Avir at Town Creek
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 20 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- High staff turnover (52%)
- High RN turnover (60%)
Bottom 25% in Texas · Below recommended RN staffing · Above recommended total nurse staffing · Worst in AVIR HEALTH GROUP chain · $76,268 in fines
What this means for your family
While recent reviews suggest improvements in facility cleanliness and atmosphere, the history of severe neglect, including bedsores and hygiene failures, is a major red flag. If you choose this facility, you must closely monitor daily hygiene, skin integrity, and ensure that staff are responding promptly to call lights.
Google Reviews
Google Reviews
20 reviews analyzed“Families should exercise extreme caution due to serious allegations of neglect, including bedsores, lack of hygiene, and missing personal belongings. While some recent reviews praise the facility's cleanliness and professional atmosphere, significant patterns of understaffing and poor responsiveness persist in several accounts.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained environment
- Professional and friendly nursing staff
- Compassionate care from specific team members
- Positive atmosphere for residents
Concerns
- Severe neglect including bedsores and hygiene issues (mentioned by 2 reviewers)
- Understaffing and slow response to call lights (mentioned by 2 reviewers)
- Loss of resident personal belongings (mentioned by 2 reviewers)
- Poor communication and failure to return calls (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on repetitive, templated scripts for positive reviews, often using the exact same phrasing across different users. While they do provide a more structured, professional response to negative reviews by directing users to a compliance line, the positive engagement lacks genuine personalization.
Questions for Your Tour
- 1I noticed some families have shared how much they appreciate the friendly and professional nursing staff here; how do you ensure that level of compassionate care is consistent across all shifts?
- 2Since the facility is so well-maintained and clean, what specific protocols do you have in place to ensure resident hygiene and skin integrity are closely monitored every day?
- 3How do you manage the response time for call lights to ensure that residents aren't waiting long periods for assistance during busy hours?
- 4What is the best way for us to stay in regular contact with the nursing team, and how do you ensure that family messages or important updates are returned promptly?
- 5What systems are in place to help residents keep track of their personal belongings and prevent items from getting misplaced?
- 6Can you tell us about the daily activities and social engagement opportunities available to help residents stay active and connected with others?
Personalized based on this facility's data
Key Review Excerpts
“Palestine HC does not drug its residents in attempt to manage dementia residents' movement/ramblings. These nurses know how to work with and re direct dementia patients in a proper manner with respect and dignity.”
“They're always short staffed, and they take forever to answer a call. My boyfriend was sent here because they were the only facility within a 20 mile radius that would accept him. He suffered a stroke and was there to get better and for therapy.”
“This is the worst location in the world my mother went in just to learn how to walk again and she came out with the bed sores because you can’t stick your whole hand in here bottom because they didn’t toss her they didn’t turn her they didn’t clean her”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
11
measures
4
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of complaint-triggered deficiencies (17 out of 38), with families filing multiple reports about serious issues including abuse protection, infection control, and medication management. The most recurring problems involve preventing abuse and neglect, infection prevention, and fire safety systems. While most deficiencies show correction dates, the repeated nature of core safety issues—particularly abuse protection violations appearing across multiple complaint investigations—suggests ongoing systemic challenges that families should carefully consider.
Feb 18, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 13, 2025Routine10
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
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.
Environmental Deficiencies
Have policies on smoking.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 25, 2025Routine3
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 25, 2025Complaint1
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Feb 3, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Environmental Deficiencies
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Oct 1, 2024Routine8
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Feb 3, 2025
$17,345
Fine
Apr 5, 2024
$31,720
Fine
Jun 28, 2023
$27,203
Payment Denial
Jun 28, 2023
13-day denial
Ownership & Operations
Who Operates This Facility
Winniestowell Hospital District
for profit
1816 TILE FACTORY RD OPCO LLC
KRISTINA I HANING
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 80 of 90 (Worst)
Ownership & Management
Owners
Boswell, Darren
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Eden, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Whitworth, Gary
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
20 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Brookdale Palestine
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Greenbrier Nursing & Rehabilitation Center of Palestine
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