The home failed to provide safe and appropriate breathing care when a resident needed it. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: K
Nursing home report
Avir at Rose Trail
TYLER, TX · Medicare-certified · 172 beds
Needs attention
Special Focus candidateGovernment-runChain member
1 of 5 overall
Avir at Rose Trail in Tyler, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It is a Special Focus Facility candidate with recent fines of $181,195, and reported nurse staffing of 2.90 hours per resident per day is below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
2.8999 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $181,195special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8999.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 0.61
- Nurse aides
- 1.95
- Weekend nursing
- 2.46
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 75%
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
16.7%16.3%No change
Residents with a fall causing major injury
0%3.9%Worsening
Residents with pressure ulcers (bedsores)
13.7%18.9%Worsening
Residents with a urinary tract infection
0%2.7%Worsening
Residents who lost too much weight
0%4.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.2%13.4%Improving
Residents whose ability to walk got worse
12.2%10.7%Improving
Long-stay residents on antianxiety or sleep medication
34.9%34.7%No change
Short-stay residents newly given an antipsychotic
—7.4%—
Residents with a long-term catheter
0.9%0%Improving
Residents with new or worsening incontinence
20.6%16.4%Improving
Residents with depressive symptoms
5.5%0%Improving
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
—91.8%—
Long-stay residents given the pneumonia vaccine
89.4%97.4%Improving
Short-stay residents given the seasonal flu vaccine
—54.3%—
Short-stay residents given the pneumonia vaccine
45.2%72%Improving
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $162,675 was recorded.
- PENALTY
A federal fine of $18,520 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $520,257 in total fines.
- $162,675
Federal fine
Aug 15, 2025
- $18,520
Federal fine
Aug 15, 2025
- $230,484
Federal fine
Mar 18, 2024
- $44,590
Federal fine
Dec 18, 2023
- $49,470
Federal fine
Aug 4, 2023
- $14,518
Federal fine
Jun 29, 2023
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 78.1 residents on an average day (45% of 172 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 49 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.