All states › Texas › Palestine › Avir at Town Creek
1816 Tile Factory Rd Palestine, TX 75801 · Anderson County
All 4 nursing homes in Palestine, TX (4 take Medicaid)
CMS certification number 455565 · See this home on Medicare Care Compare
Is Avir at Town Creek a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Town Creek as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.75 hours per resident per day at Avir at Town Creek, above the Texas median of 3.30 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 3.33 hours, 11% below its all-week average. 54.3% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.
About this nursing home
Paying for care at Avir at Town Creek: Medicare and Medicaid
Avir at Town Creek is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 13, 2025 and found 6 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 21 citations at Avir at Town Creek across 7 inspection dates, 9 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on February 3, 2025. The most common areas cited were freedom from abuse, neglect, and exploitation (4) and quality of life and care (4). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level H, February 3, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
February 18, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
August 13, 2025 · 6 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DEnsure 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.
DHave policies on smoking.
March 25, 2025 · 2 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
February 3, 2025 · 2 citations, includes actual harm · includes complaint inspection
HProvide appropriate treatment and care according to orders, resident’s preferences and goals.
HMake 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.
October 1, 2024 · 5 citations
FHave 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DImplement 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.
DProvide and implement an infection prevention and control program.
November 29, 2023 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
October 26, 2023 · 4 citations · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Avir at Town Creek
- Inspectors cited the home at the actual-harm level on February 3, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 18, 2026. How are staff trained, and how are concerns reported?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 38% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $49,065 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 3, 2025 | Fine | $17,345 |
| Apr 5, 2024 | Fine | $31,720 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 3/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
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Location
Hospitals near Avir at Town Creek
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.8 mi
Palestine Regional Medical Center PalestineEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 16m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avir at Town Creek › All nursing homes in Palestine ›
Compare Avir at Town Creek with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Trucare Living Centers · Palestine · 5 stars · 2.9 mi
- Greenbrier Nursing & Rehabilitation Center of Pale · Palestine · 4 stars · 5.1 mi
Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.