GoodStanding

Nursing home report

Avir at Azalea Heights

TYLER, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
2 of 5 overall

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.

Facility ratings

Health inspections

Staffing

2.7664 hrs/resident/day

Quality measures

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).

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).

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $14,901 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. 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.