Avir At Town Creek
Nursing home · 1816 TILE FACTORY RD, Palestine, TX 75801 · Anderson County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 102
- State license
- 004584
- Medicare CCN
- 455565
- Licensed entity
- WINNIE-STOWELL HOSPITAL DISTRICT
- Chain
- AVIR HEALTH GROUP
- Ownership
- For profit - Limited Liability company
- Phone
- (903) 729-2261
- Nurse staffing
- 3.76 hours per resident per day; 47.1% nursing staff turnover
- Medicare ratings
- Inspections 3★ · Staffing 3★ · Quality 4★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Feb 3, 2025 — Fine ($17,345)
- Apr 5, 2024 — Fine ($31,720)
Inspection findings
-
Feb 18, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Feb 25, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 13, 2025 Health · 10 findings
-
Not serious
Scope/severity D
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Sep 2, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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 Sep 2, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0693 Quality of Life and Care Deficiencies
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 Sep 2, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Sep 2, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Sep 2, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0926 Environmental Deficiencies
Have policies on smoking.
Corrected Sep 2, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Aug 15, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Sep 8, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Aug 22, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS fire safety
-
Not serious
Scope/severity D
-
Mar 25, 2025 Health · 4 findings
-
Not serious
Scope/severity E
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0813 Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected Mar 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 22, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS fire safety
-
Not serious
Scope/severity E
-
Feb 3, 2025 Health · 2 findings
-
Serious
Scope/severity H
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Jan 27, 2025 · CMS health inspection
-
Serious
Scope/severity H
Complaint
F0917 Environmental Deficiencies
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 Jan 27, 2025 · CMS health inspection
-
Serious
Scope/severity H
Complaint
-
Oct 1, 2024 Health · 8 findings
-
Not serious
Scope/severity F
F0727 Nursing and Physician Services Deficiencies
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 Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0758 Pharmacy Service Deficiencies
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 Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0851 Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Oct 31, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Nov 20, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Nov 20, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS fire safety
-
Not serious
Scope/severity F
-
Nov 29, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Dec 26, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Oct 26, 2023 Health · 4 findings
-
Not serious
Scope/severity E
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Oct 27, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Oct 27, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Oct 27, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 27, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Aug 9, 2023 Health · 2 findings
-
Not serious
Scope/severity E
Complaint
F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected Aug 10, 2023 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Aug 10, 2023 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
Owners and managers (as published by CMS)
- DAGAN, AMITAI — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/09/2026
- FREUND, NOCHUM — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- GOLDBERGER, ABRAHAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/09/2026
- GOLDBERGER, FAIGY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/09/2026
- HEKIMIAN, KHOREN — adp of the snf, NOT APPLICABLE, since 01/01/2024
- JONES, JEREMY — adp of the snf, NOT APPLICABLE, since 01/01/2024
- MURRELL, EDWARD — corporate director, NOT APPLICABLE, since 01/01/2024
- TRAVITSKY, AARON — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- 1816 TILE FACTORY RD OPCO LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- 1816 TILE FACTORY RD OPCO LLC — adp of the snf, NOT APPLICABLE, since 03/05/2026
- 1816 TILE FACTORY RD PROPERTY OWNER LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- WELLTOWER INC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.