Avir at Town Creek in Palestine receives 1-star CMS rating for Q1 2026

1816 Tile Factory Road, Palestine, TX 75803
1816 Tile Factory Road, Palestine, TX 75803
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By the first quarter of 2026, ownership of Avir at Town Creek was held by Winnie-Stowell Hospital District, CMS records show. Located in Anderson County, this nursing home has been under Winnie-Stowell Hospital District ownership since Jan. 1, 2024.

The facility is classified as a for-profit nursing home.

During the opening quarter of 2026, the home received a one-star overall CMS rating, falling short of the statewide average of 2.7 for Texas nursing homes. CMS assigns these ratings based on health inspections, staffing, and measures of resident care quality.

Data shows Avir at Town Creek served approximately 33.3 residents daily, with 102 available beds. At present, the facility is not designated as hospital-based.

Within the first quarter of 2026, Avir at Town Creek accrued $76,268 in three fines and incurred four penalties.

There were 3 for-profit nursing homes in Anderson County, Texas in total.

U.S. Census Bureau estimates indicate the nation’s older population is expanding while the number of children declines. Between 2020 and 2024, Americans age 65 and older increased 13% as those under 18 decreased by 1.7%. The U.S. senior population has witnessed major growth over the past 100 years, from 4.9 million in 1920 to more than 61 million by 2024.

A 2021 study found that close to half of those age 65 and older—about 28 million individuals—are likely to require long-term assistance. The report also anticipates that more than one-third could eventually require nursing home care.

“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”

Nursing Homes in Anderson County as of Q1

Nursing Home Owner Ownership Type Overall Rating Avg. No. of Residents per day
Avir at Town Creek Winnie-Stowell Hospital District For profit – Limited Liability company 1 33.3
Elkhart Oaks Care Center Live Oak Healthcare, LLC For profit – Limited Liability company 3 51.1
Greenbrier Nursing & Rehabilitation Center of Pale Fannin County Hospital Authority For profit – Corporation 4 46.1
Legacy at Town Creek Liberty County Hospital District No. 1 Government – Hospital district 1 86.1
The Legacy Midtown Park The Legacy Midtown Park, Inc. Non profit – Corporation 5 48.4
Trucare Living Centers Fannin County Hospital Authority Government – Hospital district 5 79.2

Information for this report was gathered from the Centers for Medicare and Medicaid Services. Source data is available here.



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