Azalea Trail Nursing and Rehabilitation Center
Nursing home in Grand Saline, TX
Medicare & Medicaid certified4★ overall (CMS)
Public-record details
- Address
- 411 Spring Creek Rd, Grand Saline, TX 75140
- Phone
- (903) 962-4226
- Listed under
- For-profit, 4–5 star overall rating, No fines in 3 years
- Medicare CCN
- 675253
- Overall star rating
- 4 of 5 ★★★★☆
- Health inspection rating
- 5 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 1 of 5
- Certified beds
- 72
- Average residents per day
- 62
- Ownership
- For-profit, limited Liability company
- Legal business name
- Ekklesia Healthcare, LLC
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 19, 1994
- 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: May 14, 2025. CMS lists 1 health citation for this facility across its last three standard inspection cycles and complaint inspections (Nov 19, 2025 to Nov 19, 2025): 1 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Nov 19, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 3.35 hours
- Registered nurse (RN) time per resident per day
- 0.29 hours
- Nurse aide time per resident per day
- 2.24 hours
- Total nurse staffing on weekends
- 2.94 hours
- Nursing staff turnover (yearly)
- 27%
- 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.