Nursing HomeInspections

Avir at Rose Trail

Nursing home in Tyler, TX

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

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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
2 of 5
Quality measures rating
2 of 5
Certified beds
172
Average residents per day
73
Ownership
Government, hospital district
Legal business name
West Wharton County Hospital District
Chain
Avir Health Group (118 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

CMS certification number 455429. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Dec 4, 2025. CMS lists 59 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 18, 2023 to Aug 14, 2026): 35 from complaint inspections, 12 at the “actual harm” level or higher, including 9 at “immediate jeopardy”. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Aug 14, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
K
Immediate jeopardy, pattern
Aug 14, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
K
Immediate jeopardy, pattern
Jun 26, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 26, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 3, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
E
Potential for more than minimal harm, pattern
Mar 5, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 2, 2026Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
Dec 4, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 4, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 4, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 4, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 4, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 59. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 6 fines totalling $483,785 in the last three years.

Aug 14, 2026Fine: $75,860
Aug 15, 2025Fine: $12,038
Aug 15, 2025Fine: $105,739
May 17, 2024Fine: $15,074
Mar 18, 2024Fine: $230,484
Dec 18, 2023Fine: $44,590

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.43 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
2.18 hours
Total nurse staffing on weekends
2.88 hours
Nursing staff turnover (yearly)
60%
RN turnover (yearly)
57%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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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