Avir At Rose Trail
930 S Baxter, Tyler, TX 75701 · Smith County
Government · 172 certified beds · 45% occupancy · (903) 597-2068
Avir At Rose Trail reviews: what the government record shows
The U.S. government (CMS) rates Avir At Rose Trail 1 out of 5 stars overall, much below average. Its nurse staffing is 7% below the Texas median. Inspectors cited it for 7 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.04 hrs/resident/day (-7% vs TX median)
- Antipsychotic drug use
- 14.7% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.9% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $392,851
- Inspection findings
- 62 cited, 7 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.04 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 7 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $392,851 in federal fines in roughly the last three years.
- !Pressure-ulcer (bedsore) rate of 16.2% is well above the Texas median of 3.3%.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
- ·How often are residents repositioned, and who checks skin daily?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Avir At Rose Trail
Is Avir At Rose Trail a good nursing home?
Avir At Rose Trail in Tyler, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Avir At Rose Trail staffed?
Avir At Rose Trail reports 3.04 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Avir At Rose Trail been fined or flagged for abuse?
Avir At Rose Trail has paid approximately $392,851 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.04 nurse hours per resident per day. 7% below the Texas median of 3.27.
Nursing staff turnover: 69.6% · RN turnover: 87.5%
Safety & compliance flags
- Special Focus Facility candidate
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0695 · Oct 2, 2025ComplaintCorrected Oct 4, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0880 · Oct 2, 2025ComplaintCorrected Oct 4, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Immediate jeopardyTag F0689 · Aug 15, 2025ComplaintCorrected Aug 12, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0609 · Jun 3, 2026ComplaintCorrected Jun 10, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0583 · Jan 2, 2026ComplaintCorrected Jan 3, 2026
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Dec 4, 2025Corrected Dec 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Dec 4, 2025Corrected Dec 11, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0655 · Nov 18, 2025ComplaintCorrected Nov 19, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0656 · Nov 18, 2025ComplaintCorrected Nov 19, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0602 · Jun 26, 2026ComplaintCorrected Jun 30, 2026
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 62 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.