Avir at Rose Trail

930 S BAXTER, TYLER, TX 75701 · CCN 455429 · 172 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2025-10-02 — IMMEDIATE JEOPARDY (tag F0695, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe and appropriate respiratory care for a resident when needed.

2025-10-02 — IMMEDIATE JEOPARDY (tag F0880, severity K)

Infection Control Deficiencies · correction not recorded in CMS data

Provide and implement an infection prevention and control program.

2025-08-15 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-05-17 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-04-03 — IMMEDIATE JEOPARDY (tag F0684, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-12-18 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-12-18 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2023-08-18 — IMMEDIATE JEOPARDY (tag F0600, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.36

state median 2.67

Weekend staffing gap

−16%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.26

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

70%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

5 enforcement action(s), totaling $442,321 in fines.

Date	Type	Amount
2025-08-15	Fine	$12,038
2025-08-15	Fine	$105,739
2024-03-18	Fine	$230,484
2023-12-18	Fine	$44,590
2023-08-04	Fine	$49,470

Ownership

Ownership type: Government - Hospital district. Part of the AVIR HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Avir at Beaumont (BEAUMONT, TX) — CMS overall1 of 5
Avir at New Braunfels (New Braunfels, TX) — CMS overall1 of 5
Avir at Petal Hill (Tyler, TX) — CMS overall2 of 5
Avir at Jeffrey Place (Waco, TX) — CMS overall3 of 5
Avir at Temple West (TEMPLE, TX) — CMS overall3 of 5
Avir at Center (CENTER, TX) — CMS overall4 of 5
Avir at Graham (GRAHAM, TX) — CMS overall5 of 5
Avir at Town Creek (PALESTINE, TX) — CMS overall3 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 3 · Potential for more than minimal harm: 48 · Immediate jeopardy: 7

Survey date	Tag	Category	Severity	Corrected
2026-03-05	F0760	Pharmacy Service Deficiencies	D	not recorded
2026-01-02	F0583	Resident Rights Deficiencies	E	not recorded
2025-12-04	F0550	Resident Rights Deficiencies	D	not recorded
2025-12-04	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-04	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-04	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-04	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-12-04	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-12-04	F0759	Pharmacy Service Deficiencies	D	not recorded
2025-12-04	F0760	Pharmacy Service Deficiencies	D	not recorded
2025-12-04	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-12-04	F0880	Infection Control Deficiencies	E	not recorded
2025-11-18	F0655	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-11-18	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-10-02	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-10-02	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-10-02	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-10-02	F0695	Quality of Life and Care Deficiencies	K	not recorded
2025-10-02	F0880	Infection Control Deficiencies	K	not recorded
2025-08-15	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-08-15	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-03-25	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-03-25	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-03-25	F0880	Infection Control Deficiencies	D	not recorded
2024-09-25	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-09-25	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-25	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-09-25	F0759	Pharmacy Service Deficiencies	D	not recorded
2024-09-25	F0880	Infection Control Deficiencies	D	not recorded
2024-08-25	F0770	Administration Deficiencies	D	not recorded
2024-07-10	F0850	Administration Deficiencies	D	not recorded
2024-05-17	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2024-05-17	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-04-03	F0684	Quality of Life and Care Deficiencies	K	not recorded
2024-04-03	F0690	Quality of Life and Care Deficiencies	D	not recorded
2024-03-18	F0622	Resident Rights Deficiencies	D	not recorded
2024-03-18	F0623	Resident Rights Deficiencies	D	not recorded
2024-03-18	F0626	Resident Rights Deficiencies	D	not recorded
2024-01-09	F0880	Infection Control Deficiencies	F	not recorded
2023-12-18	F0585	Resident Rights Deficiencies	D	not recorded
2023-12-18	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2023-12-18	F0689	Quality of Life and Care Deficiencies	G	not recorded
2023-11-02	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-02	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-02	F0791	Quality of Life and Care Deficiencies	E	not recorded
2023-09-22	F0550	Resident Rights Deficiencies	E	not recorded
2023-09-22	F0690	Quality of Life and Care Deficiencies	E	not recorded
2023-09-22	F0693	Quality of Life and Care Deficiencies	E	not recorded
2023-08-18	F0584	Resident Rights Deficiencies	E	not recorded
2023-08-18	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2023-08-18	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2023-08-18	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-08-18	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2023-08-18	F0640	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-08-18	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-08-18	F0677	Quality of Life and Care Deficiencies	E	not recorded
2023-08-18	F0732	Nursing and Physician Services Deficiencies	C	not recorded
2023-08-04	F0606	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-08-04	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Avir at Rose Trail, TYLER” at medicare.gov/care-compare.