Nursing home report
Registered name: Avir at Azalea Heights
TYLER, TX · Medicare-certified · 120 beds
Pinecrest Nursing & Rehabilitation Center in Tyler, TX has a 2-star overall rating, with very low staffing (1 star; 2.60 hours per resident per day versus the 4.1-hour federal benchmark), 2-star quality measures, and 3-star health inspections. It also has $14,901 in fines in the last 24 months and a recent federal penalty; no special-focus status was provided.
Health inspections
Staffing
2.6007 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6007.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2025 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 8 health deficiencies.
A federal fine of $14,901 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
On record with Medicare: 2 fines · $27,550 in total fines.
Federal fine
Sep 30, 2025
Federal fine
Oct 6, 2023
Now operated by Avir at Azalea Heights, previously Pinecrest Nursing and Rehabilitation Center.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
