Avir at Azalea Heights in Tyler, TX has an overall rating of 2 out of 5 stars. Its staffing is very low at 2.77 hours per resident per day versus the federal benchmark of 4.1, and it has had $14,901 in fines in the last 24 months with a recent federal penalty.
Last inspection: December 10, 2025Penalties, last 24 months: $14,901recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7664.
Staffing detail
Registered nurses
0.34
Licensed practical nurses
0.56
Nurse aides
1.86
Weekend nursing
2.55
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
5.4%9.3%Worsening
Residents with a fall causing major injury
5.3%6.5%Worsening
Residents with pressure ulcers (bedsores)
1.1%2.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.1%1.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.7%13.6%Worsening
Residents whose ability to walk got worse
16.1%7.4%Improving
Long-stay residents on antianxiety or sleep medication
24.2%19.1%Improving
Short-stay residents newly given an antipsychotic
4.2%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.5%14.1%Worsening
Residents with depressive symptoms
4.5%7.1%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—95.1%—
Long-stay residents given the pneumonia vaccine
98.7%98.7%No change
Short-stay residents given the seasonal flu vaccine
—62.3%—
Short-stay residents given the pneumonia vaccine
95.9%73.3%Worsening
What the inspectors found
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $14,901 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $27,550 in total fines.
Federal fine
Sep 30, 2025
$14,901
Federal fine
Oct 6, 2023
$12,649
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
83.5 residents on an average day (70% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 32 years
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.