Avir at Rose Trail
Nursing home in Tyler, TX
Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)
Public-record details
- Address
- 930 S Baxter, Tyler, TX 75701
- Phone
- (903) 597-2068
- Listed under
- Government-owned
- Medicare CCN
- 455429
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 172
- Average residents per day
- 78
- Ownership
- Government, hospital district
- Legal business name
- West Wharton County Hospital District
- Chain
- Avir Health Group (116 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 1, 1977
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Dec 4, 2025. CMS lists 62 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 4, 2023 to Jun 26, 2026): 42 from complaint inspections, 10 at the “actual harm” level or higher, including 7 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 26, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| Jun 26, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Jun 3, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| Mar 5, 2026 | Ensure that residents are free from significant medication errors. | D |
| Jan 2, 2026 | Keep residents' personal and medical records private and confidential. | E |
| Dec 4, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Dec 4, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| Dec 4, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| Dec 4, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Dec 4, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Dec 4, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Dec 4, 2025 | Ensure medication error rates are not 5 percent or greater. | D |
Fines and payment denials
CMS records 4 fines totalling $392,851 in the last three years.
| Aug 15, 2025 | Fine: $12,038 |
| Aug 15, 2025 | Fine: $105,739 |
| Mar 18, 2024 | Fine: $230,484 |
| Dec 18, 2023 | Fine: $44,590 |
Staffing
- Total nurse staffing per resident per day
- 3.04 hours
- Registered nurse (RN) time per resident per day
- 0.39 hours
- Nurse aide time per resident per day
- 2.00 hours
- Total nurse staffing on weekends
- 2.55 hours
- Nursing staff turnover (yearly)
- 70%
- RN turnover (yearly)
- 88%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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