The nursing home failed to protect residents from abuse and neglect by others. Cited June 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Avir at Town Creek
PALESTINE, TX · Medicare-certified · 102 beds
Needs attention
For-profitChain member
1 of 5 overall
Avir at Town Creek has a 1-star overall rating, with a 1-star health inspection rating and a recent federal penalty; staffing is 4.09 hours per resident day, just below the federal benchmark of 4.1, and fines totaled $17,345 in the last 24 months.
Facility ratings
Health inspections
Staffing
4.0863 hrs/resident/day
Quality measures
Last inspection: February 18, 2026Penalties, last 24 months: $17,345recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0863.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 1.55
- Nurse aides
- 2.11
- Weekend nursing
- 3.72
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—6.8%—
Residents with a fall causing major injury
5.7%0%Improving
Residents with pressure ulcers (bedsores)
0%9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%9.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
35.7%4.8%Improving
Residents whose ability to walk got worse
—38.5%—
Long-stay residents on antianxiety or sleep medication
34.5%36.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
8.3%0%Improving
Residents with depressive symptoms
0%3.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%96.4%Worsening
Short-stay residents given the pneumonia vaccine
—96%—
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited June 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: K
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited June 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 740 — 42 CFR §483.40 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — limited pattern, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: H
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,345 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $76,268 in total fines · 1 payment denial.
- $17,345
Federal fine
Feb 3, 2025
- $31,720
Federal fine
Apr 5, 2024
- 13 days
Medicare/Medicaid payment denial
Jun 28, 2023
- $27,203
Federal fine
Jun 28, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 33.3 residents on an average day (33% of 102 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.