Palestine · 75801
Trucare Living Centers
2265 S Sycamore St
Palestine, TX 75801
Avir at Town Creek
⌖ Palestine, TX · Anderson County
No photos yet
Medicare overall rating 3 of 5 stars
Certified beds102
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Avir at Town Creek
Avir at Town Creek is a 102-bed for-profit nursing home in Palestine, TX. Medicare rates it 3 out of 5 stars overall (average); the average in Texas is 2.7. At its last full inspection (Aug 2025), inspectors found 7 problems, fewer than the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 46 min a day with each resident, more than the Texas average of 3 hr 23 min. About 47% of its nursing staff left in the past year. Medicare fined it $49,065 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameAvir At Town Creek
LocationAnderson County, Texas
Phone(903) 729-2261
Address1816 Tile Factory Rd, Palestine, TX 75801 · Anderson County
CMS provider number455565
Ownership typeFor-profit (limited liability company)
Operating companyAvir Health Group · 118 homes
Investors reported to MedicareReal estate investment trust (REIT): Welltower What this means
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 19, 1985 (41 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Aug 2025.Strength
- Health citations at last inspection7 (Aug 2025)Texas average: 9.4. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident3 hr 46 min a dayTexas average: 3 hr 23 minStrength
About average
- Nursing staff turnover47% a yearTexas average: 55%About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties2 fines totaling $49,065Federal penalties from the last three years, most recently in Feb 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Registered nurse time per resident22 min a dayTexas average: 26 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.4%State average: 3.3%Better than average
- Pressure sores (bedsores)3.9%State average: 3.8%About average
- Given antipsychotic drugs10.2%State average: 9.6%About average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.
- 79% Medicaid
- 2% Medicare
- 19% Private pay, insurance and other
Beds in use, on average33%Texas typical: 67%
Cost of care per resident day$359Texas typical: $270
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 3 stars now, up from 1 star in January 2019. It has ranged from 1 to 3 stars and changed 5 times.
Overall rating3★
Health inspections3★
Staffing3★
Quality of care4★
Nurse hours per resident per day3.8
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 1 | 1 | 3 | 3.1 |
| Jan 2020 | 1 | 2 | 1 | 1 | 3.2 |
| Jan 2021 | 2 | 2 | 2 | 2 | 2.7 |
| Jan 2022 | 1 | 3 | 1 | 1 | 2.6 |
| Jan 2023 | 1 | 1 | 1 | 1 | 2.3 |
| Jan 2024 | 1 | 1 | 1 | 4 | 3.3 |
| Feb 2025 | – | – | – | – | 4.0 |
| Feb 2026 | 1 | 1 | 4 | 3 | 4.5 |
| Sep 2026 | 3 | 3 | 3 | 4 | 3.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
Other nursing homes near Palestine
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