Avir at Town Creek

Nursing Home · Palestine, TX

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number455565

Contact & location

1816 Tile Factory RD
Palestine, TX 75801
Anderson County
Phone
(903) 729-2261
ZIP code
75801 – all care providers

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Facility details

Certified beds
102
Residents per day
40.0 (39% occupied)
Ownership
For profit - Limited Liability company
Legal name
Winnie-Stowell Hospital District
Chain
Avir Health Group (116 facilities, avg 2.3★)
Medicare certified since
July 19, 1985
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.6
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.76 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.37 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.39 (state 0.95 · U.S. 0.86)
Nurse aides
2.01 (state 2.00 · U.S. 2.32)
Weekend total
3.37 (state 2.98 · U.S. 3.42)
Nursing staff turnover
47.1 (state 55.3 · U.S. 45.8)%
RN turnover
40.0 (state 54.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
August 13, 2025
Health deficiencies (last cycle)
7.0 (state 9.3 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
23 health · 9 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-02-18 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-25
2025-08-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-02
2025-08-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-09-02
2025-08-13 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-02
2025-08-13 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.
F0584 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-02
2025-08-13 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-02
2025-08-13 Have policies on smoking.
F0926 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-02
2025-03-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-28
2025-03-25 Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-28
2025-02-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
H
Actual harm
Corrected 2025-01-27
2025-02-03 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.
F0917 · Environmental Deficiencies · complaint inspection
H
Actual harm
Corrected 2025-01-27
2024-10-01 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.
F0727 · Nursing and Physician Services Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-10-31
2024-10-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-10-31
2024-10-01 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-10-31
2024-10-01 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.
F0758 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-31
2024-10-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-31
2023-11-29 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-12-26
2023-10-26 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-27
2023-10-26 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-27
2023-10-26 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-27
2023-10-26 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-27
2023-08-09 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-08-10
2023-08-09 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2023-08-10

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $49,065 in fines.

DateTypeAmount
2025-02-03Fine$17,345
2024-04-05Fine$31,720

Ownership & management

NameRoleSince
1816 Tile Factory RD Opco LLC (organization)Administrator · NOT APPLICABLE
1816 Tile Factory RD Property Owner LLC (organization)Administrator · NOT APPLICABLE
Hekimian, Khoren (individual)Administrator · NOT APPLICABLE
Jones, Jeremy (individual)Administrator · NOT APPLICABLE
Welltower INC (organization)Administrator · NOT APPLICABLE
Welltower NNN Group, LLC (organization)Administrator · NOT APPLICABLE
Welltower Op, LLC (organization)Administrator · NOT APPLICABLE
Murrell, Edward (individual)Corporate Director · NOT APPLICABLE
Dagan, Amitai (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Abraham (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Faigy (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
1816 Tile Factory RD Opco LLC (organization)Operational/managerial Control · NOT APPLICABLE
Freund, Nochum (individual)Operational/managerial Control · NOT APPLICABLE
Travitsky, Aaron (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avir at Town Creek?

Avir at Town Creek has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Avir at Town Creek have?

It has 102 certified beds and cares for about 40 residents per day.

Has Avir at Town Creek been fined?

Yes. CMS lists 2 penalties totaling $49,065 in the last three years.

Who owns Avir at Town Creek?

It is part of Avir Health Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avir at Town Creek?

(903) 729-2261. The facility is located at 1816 Tile Factory RD, Palestine, TX 75801.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.