Data / Nursing homes / Texas / Avir at Town Creek
Avir at Town Creek, Palestine, TX: 3 star rating, fined $49,065 across 2 fines
Avir at Town Creek in Palestine, TX is run by Winnie-Stowell Hospital District, with no owner listed in the CMS ownership file, is rated 3 of 5 stars by Medicare, and was fined $49,065 across 2 fines in the three years to October 1, 2026. CMS lists 21 health citations from inspections in that time, the latest survey on February 18, 2026, and 2 of them found actual harm or immediate jeopardy.
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- Address
- 1816 Tile Factory Rd, Palestine, TX 75801
- Overall rating
- 3 of 5 stars
- Health inspection rating
- 3 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 3 of 5
- Certified beds
- 102
- Residents per day
- 39 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- Winnie-Stowell Hospital District
- Chain
- Avir Health Group, 118 facilities
- Fines
- $49,065 across 2 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 21, of which 2 with actual harm or immediate jeopardy
- Latest survey
- February 18, 2026
- CMS Certification Number
- 455565
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| February 3, 2025 | Fine | $17,345 | Not listed | data.cms.gov | |
| April 5, 2024 | Fine | $31,720 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| February 18, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 25, 2026 | data.cms.gov |
| August 13, 2025 | F926 | Have policies on smoking. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 2, 2025 | data.cms.gov |
| August 13, 2025 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | September 2, 2025 | data.cms.gov |
| August 13, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | September 2, 2025 | data.cms.gov |
| August 13, 2025 | F693 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 2, 2025 | data.cms.gov |
| August 13, 2025 | F584 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 2, 2025 | data.cms.gov |
| August 13, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 2, 2025 | data.cms.gov |
| March 25, 2025 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 28, 2025 | data.cms.gov |
| March 25, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 28, 2025 | data.cms.gov |
| February 3, 2025 | F917 | 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. | H: pattern, actual harm | Past noncompliance | January 27, 2025 | data.cms.gov |
| February 3, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H: pattern, actual harm | Past noncompliance | January 27, 2025 | data.cms.gov |
| October 1, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 31, 2024 | data.cms.gov |
| October 1, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | October 31, 2024 | data.cms.gov |
| October 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | October 31, 2024 | data.cms.gov |
| October 1, 2024 | F758 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 31, 2024 | data.cms.gov |
| October 1, 2024 | F727 | 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. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | October 31, 2024 | data.cms.gov |
| November 29, 2023 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 26, 2023 | data.cms.gov |
| October 26, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 27, 2023 | data.cms.gov |
| October 26, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | October 27, 2023 | data.cms.gov |
| October 26, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 27, 2023 | data.cms.gov |
| October 26, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 27, 2023 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 8 individual or personal trusts (2 managers, 4 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| 1816 Tile Factory Rd OPCO LLC | Operational or managerial control | Not listed | October 1, 2025 | data.cms.gov |
| 1816 Tile Factory Rd OPCO LLC | Additional disclosable party | Not listed | March 5, 2026 | data.cms.gov |
| 1816 Tile Factory Rd Property Owner LLC | Additional disclosable party | Not listed | October 1, 2025 | data.cms.gov |
| Welltower Inc | Additional disclosable party | Not listed | October 1, 2025 | data.cms.gov |
| Welltower NNN Group, LLC | Additional disclosable party | Not listed | October 1, 2025 | data.cms.gov |
| Welltower OP LLC | Additional disclosable party | Not listed | October 1, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in Texas
- Every nursing home Welltower Inc owns or manages
- Every nursing home Welltower OP LLC owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.