Avir At Town Creek
Nursing Home · 1816 Tile Factory Rd, Palestine, TX 75801 · 9037292261
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 1.0 / 5 | high |
| Staffing | 3.5 / 5 | high |
| Clinical outcomes | 3.1 / 5 | high |
| Enforcement | 1.8 / 5 | high |
| Financial stability | 3.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 102 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Winnie-Stowell Hospital District |
| Chain size | 117 facilities |
| Certified since | 1985-07-19 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$$ of 5 · ~$528/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 5 immediate jeopardy · 2 actual harm · 23 potential for harm · 0 minor
- Federal fines: $76,268 · payment denials: 1 · penalty actions: 4
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0609) | D | corrected 2026-02-25 |
| 2025-08-13 | Keep residents' personal and medical records private and confidential. (Resident Rights Deficiencies, tag 0583) | D | 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. (Resident Rights Deficiencies, tag 0584) | D | 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. (Quality of Life and Care Deficiencies, tag 0693) | D | corrected 2025-09-02 |
| 2025-08-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | E | corrected 2025-09-02 |
| 2025-08-13 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | E | corrected 2025-09-02 |
| 2025-08-13 | Have policies on smoking. (Environmental Deficiencies, tag 0926) | D | corrected 2025-09-02 |
| 2025-03-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. (Quality of Life and Care Deficiencies, tag 0677) | E | corrected 2025-03-28 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 4.09 hrs/resident/day (expected 3.04 for this facility's resident acuity — at or above expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.42 hrs/resident/day (expected 0.53 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 2.11 · LPN 1.55 hrs/resident/day
- Weekend total staffing: 3.72 hrs/resident/day (expected 2.70 for this facility's resident acuity — at or above expected)
- Annual nursing-staff turnover: 50.0% · RN turnover 40.0% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.09 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 7 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 32.6% | 35.7 → 33.3 → 54.5 → 4.8 | worse than 97% of US homes · TX median 14.8% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 29.7% | 38.5 → · → · → · | worse than 92% of US homes · TX median 13% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 4% | 5.7 → 6.3 → 3.2 → 0 | worse than 68% of US homes · TX median 3% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 2.9% | 0 → 0 → 3.3 → 9 | better than 73% of US homes · TX median 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 6.8% | not reported | better than 80% of US homes · TX median 8.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
What this costs
- This facility's reported avg daily charge: $528/day · $$$$$ (price tier 5 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 79% Medicaid · 2% Medicare · 19% other/private · 33% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Anderson County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Palestine Regional Medical Center | Palestine | Yes | 1★ | Acute care |
Compare nearby
- A The Legacy Midtown Park · Dallas
- A- Trucare Living Centers · Palestine
- B+ Greenbrier Nursing & Rehabilitation Center Of Pale · Palestine
- C+ Avir At Elkhart · Elkhart
- C- Legacy At Town Creek · Palestine
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Anderson County nursing homes coverage. Spot an error? Tell us.