Avir at Town Creek

• Star rating

  The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

• Star rating

  The CMS overall star rating changed from 1 of 5 to 3 of 5.

• Star rating

  The CMS health inspection star rating changed from 1 of 5 to 3 of 5.

• Star rating

  The CMS staffing star rating changed from 4 of 5 to 3 of 5.

• Star rating

  The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

• Ownership

  CMS ownership records list new owners for this home.

• Star rating

  The CMS overall star rating changed from not rated by CMS to 1 of 5.

• Star rating

  The CMS health inspection star rating changed from not rated by CMS to 1 of 5.

• Star rating

  The CMS staffing star rating changed from not rated by CMS to 4 of 5.

• Star rating

  The CMS quality measures star rating changed from not rated by CMS to 3 of 5.

• Special Focus Facility

  CMS no longer lists this home as a Special Focus Facility.

• Ownership

  CMS lists this home under a new chain.

CMS lists this as a complaint inspection.

• Citation F0609. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  CMS lists it as corrected on February 25, 2026.

  CMS has cited this home for F0609 2 times since 2023.

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• Name

  CMS lists a new name for this home. It was PALESTINE HEALTHCARE CENTER.

• Health citation

  CMS changed citation F0602 from severity D to E. It is from the health inspection on June 28, 2023. Severity E: potential for more than minimal harm, pattern.

• Health citation

  CMS removed citation F0580 from the health inspection on April 5, 2024.

• Health citation

  CMS removed citation F0656 from the health inspection on April 5, 2024.

• Health citation

  CMS removed citation F0692 from the health inspection on April 5, 2024.

• Health citation

  CMS removed citation F0726 from the health inspection on April 5, 2024.

• Health citation

  CMS removed citation F0727 from the health inspection on April 5, 2024.

• Health citation

  CMS removed citation F0761 from the health inspection on April 5, 2024.

• Health citation

  CMS removed citation F0812 from the health inspection on April 5, 2024.

• Fire safety citation

  CMS removed citation K0363 from the fire safety inspection on May 15, 2024.

• Fire safety citation

  CMS removed citation K0511 from the fire safety inspection on May 15, 2024.

• Fire safety citation

  CMS removed citation K0521 from the fire safety inspection on May 15, 2024.

CMS lists this as a standard inspection.

• Citation F0812. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  CMS lists it as corrected on September 2, 2025.

  CMS has cited this home for F0812 2 times since 2024.

• Citation F0880. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Provide and implement an infection prevention and control program.

  CMS lists it as corrected on September 2, 2025.

  CMS has cited this home for F0880 3 times since 2023.

• Citation F0583. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Keep residents' personal and medical records private and confidential.

  CMS lists it as corrected on September 2, 2025.

• Citation F0584. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: 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.

  CMS lists it as corrected on September 2, 2025.

• Citation F0693. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: 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.

  CMS lists it as corrected on September 2, 2025.

• Citation F0926. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Have policies on smoking.

  CMS lists it as corrected on September 2, 2025.

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CMS lists this as a standard inspection.

• Citation K0321. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  CMS lists it as corrected on August 15, 2025.

  CMS has cited this home for K0321 2 times since 2024.

• Citation K0353. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

  CMS lists it as corrected on September 8, 2025.

  CMS has cited this home for K0353 2 times since 2025.

• Citation K0511. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Have properly installed electrical wiring and gas equipment.

  CMS lists it as corrected on August 22, 2025.

• Citation K0521. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  CMS has cited this home for K0521 3 times since 2024.

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• Health citation

  CMS removed citation F0758 from the health inspection on October 1, 2024.

• Fire safety citation

  CMS removed citation K0211 from the fire safety inspection on January 30, 2024.

• Fire safety citation

  CMS removed citation K0345 from the fire safety inspection on January 30, 2024.

• Fire safety citation

  CMS removed citation K0355 from the fire safety inspection on January 30, 2024.

• Fire safety citation

  CMS removed citation K0521 from the fire safety inspection on January 30, 2024.

• Ownership

  CMS lists this home under a new chain.

CMS lists this as a standard inspection and a complaint inspection.

• Citation F0677. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

  CMS lists it as corrected on March 28, 2025.

• Citation F0813. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

  CMS lists it as corrected on March 28, 2025.

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CMS lists this as a standard inspection.

• Citation K0353. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

  CMS lists it as corrected on April 22, 2025.

• Citation K0521. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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• Changed ownership in the last 12 months

  CMS no longer shows a change of ownership in the past 12 months.

CMS lists this as a complaint inspection.

Severity H is the second-highest of CMS's four levels. It means a resident was harmed.

107 of 1,177 Texas homes (9%) got a citation at the actual harm level in 2025.

• Citation F0684. Severity H: actual harm, pattern.

  The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  CMS lists it as corrected on January 27, 2025.

• Citation F0917. Severity H: actual harm, pattern.

  The rule CMS cited: 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.

  CMS lists it as corrected on January 27, 2025.

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CMS fine of $17,345 on February 3, 2025.

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• CMS abuse icon

  CMS removed its abuse icon from this home.

• Fine

  CMS changed the fine from April 5, 2024 from $48,800 to $31,720.

CMS lists this as a standard inspection.

• Citation F0727. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: 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.

  CMS lists it as corrected on October 31, 2024.

• Citation F0812. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  CMS lists it as corrected on October 31, 2024.

• Citation F0851. Severity F: potential for more than minimal harm, widespread.

  The rule CMS cited: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  CMS lists it as corrected on October 31, 2024.

• Citation F0758. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: 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.

  CMS lists it as corrected on October 31, 2024.

• Citation F0880. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Provide and implement an infection prevention and control program.

  CMS lists it as corrected on October 31, 2024.

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CMS lists this as a standard inspection.

• Citation K0321. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  CMS lists it as corrected on November 20, 2024.

• Citation K0372. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  CMS lists it as corrected on November 20, 2024.

• Citation K0521. Severity C: potential for minimal harm, widespread.

  The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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• Staffing

  Total nurse staffing reported to CMS went from 3.3 to 2.4 hours per resident per day.

• Name

  CMS lists a new legal business name for this home.

• Changed ownership in the last 12 months

  CMS records show a change of ownership in the past 12 months.

• Name

  CMS lists a new legal business name for this home.

CMS fine of $31,720 on April 5, 2024.

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• Star rating

  The CMS overall star rating changed from 1 of 5 to not rated by CMS.

• Star rating

  The CMS health inspection star rating changed from 1 of 5 to not rated by CMS.

• Star rating

  The CMS staffing star rating changed from 1 of 5 to not rated by CMS.

• Star rating

  The CMS quality measures star rating changed from 4 of 5 to not rated by CMS.

• Special Focus Facility

  CMS now lists this home as a Special Focus Facility.

• Star rating

  The CMS quality measures star rating changed from 2 of 5 to 4 of 5.

• Fine

  CMS changed the fine from June 28, 2023 from $41,115 to $27,203.

CMS lists this as a complaint inspection.

• Citation F0880. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Provide and implement an infection prevention and control program.

  CMS lists it as corrected on December 26, 2023.

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CMS lists this as a complaint inspection.

• Citation F0600. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  CMS lists it as corrected on October 27, 2023.

• Citation F0607. Severity E: potential for more than minimal harm, pattern.

  The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  CMS lists it as corrected on October 27, 2023.

• Citation F0609. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  CMS lists it as corrected on October 27, 2023.

• Citation F0689. Severity D: potential for more than minimal harm, isolated.

  The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  CMS lists it as corrected on October 27, 2023.

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