All states › Texas › Tyler › Avir at Rose Trail
930 S Baxter Tyler, TX 75701 · Smith County
All 13 nursing homes in Tyler, TX (11 take Medicaid)
CMS certification number 455429 · See this home on Medicare Care Compare
Is Avir at Rose Trail 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 Avir at Rose Trail as of October 2026.
CMS rates it 1 out of 5 stars overall, below 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 3.43 hours per resident per day at Avir at Rose Trail, above the Texas median of 3.30 (US median: 3.72). About 0.48 of those hours are from registered nurses. On weekends it falls to 2.88 hours, 16% below its all-week average. Ask how weekends are staffed. 60% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Avir at Rose Trail: Medicare and Medicaid
Avir at Rose Trail 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 December 4, 2025 and found 10 deficiencies, plus 14 from complaint inspections in the same period. In total, inspectors issued 59 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 59 citations at Avir at Rose Trail across 20 inspection dates, 35 of them from complaint investigations. 9 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 14, 2026 (complaint inspection). The most common areas cited were resident assessment and care planning (13) and quality of life and care (12). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level K, August 14, 2026). 11 citations were under CMS's abuse, neglect and exploitation rules.
August 14, 2026 · 2 citations · includes complaint inspection
KImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
June 26, 2026 · 2 citations · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
June 3, 2026 · 1 citation · includes complaint inspection
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
March 5, 2026 · 1 citation · includes complaint inspection
DEnsure that residents are free from significant medication errors.
January 2, 2026 · 1 citation · includes complaint inspection
EKeep residents' personal and medical records private and confidential.
December 4, 2025 · 10 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DEnsure that residents are free from significant medication errors.
November 18, 2025 · 2 citations · includes complaint inspection
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
October 2, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
KProvide safe and appropriate respiratory care for a resident when needed.
KProvide and implement an infection prevention and control program.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
August 15, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
March 25, 2025 · 3 citations · 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.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide and implement an infection prevention and control program.
September 25, 2024 · 5 citations
EEnsure each resident receives an accurate assessment.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
August 25, 2024 · 1 citation · includes complaint inspection
DProvide timely, quality laboratory services/tests to meet the needs of residents.
July 10, 2024 · 1 citation · includes complaint inspection
DHire a qualified full-time social worker in a facility with more than 120 beds.
May 17, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DRespond appropriately to all alleged violations.
April 3, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
March 18, 2024 · 3 citations · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
January 9, 2024 · 1 citation · includes complaint inspection
FProvide and implement an infection prevention and control program.
December 18, 2023 · 3 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHonor 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.
November 2, 2023 · 3 citations · includes complaint inspection
EProvide or obtain dental services for each resident.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
August 18, 2023 · 9 citations, includes immediate jeopardy
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
JRespond appropriately to all alleged violations.
EHonor 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.
EEnsure each resident receives an accurate assessment.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CPost nurse staffing information every day.
Questions to ask on a tour of Avir at Rose Trail
- Inspectors cited the home at the immediate-jeopardy level on August 14, 2026 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 26, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 43% of its beds filled. Are any units closed?
- 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
6 penalties in the last three years, including $483,785 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 14, 2026 | Fine | $75,860 |
| Aug 15, 2025 | Fine | $12,038 |
| Aug 15, 2025 | Fine | $105,739 |
| May 17, 2024 | Fine | $15,074 |
| Mar 18, 2024 | Fine | $230,484 |
| Dec 18, 2023 | Fine | $44,590 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
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Location
Hospitals near Avir at Rose Trail
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.3 mi
East Texas Medical Center TylerEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 36m for patients treated and sent home
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0.4 mi
Mother Frances Hospital TylerEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 42m for patients treated and sent home
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1.0 mi
Texas Spine and Joint Hospital TylerEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 32m 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
More nursing homes near Avir at Rose Trail › All nursing homes in Tyler ›
Compare Avir at Rose Trail with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Reunion Plaza Healthcare & Rehabilitation · Tyler · 5 stars · 3.8 mi
- Meadow Lake Health Center · Tyler · 5 stars · 4.3 mi
- The Center at Grande · Tyler · 5 stars · 4.5 mi
- Watkins-Logan-Garrison Texas State Veteran's Home · Tyler · 4 stars · 7.9 mi
Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
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.