Avir at Rose TrailCMS ratings, inspections and fines
- Address
- 930 S Baxter, Tyler, TX 75701
- CCN
- 455429
- Ownership type
- Government, hospital district
- Certified beds
- 172
- Chain
- Avir Health Group
- Residents per day
- 78
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Avir at Rose Trail an overall rating of 1 of 5 stars. The last standard survey was on 4 Dec 2025. The latest survey cycle has 24 health citations. The median for nursing homes in Texas is 8. CMS lists 4 fines with a total of $392,851 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Smith County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 17 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 4 Dec 2025 | 24 | 8 |
| Cycle 2 | 25 Sep 2024 | 9 | 8 |
| Cycle 3 | No date | 29 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 30 Jun 2026 |
| 26 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Jun 2026 |
| 3 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 10 Jun 2026 |
| 5 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 16 Mar 2026 |
| 2 Jan 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 3 Jan 2026 |
| 4 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 5 Dec 2025 |
| 4 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 5 Dec 2025 |
| 4 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 | 8 Dec 2025 |
| 4 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 | 24 Dec 2025 |
| 4 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 Dec 2025 |
| 4 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 5 Dec 2025 |
| 4 Dec 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 5 Dec 2025 |
| 4 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 5 Dec 2025 |
| 4 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Dec 2025 |
| 4 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Dec 2025 |
| 18 Nov 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 19 Nov 2025 |
| 18 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 19 Nov 2025 |
| 2 Oct 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 4 Oct 2025 |
| 2 Oct 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 | Complaint investigation | 4 Oct 2025 |
| 2 Oct 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 4 Oct 2025 |
| 2 Oct 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | K | Complaint investigation | 4 Oct 2025 |
| 2 Oct 2025 | F0880 | Provide and implement an infection prevention and control program. | K | Complaint investigation | 4 Oct 2025 |
| 15 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 12 Aug 2025 |
| 15 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 18 Aug 2025 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 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 | Complaint investigation | 28 Mar 2025 |
| 25 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 28 Mar 2025 |
| 25 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 28 Mar 2025 |
| 25 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 27 Sep 2024 |
| 25 Sep 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 27 Sep 2024 |
| 25 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 27 Sep 2024 |
| 25 Sep 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Sep 2024 |
| 25 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Sep 2024 |
| 25 Aug 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 25 Aug 2024 |
Survey cycle 3: 29 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jul 2024 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | D | Complaint investigation | 15 Jul 2024 |
| 17 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 18 May 2024 |
| 17 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 18 May 2024 |
| 3 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 22 Apr 2024 |
| 3 Apr 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 22 Apr 2024 |
| 18 Mar 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 2 Apr 2024 |
| 18 Mar 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 2 Apr 2024 |
| 18 Mar 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 2 Apr 2024 |
| 9 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 10 Jan 2024 |
| 18 Dec 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 19 Dec 2023 |
| 18 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 19 Dec 2023 |
| 18 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Dec 2023 |
| 2 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 7 Nov 2023 |
| 2 Nov 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 | 7 Nov 2023 |
| 2 Nov 2023 | F0791 | Provide or obtain dental services for each resident. | E | Complaint investigation | 7 Nov 2023 |
| 22 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 23 Sep 2023 |
| 22 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 23 Sep 2023 |
| 22 Sep 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. | E | Complaint investigation | 23 Sep 2023 |
| 18 Aug 2023 | 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 | Standard survey | 21 Aug 2023 |
| 18 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 21 Aug 2023 |
| 18 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 21 Aug 2023 |
| 18 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 Aug 2023 |
| 18 Aug 2023 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 21 Aug 2023 |
| 18 Aug 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 21 Aug 2023 |
| 18 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 21 Aug 2023 |
| 18 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 21 Aug 2023 |
| 18 Aug 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 21 Aug 2023 |
| 4 Aug 2023 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | Complaint investigation | 5 Aug 2023 |
| 4 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 5 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 15 Aug 2025 | Fine | $105,739 | |
| 15 Aug 2025 | Fine | $12,038 | |
| 18 Mar 2024 | Fine | $230,484 | |
| 18 Dec 2023 | Fine | $44,590 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.04 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.39 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.65 | 0.95 | |
| Nurse aides | 2.00 | 2.00 | |
| All nurse staff, weekends | 2.55 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 69.6%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 87.5%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.7% | 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 | 1.1% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 16.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.7% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, hospital district
- Legal business name
- West Wharton County Hospital District
- Chain
- Avir Health Group (116 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 930 S Baxter Property Owner, LLC | 5% or greater security interest | 1 Mar 2025 | |
| Welltower Inc | 5% or greater security interest | 1 Mar 2025 | |
| Welltower NNN Group, LLC | 5% or greater security interest | 1 Mar 2025 | |
| Welltower Op, LLC | 5% or greater security interest | 1 Mar 2025 | |
| 930 S Baxter Opco, LLC | Operational/managerial control | 1 Mar 2025 | |
| 930 S Baxter Opco, LLC | Adp of the snf | 25 Apr 2025 | |
| 930 S Baxter Property Owner, LLC | Adp of the snf | 1 Mar 2025 | |
| Welltower Inc | Adp of the snf | 1 Mar 2025 | |
| Welltower NNN Group, LLC | Adp of the snf | 1 Mar 2025 | |
| Welltower Op, LLC | Adp of the snf | 1 Mar 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Smith County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avir at Petal Hill | Tyler | 2 of 5 | 8 | $31,256 | 5 Mar 2026 | |
| Park Place Nursing & Rehabilitation Center | Tyler | 1 of 5 | 17 | $287,159 | 5 May 2025 | |
| Briarcliff Health Center | Tyler | 2 of 5 | 1 | $51,034 | 21 May 2025 | |
| Avir at Azalea Heights | Tyler | 2 of 5 | 11 | $27,550 | 10 Dec 2025 | |
| The Waterton Healthcare & Rehabilitation | Tyler | 4 of 5 | 5 | $23,389 | 6 May 2026 | |
| Greenbrier Nursing & Rehabilitation Center of Tyle | Tyler | 2 of 5 | 18 | $0 | 25 Mar 2026 | |
| Providence Park Rehabilitation and Skilled Nursing | Tyler | 2 of 5 | 4 | $188,361 | 18 Jun 2025 | |
| Reunion Plaza Healthcare & Rehabilitation | Tyler | 4 of 5 | 5 | $0 | 7 Aug 2025 | |
| Meadow Lake Health Center | Tyler | 5 of 5 | 0 | $0 | 24 Sep 2025 | |
| The Center at Grande | Tyler | 5 of 5 | 2 | $0 | 20 May 2026 | |
| The Heights of Tyler | Tyler | 3 of 5 | 7 | $14,276 | 25 Feb 2026 | |
| Watkins-Logan-Garrison Texas State Veteran's Home | Tyler | 2 of 5 | 4 | $214,759 | 11 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Avir at Rose Trail (CCN 455429). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avir-at-rose-trail-tyler-tx-455429/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Avir at Rose Trail last inspected?
- The latest inspection with a citation in the CMS record was on 26 Jun 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 25 Sep 2024.
- Who operates Avir at Rose Trail?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain Avir Health Group. The CMS ownership file names 930 S Baxter Opco, LLC for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Avir at Rose Trail?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.