Avir At Town Creek
1816 TILE FACTORY RD, Palestine, TX, 75801
Federal 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 March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 102 · avg 30 residents/day
- Total nursing staff turnover
- 52.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $76,268 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 311799
- Service type
- Medicare/medicaid
- Licensed capacity
- 102 beds
- Bed type breakdown
- 15 Medicare-only · 87 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1816 Tile Factory Rd Opco Llc
- Administrator
- Kristina I Haning
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 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 April 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 29)
- 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.
- 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.
- 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.
- E0677·Mar 25, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 Mar 1, 2026.
About this community
Avir At Town Creek is a 102-bed nursing home in Palestine, Texas, licensed under Winniestowell Hospital District and managed by 1816 Tile Factory Rd Opco Llc as part of the Avir Health Group chain. CMS rates it 1 star overall with a 1-star health inspection rating. Three CMS fines totaling $76,268 have been issued. Staffing rates 4 stars, and the facility is operating at roughly 29% of its licensed beds — about 30 residents on average.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 4 stars on staffing — roughly the top 9% of Texas nursing homes on that measure. Each resident receives about 267 minutes of nursing care per day, exceeding the 241-minute threshold for a 4-star staffing facility in Texas. Staff hours per resident exceed what a typical resident mix would require, so the raw minutes aren't being stretched by unusually dependent residents.
Despite the staffing rating, CMS assigns an overall rating of 1 star, driven by a 1-star health inspection result and a 3-star quality measures rating. The inspection record is the primary source of concern here — enough staff on paper, but inspection findings that pull the overall score to the floor.
Three CMS fines total $76,268. The state median for fined facilities in Texas is $20,699, and about 30% of Texas nursing homes have no fines at all. This facility's total is roughly 3.7 times the state median among fined facilities.
One administrator has turned over in the past year, which CMS flags as elevated. A long-stay resident may experience changes in care leadership during their time here.
The facility is operating at about 29% of its 102 licensed beds — roughly 30 residents on average. This is substantially below typical occupancy for a nursing home of this size.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection findings in detail
CMS rates health inspections 1 star — ask what the most recent deficiencies were and what corrective steps have been completed.
Basis for the three fines
Three fines totaling $76,268 have been issued; ask what each citation was for and whether any remain under appeal or unresolved.
Administrator transition and leadership
One administrator left in the past year — ask who is currently leading the facility and how long they have been in the role.
Reasons for low occupancy
The facility averages about 30 residents in 102 licensed beds; ask whether the low census reflects a planned ramp-up, referral patterns, or something else.
Staffing consistency on weekends
Reported weekend nursing hours are 4.0 per resident per day versus 4.5 on weekdays — ask how weekend shifts are staffed and whether agency staff are used.
Resident Council meeting cadence
A Resident Council exists but no Family Council — ask how often the Resident Council meets and how families typically raise concerns with leadership.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.