MyLivingChoice

Avir at Town Creek

1816 Tile Factory Rd

3.6(20 ratings)· Palestine average: 4.4

Part of Avir Health Group · 126 communities · 4★ average

Avir at Town Creek, photo 11 / 5

Quick Facts

Total units
102
Medicare rating
1 of 5

CMS Care Compare

Ownership
For profit, Limited Liability company
Certified beds
102

What Families Think

Reviews for Avir at Town Creek are mixed, with several families praising a caring, attentive staff and a clean environment, while others report serious concerns about staffing levels, personal care, and billing. The facility appears to do well with residents needing patience and dementia support, but some experiences point to gaps in day-to-day care follow-through.

The Good

  • Staff described as genuinely caring and compassionate
  • Clean facility with a positive atmosphere
  • Nurses skilled at working with dementia patients respectfully
  • Avoids over-medicating dementia residents to manage behavior

The Bad

  • Reports of being short-staffed with slow response to calls
  • One report of infrequent bathing over several weeks
  • One report of resident's clothing going missing
  • One report of billing disputes and unclear handling of resident funds
  • One report of a weak therapy/rehab program

AI-generated from reviews and community data.

Avir at Town Creek is a senior living community in Palestine, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.6 out of 5 across 20 reviews.

About Avir at Town Creek

Avir at Town Creek is a skilled nursing and long-term care facility in Palestine, Texas, licensed for 102 residents. It provides post-acute care and ongoing support for individuals requiring 24-hour medical attention.

Family experiences at the facility are sharply divided. Several families praise the staff's attentiveness and dementia care approach, noting that caregivers "really KNOW each resident's needs" and work with dignity rather than over-medicating. These families highlight specific staff members by name and describe genuine compassion. However, other families report serious concerns: delayed response to call buttons, inadequate hygiene and turning protocols leading to bed sores, missing personal items, unresolved billing issues, and staff described as unhelpful or rude. One family wrote, "they take forever to answer a call," reflecting a consistent theme about responsiveness.

The facility holds a 3.6 out of 5 Google rating based on 20 reviews. Five-star reviews emphasize cleanliness, a positive atmosphere, and caring individual staff members. One-star reviews cite systemic gaps in basic care oversight and communication. The stark contrast suggests inconsistent care standards or significant variability in resident experience.

Types of Care at Avir at Town Creek

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)
  • Security

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Reviews of Avir at Town Creek

3.6overall · 20 ratings combined

3.6★ on Google (20)

Melvin Mosley

Sep 2025

via Google

The worst place I have ever been to hurt me hardly ever checked on me workers were rude and mean.pt was non existent

kayla

Jul 2024

via Google

This facility was simply incredible. Very clean, great atmosphere. Staff was professional yet seemed to genuinely care about the residents as well as employees. Residents and employees appeared to be very happy and in good spirits. Can't say enough good!!!!

JJ

Jun 2024

via Google

Looks great! Feels great! Smells great! It is very obvious that QUALITY has been the goal recently!!

Nan S Ogle

Jan 2024

via Google

I put one star because my interactions with my brother's nurses have been pleasant. However, he still has skin cancer. They have tried to bill me for charges that are not my responsibility. Be careful with your loved ones. Pleasant nurses do not necessarily mean good care is being given. UPDATE: the skin cancer has just begun being treated. Also, I was told they are keeping his money.

Amanda Williams

Nov 2023

via Google

Now don't get me wrong, there were a few, (very few) great ladies but overall this facility is absolutely terrible. 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. They take forever to get you changed, he went weeks between each bath which is unacceptable. His clothing came up missing, and they have a terrible therapy program. I would definitely recommend sending loved ones to a different nursing home/rehabilitation facility!!!! He's now in a much better facility, and definitely an excellent therapy program here. When he left he told them to make sure he had all of his clothes, they didn't, he had very little of his clothing with him!!!!

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Government Inspection History

8 inspection visits in the last three years, 32 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Feb 18, 2026Health Complaint1 citation
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 25, 2026

Aug 13, 2025Fire Safety StandardHealth Standard10 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 2, 2025

  • Provide and implement an infection prevention and control program.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 2, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 2, 2025

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 8, 2025

  • Keep residents' personal and medical records private and confidential.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 2, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 2, 2025

  • Have policies on smoking.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 2, 2025

  • Have properly installed electrical wiring and gas equipment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 22, 2025

  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 15, 2025

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadNo revisit needed

Mar 25, 2025Fire Safety StandardHealth ComplaintHealth Standard4 citations
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2025

  • Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 28, 2025

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 22, 2025

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadWaiver has been granted

Feb 3, 2025Health Complaint2 citations
  • 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.

    Severity H of L: actual harm, patternFound during a complaint inspectionCorrected Jan 27, 2025

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity H of L: actual harm, patternFound during a complaint inspectionCorrected Jan 27, 2025

Oct 1, 2024Fire Safety StandardHealth Standard8 citations
  • Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 31, 2024

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 31, 2024

  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 31, 2024

  • Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 20, 2024

  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 20, 2024

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadWaiver has been granted

Nov 29, 2023Health Complaint1 citation
  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 26, 2023

Oct 26, 2023Health Complaint4 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 27, 2023

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 27, 2023

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 27, 2023

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 27, 2023

Aug 9, 2023Health Complaint2 citations
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Aug 10, 2023

  • Protect each resident from the wrongful use of the resident's belongings or money.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 10, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Avir at Town Creek offer?

Avir at Town Creek offers Skilled Nursing / Long Term Care.

Where is Avir at Town Creek located?

Avir at Town Creek is located at 1816 Tile Factory Rd in Palestine, Texas.

What do families say about Avir at Town Creek?

Reviews for Avir at Town Creek are mixed, with several families praising a caring, attentive staff and a clean environment, while others report serious concerns about staffing levels, personal care, and billing. The facility appears to do well with residents needing patience and dementia support, but some experiences point to gaps in day-to-day care follow-through.

How did Avir at Town Creek do on recent health and safety inspections?

Avir at Town Creek had 8 government inspection visits in the last three years, with 32 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Avir at Town Creek?

Submit the Request Information form on this page to connect with Avir at Town Creek and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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