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Nursing homeFAID #12104

Avir At Town Creek

1816 TILE FACTORY RD, PALESTINE, TX, 75801

(903) 729-2261

102 licensed beds

CMS rates Avir At Town Creek 3 out of 5 overall. Federal inspectors issued 30 citations across 11 inspections in the last three years, with $49,065 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections3/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo via Google · Palestine Healthcare Center

Address

1816 Tile Factory Rd

Palestine, TX 75801

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Public record summary

What we can show you for free.

Bed capacity

102

CMS facility ID

455565

Care type

Nursing home

County

Anderson

Facility name

Avir At Town Creek

Street address

1816 TILE FACTORY RD

City / state / ZIP

Palestine, TX 75801

Phone

(903) 729-2261

Website

avirhg.com

About this facility — Avir At Town Creek

Avir At Town Creek is a Medicare/Medicaid-certified skilled nursing facility in Palestine, Texas. It is licensed for 102 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 7 senior care facilities in Palestine and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Town Creek 30 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $49,065 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avir Health Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

1816 Tile Factory Rd Opco Llc

Operational control · Additional disclosable party — since 2025

1816 Tile Factory Rd Property Owner Llc

Additional disclosable party — since 2025

Dagan, Amitai

Owner of a disclosable party — since 2026

Freund, Nochum

Operational control — since 2025

Goldberger, Abraham

Owner of a disclosable party — since 2026

Goldberger, Faigy

Owner of a disclosable party — since 2026

Hekimian, Khoren

Additional disclosable party — since 2024

Jones, Jeremy

Additional disclosable party — since 2024

Murrell, Edward

Director — since 2024

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Additional disclosable party — since 2025

Welltower Op Llc

Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1985-07-19

CMS overall rating

3 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

$49,065 total

Last standard inspection

2025-08-13

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$270 per day (≈ $8,210/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

88% Medicaid · 1% Medicare · 11% private/other

Occupancy

45% (fiscal year 2023)

Vs. state median

3% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

102

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-02-18Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

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

Corrected 2026-02-25

2025-08-13Health inspection6 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-09-02

F-0584

D · No harm found

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 2025-09-02

F-0693

D · No harm found

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 2025-09-02

F-0812

E · No harm foundFood safety

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

Corrected 2025-09-02

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-09-02

F-0926

D · No harm found

Have policies on smoking.

Corrected 2025-09-02

8 earlier / fire-safety inspections (23 citations)

2025-03-25Health inspectionComplaint-triggered2 citations

F-0677

E · No harm found

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

Corrected 2025-03-28

F-0813

D · No harm foundFood safetyFrom a complaint

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-03-28

2025-02-03Health inspectionComplaint-triggered2 citations

F-0684

H · Actual harmFrom a complaint

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

Corrected 2025-01-27

F-0917

H · Actual harmFrom a 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 2025-01-27

2024-10-01Health inspection5 citations

F-0727

F · No harm found

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 2024-10-31

F-0758

D · No harm found

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 2024-10-31

F-0812

F · No harm foundFood safety

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

Corrected 2024-10-31

F-0851

F · No harm found

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-10-31

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-31

2023-11-29Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2023-12-26

2023-10-26Health inspectionComplaint-triggered4 citations

F-0600

E · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-27

F-0607

E · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-10-27

F-0609

D · No harm foundFrom a complaint

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

Corrected 2023-10-27

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-10-27

2025-08-13Fire-safety inspection4 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-08-15

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-08

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-08-22

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2025-03-25Fire-safety inspection2 citations

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-22

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2024-10-01Fire-safety inspection3 citations

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-11-20

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-11-20

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal penalties

2025-02-03Fine$17,345

2024-04-05Fine$31,720

Total fines$49,065

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455565.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 40% of nursing homes in the state

State median: 33

Federal fines, 3 years

$49,065

More than 75% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.7

Higher than 82% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

54%

Higher than 62% of nursing homes in the state

State median: 50%

Resident outcomes

On 15 federal quality measures, this facility does better than the Texas average on 6 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	23.2%	15.8%	13.5%	Worse than state
Lose too much weight	4.0%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.8%	0.8%	1.5%	Near state average
Have depressive symptoms	0.8%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.6%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.2%	96.4%	93.7%	Near state average
Ability to walk independently worsened	19.3%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	34.6%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	4.6%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	7.6%	12.5%	18.3%	Better than state
Received an antipsychotic medication	11.8%	9.8%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	97.8%	88.7%	82.3%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 3 inspections. Provide and implement an infection prevention and control program.
K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Palestine Regional Medical Center, about 2.9 miles. CMS rating 1 of 5.
Ut Health East Texas Jacksonville Hospital, about 29 miles.
Christus Mother Frances Hospital- Jacksonville, about 29 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Legacy At Town Creek, Palestine, about 1.7 miles. CMS rating 1 of 5.
Trucare Living Centers, Palestine, about 2.9 miles. CMS rating 5 of 5.
Greenbrier Nursing & Rehabilitation Center of Pale, Palestine, about 5.1 miles. CMS rating 4 of 5.
Avir At Elkhart, Elkhart, about 9.7 miles. CMS rating 3 of 5.
Fairview Healthcare Residence, Fairfield, about 28 miles. CMS rating 4 of 5.

Visitor reviews

What people say on Google.

3.620 ratings on Google

★Amanda Williams · 2023-11-03 · via Google
“Now don't get me wrong, there were a few, (very few) great ladies but overall this facility is absolutely terrible. They're always short staffed, and they take forever to answer a call. My boyfriend was sent here because they were the only facility within a 20 mile radius that would accept him. He suffered a stroke and was there to get better and for therapy. They take forever to get you changed, …”

★★★★★kayla · 2024-07-03 · via Google
“This facility was simply incredible. Very clean, great atmosphere. Staff was professional yet seemed to genuinely care about the residents as well as employees. Residents and employees appeared to be very happy and in good spirits. Can't say enough good!!!!”

★Nan S Ogle · 2024-01-12 · via Google
“I put one star because my interactions with my brother's nurses have been pleasant. However, he still has skin cancer. They have tried to bill me for charges that are not my responsibility. Be careful with your loved ones. Pleasant nurses do not necessarily mean good care is being given. UPDATE: the skin cancer has just begun being treated. Also, I was told they are keeping his money.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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Civil & criminal lawsuits

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Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

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