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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.