Avir At Town Creek has received an F grade based on CMS data, with a score of 16/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Palestine facility should carefully review its inspection history and quality metrics.
Avir At Town Creek provides above-average staffing with 4.45 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 29 deficiencies at Avir At Town Creek, including 5 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.45 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.68 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.55 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.22 | 2.4 | Average |
| Weekend Total Nursing | 4.02 | 3.8 | Average |
| Weekend RN Hours | 0.44 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Aug 12, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Aug 12, 2025 · Infection Control Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Aug 12, 2025 · Resident Rights Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dAug 12, 2025 · Resident Rights Deficiencies
- Tag 0693 Severity DEnsure 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 fAug 12, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.8% | 4.5% | Better |
| Falls with major injury | 7.7% | 3.0% | Worse |
| On antipsychotic medication | 8.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 31.7% | 14.0% | Worse |
| Excessive weight loss | 2.0% | 7.5% | Better |
| New/worsened incontinence | 11.9% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $76,268
How This Grade Was Calculated
This facility's grade of F is based on a score of 16 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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