Avir at Town Creek

PALESTINE, TX

CMS provider ID 455565CMS source updated July 29, 2026

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CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 102
Ownership descriptor: For profit - Limited Liability company
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 9037292261Verified public information · checked Aug 2026

State regulatory evidence

State License & Oversight

Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.

Texas Health and Human Services Commission

State license: 311799
License type: Nursing Facility

State regulatory data · checked Aug 2026

View source details · Official TX source

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.37 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Aug 13, 2025 cited 6 deficiencies.

View inspection evidence

Ownership

CMS-published records list 15 ownership or control parties.

CMS records show an ownership change effective January 2024.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 119 facilities across 1 states or territories.

View chain evidence

Enforcement record

CMS records show a $17,345 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: For profit - Limited Liability companyCMS
Chain: AVIR HEALTH GROUPCMS identifies this facility as part of the AVIR HEALTH GROUP chain.
Related facilities: 77Current CMS organization identity
Ownership changes: 1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

CMS reports 8 individual ownership interests
a CMS chain / common-control group
recorded ownership-change events

Related facilities

77 currently connected nursing homes share this CMS organization identity with WINNIE-STOWELL HOSPITAL DISTRICT.

Average CMS overall rating: 2.8 stars across 76 reporting facilities
CMS monetary penalties: 58 of 77 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 33 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 29 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 63 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $4,401,272

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 15
Organizations shown: 7
Individuals shown: 8
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

1816 TILE FACTORY RD OPCO LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 5, 2026
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
1816 TILE FACTORY RD PROPERTY OWNER LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
HEKIMIAN, KHOREN
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
JONES, JEREMY
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WELLTOWER INC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WELLTOWER NNN GROUP, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WELLTOWER OP, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
MURRELL, EDWARD
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2024
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
DAGAN, AMITAI
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Mar 9, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
GOLDBERGER, ABRAHAM
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Mar 9, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
GOLDBERGER, FAIGY
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Mar 9, 2026
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
1816 TILE FACTORY RD OPCO LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
FREUND, NOCHUM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRAVITSKY, AARON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WINNIE-STOWELL HOSPITAL DISTRICT
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 76 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

Ownership changes reported in CMS enrollment records

Jan 1, 2024CHANGE OF OWNERSHIPSLP PALESTINE LLC to WINNIE-STOWELL HOSPITAL DISTRICT
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Change of Ownership
CMS dataset identifier
f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS enrollment records show a change of ownership effective Jan 1, 2024. What operational or leadership changes followed that event?
CMS records connect WINNIE-STOWELL HOSPITAL DISTRICT to 77 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with AVIR HEALTH GROUP

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 719 is a grouping identifier, not a legal organization.

Facilities: 119
States and territories: 1
Average overall rating: 2.3
Average staffing rating: 1.7
Average total nurse HPRD: 3.2
Total fines: 204

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	119	2.3	1.7
Mon Jun	118	2.3	1.6
Fri May	117	2.2	1.6
Wed Apr	110	2.2	1.7
Sun Mar	90	2.3	1.7
Sun Feb	71	2.2	1.6

Questions to ask

CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 204 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Feb 18, 2026
Survey type: Health Complaint
Linked findings: 1
Highest linked CMS classification: D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 455565
Source record locator: csv-row:117856:ccn:455565

View official CMS source

Feb 18, 2026 — Health Complaint — 1 linked finding

F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 25, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325179:ccn:455565
View official CMS source

Aug 13, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Aug 13, 2025 — Health Standard — 6 linked findings

F0583 — Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325182:ccn:455565
View official CMS source
F0584 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325183:ccn:455565
View official CMS source
F0693 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325184:ccn:455565
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325180:ccn:455565
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325181:ccn:455565
View official CMS source
F0926 — Environmental Deficiencies
Have policies on smoking.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 2, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325185:ccn:455565
View official CMS source

Mar 25, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 25, 2025 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 25, 2025 — Health Standard — 1 linked finding

F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 28, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325186:ccn:455565
View official CMS source

Feb 3, 2025 — Health Complaint — 2 linked findings

F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Jan 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325188:ccn:455565
View official CMS source
F0917 — 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.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Jan 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325189:ccn:455565
View official CMS source

Oct 1, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Oct 1, 2024 — Health Standard — 5 linked findings

F0727 — 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.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325190:ccn:455565
View official CMS source
F0758 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325193:ccn:455565
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325191:ccn:455565
View official CMS source
F0851 — Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325192:ccn:455565
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 31, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325194:ccn:455565
View official CMS source

Nov 29, 2023 — Health Complaint — 1 linked finding

F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 26, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325195:ccn:455565
View official CMS source

Oct 26, 2023 — Health Complaint — 4 linked findings

F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 27, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325196:ccn:455565
View official CMS source
F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 27, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325197:ccn:455565
View official CMS source
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 27, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325198:ccn:455565
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 27, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325199:ccn:455565
View official CMS source

Aug 9, 2023 — Health Complaint — 2 linked findings

F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 10, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325201:ccn:455565
View official CMS source
F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Aug 10, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:325200:ccn:455565
View official CMS source

Tags appearing across inspections

F0880 appears in 3 linked inspections.
F0607 appears in 2 linked inspections.
F0609 appears in 2 linked inspections.
F0812 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Fine — Feb 3, 2025
Published fine amount: $17,345.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:12536:ccn:455565
View official CMS source
Fine — Apr 5, 2024
Published fine amount: $31,720.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
455565
Source record locator
csv-row:12537:ccn:455565
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show F0880 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0607 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0609 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show a monetary penalty dated Feb 3, 2025. What changes were made after that enforcement action?

Facility history

Facility History

17 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Total nurse staffing decreasedTotal nurse staffing decreased from 4.09 to 3.76 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
Complaint inspection recorded1 deficiency was recorded.

2026

Mar 2026
Total nurse staffing decreased
Total nurse staffing decreased from 4.09 to 3.76 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
4.09 → 3.76
CMS · Reported in a source release · View related evidence
Feb 18
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

2025

Dec 2025
RN staffing decreased
RN staffing decreased from 0.68 to 0.42 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.68 → 0.42
CMS · Reported in a source release · View related evidence
Dec 2025
Total nurse staffing decreased
Total nurse staffing decreased from 4.45 to 4.09 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
4.45 → 4.09
CMS · Reported in a source release · View related evidence
Sep 2025
Total nurse staffing increased
Total nurse staffing increased from 3.98 to 4.45 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
3.98 → 4.45
CMS · Reported in a source release · View related evidence
Sep 2025
RN staffing increased
RN staffing increased from 0.48 to 0.68 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.48 → 0.68
CMS · Reported in a source release · View related evidence
Aug 13
Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Mar 25
Health inspection completed
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Mar 25
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Feb 3
Civil monetary penalty recorded
CMS recorded a $17,345 civil monetary penalty.
CMS · Recorded event date · View related evidence
Feb 3
Complaint inspection recorded
2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence

2024

Oct 1
Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.764
RN categories: 0.371
LPN/LVN categories: 1.386
CNA: 2.008

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	3.922	3.374
RN categories	0.394	0.312

Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.054 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.979	0.479	1.385	2.115	0%	91
2025Q3	4.451	0.68	1.549	2.222	0%	92
2025Q4	4.086	0.424	1.55	2.112	0%	92
2026Q1	3.764	0.371	1.386	2.008	0%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 3-star overall rating.
CMS reports a 3-star health inspection rating.
CMS reports a 3-star staffing rating.
CMS reports a 4-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Trust participation

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Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

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How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Penalties

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: g6vv-u9sr
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Penalties, enforcement, and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Change of Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

Directory of Nursing Facilities with an Active License

Source organization: Texas Health and Human Services Commission
Dataset identifier: state-regulator:tx
Coverage: State license 311799
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: state license, and license type. Separate from CMS certification, ratings, and ownership.

View official state source

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

State License & Oversight

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

1816 TILE FACTORY RD OPCO LLC

1816 TILE FACTORY RD PROPERTY OWNER LLC

HEKIMIAN, KHOREN

JONES, JEREMY

WELLTOWER INC

WELLTOWER NNN GROUP, LLC

WELLTOWER OP, LLC

MURRELL, EDWARD

DAGAN, AMITAI

GOLDBERGER, ABRAHAM

GOLDBERGER, FAIGY

1816 TILE FACTORY RD OPCO LLC

FREUND, NOCHUM

TRAVITSKY, AARON

WINNIE-STOWELL HOSPITAL DISTRICT

Ownership changes reported in CMS enrollment records

What this means

Questions to ask

CMS groups this facility with AVIR HEALTH GROUP

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0583 — Resident Rights Deficiencies

F0584 — Resident Rights Deficiencies

F0693 — Quality of Life and Care Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0880 — Infection Control Deficiencies

F0926 — Environmental Deficiencies

F0677 — Quality of Life and Care Deficiencies

F0684 — Quality of Life and Care Deficiencies

F0917 — Environmental Deficiencies

F0727 — Nursing and Physician Services Deficiencies

F0758 — Pharmacy Service Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0851 — Administration Deficiencies

F0880 — Infection Control Deficiencies

F0880 — Infection Control Deficiencies

F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0689 — Quality of Life and Care Deficiencies

F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Fine — Feb 3, 2025

Fine — Apr 5, 2024

Questions generated from the evidence above

Facility History

What changed recently?

2026

2025

2024

Reported nursing staffing at a glance

Weekday and weekend calculations

Staffing over time

Questions to ask

Current Provider Information facts

Additional public-source research

See something that needs correction?