Avir at Azalea Heights
Nursing home in Tyler, TX
Medicare & Medicaid certified2★ overall (CMS)
Public-record details
- Address
- 3505 Old Jacksonville Rd, Tyler, TX 75701
- Phone
- (903) 561-2011
- Listed under
- For-profit
- Medicare CCN
- 675289
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 120
- Average residents per day
- 88
- Ownership
- For-profit, limited Liability company
- 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 13, 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: Dec 10, 2025. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 10, 2023 to Apr 30, 2026): 11 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Apr 30, 2026 | Keep residents' personal and medical records private and confidential. | D |
| Apr 30, 2026 | Provide and implement an infection prevention and control program. | D |
| Dec 10, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B |
| Dec 10, 2025 | Ensure each resident receives an accurate assessment. | D |
| Dec 10, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| Dec 10, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| Dec 10, 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 10, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Dec 10, 2025 | Provide and implement an infection prevention and control program. | D |
| Dec 10, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| Sep 30, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| Sep 18, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Fines and payment denials
CMS records 2 fines totalling $27,550 in the last three years.
| Sep 30, 2025 | Fine: $14,901 |
| Oct 6, 2023 | Fine: $12,649 |
Staffing
- Total nurse staffing per resident per day
- 2.60 hours
- Registered nurse (RN) time per resident per day
- 0.33 hours
- Nurse aide time per resident per day
- 1.76 hours
- Total nurse staffing on weekends
- 2.31 hours
- Nursing staff turnover (yearly)
- 44%
- RN turnover (yearly)
- 0%
- Administrators who left in the past year
- 3
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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