31, 2024 · Pharmacy Service
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Potential for harm · F October 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 31, 2024 · Nutrition and Dietary
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Potential for harm · F October 1, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected October 31, 2024 · Administration
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Potential for harm · D October 1, 2024
Provide and implement an infection prevention and control program.
Corrected October 31, 2024 · Infection Control
-
Potential for harm · D November 29, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 26, 2023 · Infection Control
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Potential for harm · E October 26, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 27, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 26, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 27, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 26, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 27, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 26, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 27, 2023 · Quality of Life and Care
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Immediate jeopardy · J August 9, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 10, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 9, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 10, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 28, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 10, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K June 28, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 10, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 3, 2025 | Fine | $17,345 |
| April 5, 2024 | Fine | $31,720 |
| June 28, 2023 | Fine | $27,203 |
| June 28, 2023 | Payment Denial | 13 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455565 · certified since July 19, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.