Avir At Town Creek
1816 Tile Factory Rd, Palestine, TX, 75801
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 102 · avg 33 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $76,268 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 455565
- Certified beds
- 102 beds · avg 33 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Winnie-Stowell Hospital District
- Chain affiliation
- Avir Health Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 117 facilities. Chain-wide average overall rating 2.2 / 5.
Parent entity
wm 41 Palestine Re, Llc
Disclosed owners (12 on record)
- Joshua Leonard
Operational/managerial Control · since 2024
- Carlisle Taylor Whitworth 2020 Irrevocable Trust
5% or Greater Mortgage Interest · 24% · since 2024
- Edward r Murrell
Corporate Director · since 2024
- Gary Scott Whitworth 2019 Irrevocable Trust
5% or Greater Mortgage Interest · 30% · since 2024
- Jeremy Jones
Adp of The Snf · since 2024
- Khoren Hekimian
Adp of The Snf · since 2024
+ 6 additional owners on the federal record.
Recent change of ownership
January 2024 (2 years ago) · acquired from Palestine Healthcare Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 30)
- D0609·Feb 18, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E0812·Aug 13, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0693·Aug 13, 2025
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.
- D0584·Aug 13, 2025
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.
- D0583·Aug 13, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0926·Aug 13, 2025
Environmental Deficiencies
Have policies on smoking.
- E0880·Aug 13, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0813·Mar 25, 2025Complaint
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Federal penalties
By year
- 20251 fine · $17K
- 20241 fine · $32K
- 20231 fine · $27K · 1 payment denial
Most recent events
- Feb 3, 2025Fine · $17K
- Apr 5, 2024Fine · $32K
- Jun 28, 2023Payment denial · 13 days · starting Jul 28, 2023
- Jun 28, 2023Fine · $27K
Largest single fine on record: $32K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Aug 13, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Avir At Town Creekinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.