All states › Texas › Grand Saline › Azalea Trail Nursing and Rehabilitation Center
411 Spring Creek Rd Grand Saline, TX 75140 · Van Zandt County
All 3 nursing homes in Grand Saline, TX (3 take Medicaid)
CMS certification number 675253 · See this home on Medicare Care Compare
Is Azalea Trail Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Azalea Trail Nursing and Rehabilitation Center as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.67 hours per resident per day at Azalea Trail Nursing and Rehabilitation Center, above the Texas median of 3.30 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 3.30 hours, 10% below its all-week average. 33.3% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Azalea Trail Nursing and Rehabilitation Center: Medicare and Medicaid
Azalea Trail Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 29, 2026 and found 1 deficiency, plus 1 from complaint inspections in the same period. In total, inspectors issued 2 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 2 citations at Azalea Trail Nursing and Rehabilitation Center across 2 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 2 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). Most citations were in quality of life and care (1). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level D, July 29, 2026).
July 29, 2026 · 1 citation
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 19, 2025 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Questions to ask on a tour of Azalea Trail Nursing and Rehabilitation Center
- What do families most often ask you about before moving in?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 4/5 | 2/5 |
| August 2026 | 4/5 | 5/5 | 3/5 | 1/5 |
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Location
Hospitals near Azalea Trail Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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17.3 mi
UT Health East Texas Quitman Hospital QuitmanEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 16m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.