Texas › Smith County › Tyler
Avir At Petal Hill
900 S Baxter Ave, 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 Petal Hill serves Tyler in Smith County, Texas and has taken Medicare and Medicaid residents since 1984.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 2.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (8, 7, 16 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 25.8 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $31K.
Reported nurse staffing is 3.5 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 43.9%.
CMS flags that the facility carries the CMS abuse icon.
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 | 31 | 23 | 25 | 28.7 |
| Citations per 100 beds | 25.8 | 20.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 43.9% | 56.3% | 52.1% | 45.8% |
| Fines listed | $31,256 | $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: 5 Mar 2026, 11 Dec 2024.
Severity mix: J ×2 D ×14 E ×13 F ×1 C ×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 |
|---|---|---|---|---|---|
| 13 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 11 May 2026 |
| 1 Apr 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Apr 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 May 2026 |
| 5 Mar 2026 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 6 Mar 2026 |
| 5 Mar 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Mar 2026 |
| 5 Mar 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Mar 2026 |
| 5 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 6 Dec 2025 |
| 11 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | Past Non-Compliance |
| 27 Feb 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 28 Mar 2025 |
| 27 Feb 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 28 Feb 2025 |
| 11 Dec 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 15 Dec 2024 |
| 11 Dec 2024 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 15 Jan 2025 |
| 11 Dec 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 15 Jan 2025 |
| 11 Dec 2024 | 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 | 15 Dec 2024 |
| 11 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Dec 2024 |
| 18 Apr 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 23 Apr 2024 |
| 18 Apr 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 Apr 2024 |
| 18 Apr 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 23 Apr 2024 |
| 18 Apr 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 23 Apr 2024 |
| 18 Apr 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 23 Apr 2024 |
| 18 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 23 Apr 2024 |
| 18 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 23 Apr 2024 |
| 21 Mar 2024 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Complaint investigation | 22 Mar 2024 |
| 8 Nov 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 11 Nov 2023 |
| 8 Nov 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 11 Nov 2023 |
| 8 Nov 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 14 Nov 2023 |
| 8 Nov 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 14 Nov 2023 |
| 22 Aug 2023 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 23 Aug 2023 |
| 14 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 15 Aug 2023 |
| 14 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 15 Aug 2023 |
| 14 Aug 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 15 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 May 2026 | Fine | $16,355 | |
| 11 Nov 2025 | Fine | $14,901 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 43.9%, RNs 42.9%; 2 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 | 21.8% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.2% | 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, corporation. Legal business name: West Wharton County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 900 S Baxter Avenue Opco, LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| 900 S Baxter Avenue Opco, LLC | Adp of the snf | NOT APPLICABLE | 04/24/2025 |
| 900 S Baxter Avenue Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
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 Azalea Heights | Tyler | 120 | 2 | 3 | 1 | 25 | 20.8 | $28K | 30 Apr 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 Petal Hill been cited for?
31 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Petal Hill been fined?
Yes. CMS lists fines totalling $31K in the period covered.
How does staffing at Avir At Petal Hill compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Petal Hill?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include 900 S Baxter Avenue Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Petal Hill last inspected?
The most recent survey or investigation in the CMS record is dated 13 May 2026; the most recent standard health survey was 5 Mar 2026.
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.