Texas › Smith County › Tyler
Avir At Azalea Heights
3505 Old Jacksonville Rd, Tyler, TX 75701
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Avir At Azalea Heights serves Tyler in Smith County, Texas and has taken Medicare and Medicaid residents since 1994.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 2.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (11, 2, 12 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 20.8 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $28K.
Reported nurse staffing is 2.6 hours per resident per day (0.3 RN), below the Texas median of 3.3; nursing staff turnover is 43.8%.
Compared with county, state and nation
| Measure | This facility | Smith Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 23 | 25 | 28.7 |
| Citations per 100 beds | 20.8 | 20.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.6 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 43.8% | 56.3% | 52.1% | 45.8% |
| Fines listed | $27,550 | $31,256 | $16,801 | — |
County and state figures are medians across facilities (17 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Dec 2025, 18 Sep 2024.
Severity mix: J ×3 D ×15 E ×5 F ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 1 May 2026 |
| 30 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 1 May 2026 |
| 10 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 12 Jan 2026 |
| 10 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Jan 2026 |
| 10 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 12 Jan 2026 |
| 10 Dec 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 12 Jan 2026 |
| 10 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Jan 2026 |
| 10 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Jan 2026 |
| 10 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Jan 2026 |
| 10 Dec 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | Standard survey | 12 Jan 2026 |
| 30 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 18 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 19 Sep 2024 |
| 18 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 19 Sep 2024 |
| 29 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 22 May 2024 |
| 29 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 May 2024 |
| 29 Apr 2024 | F0758 | 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. | D | Complaint investigation | 22 May 2024 |
| 6 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 9 Oct 2023 |
| 6 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 9 Oct 2023 |
| 6 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 9 Oct 2023 |
| 6 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 9 Oct 2023 |
| 6 Oct 2023 | F0693 | 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. | D | Complaint investigation | 9 Oct 2023 |
| 10 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 5 Sep 2023 |
| 10 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 5 Sep 2023 |
| 10 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Sep 2023 |
| 10 Aug 2023 | F0693 | 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. | D | Standard survey | 5 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Sep 2025 | Fine | $14,901 | |
| 6 Oct 2023 | Fine | $12,649 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 43.8%, RNs 0.0%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: West Wharton County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 3505 Old Jackson Rd Opco, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| 3505 Old Jackson Rd Opco, LLC | Adp of the snf | NOT APPLICABLE | 03/13/2026 |
| 3505 Old Jacksonville Rd Property Owners, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Smith County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Meadow Lake Health Center | Tyler | 20 | 5 | 5 | 3 | 4 | 20.0 | — | 19 May 2025 |
| The Center At Grande | Tyler | 96 | 5 | 5 | 1 | 9 | 9.4 | — | 20 May 2026 |
| Reunion Plaza Healthcare & Rehabilitation | Tyler | 99 | 4 | 5 | 1 | 5 | 5.1 | — | 7 Aug 2025 |
| The Waterton Healthcare & Rehabilitation | Tyler | 92 | 4 | 4 | 2 | 10 | 10.9 | $23K | 6 May 2026 |
| Oak Brook Health Care Center | Whitehouse | 120 | 3 | 4 | 1 | 12 | 10.0 | — | 17 Jun 2026 |
| The Heights of Tyler | Tyler | 120 | 3 | 4 | 1 | 21 | 17.5 | $14K | 24 Mar 2026 |
| Avir At Petal Hillabuse icon | Tyler | 120 | 2 | 2 | 2 | 31 | 25.8 | $31K | 13 May 2026 |
| Briarcliff Health Center | Tyler | 230 | 2 | 3 | 3 | 14 | 6.1 | $51K | 21 May 2025 |
All 17 facilities in Smith County
Questions and answers
How many deficiencies has Avir At Azalea Heights been cited for?
25 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Azalea Heights been fined?
Yes. CMS lists fines totalling $28K in the period covered.
How does staffing at Avir At Azalea Heights compare?
Reported total nurse staffing is 2.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Azalea Heights?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include 3505 Old Jackson Rd Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Azalea Heights last inspected?
The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 10 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.