HomeTexasAnderson CountyAvir at Town Creek
B
Good

Avir at Town Creek

1816 TILE FACTORY RD · PALESTINE, TX 75801

9037292261 · For profit - Limited Liability company

102 beds29.8 residents61 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Avir at Town Creek receives an overall staffing grade of B (Good). With 4.4647 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.685 HPRD, below the recommended 0.75. It is 0.57 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 13.15% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.685 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (3)

Meets the CMS staffing benchmark (≥ 3.48 HPRD)
No days with zero registered nurse hours this quarter
Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.4647hrs/resident/day 0.57
CMS benchmark: 3.48
RN HPRD
0.685hrs/resident/day 0.00
Recommended: 0.75
Weekend Drop-off
13.15%
4.6371 weekday → 4.0271 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2276hrs/resident/day
Direct care aides
LPN HPRD
1.5521hrs/resident/day
Licensed practical nurses
Consistency
0.6416std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Anderson County Average+0.42 HPRD
4.04
04.46 HPRD
vs. Texas State Average+1.06 HPRD
3.40
04.46 HPRD
vs. National Average+0.57 HPRD
3.90
04.46 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Avir at Town Creek
PALESTINE · This facility
B
4.46470.685☆☆☆☆
THE ARBORS HEALTHCARE AND REHABILITATION CENTER
RUSK
30.7 mi
C
3.20880.4415★★★★
Avir at Athens
ATHENS
32.3 mi
D
3.04620.3064★★☆☆☆
CHANDLER NURSING CENTER
CHANDLER
41.8 mi
C
3.56220.407★★★☆☆
OAK BROOK HEALTH CARE CENTER
WHITEHOUSE
42.8 mi
D
3.63260.3958★★★★
ROSE TRAIL NURSING AND REHABILITATION CENTER
TYLER
47.8 mi
D
2.93030.3164☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
29
Total Deficiencies
$76,268
Fines Assessed
Aug 13, 2025Health
6 deficiencies cited
Mar 25, 2025Health
2 deficiencies cited
Feb 3, 2025Health
2 deficiencies cited· Includes actual harm
Oct 1, 2024Health
5 deficiencies cited
Nov 29, 2023Health
1 deficiency cited
Oct 26, 2023Health
4 deficiencies cited
Aug 9, 2023Health
2 deficiencies cited· Includes actual harm
Jun 28, 2023Health
7 deficiencies cited· Includes actual harm

Penalty History

Feb 3, 2025Fine
$17,345
Apr 5, 2024Fine
$31,720
Jun 28, 2023Fine
$27,203
Jun 28, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.