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Nursing home report

Avir at Rose Trail

TYLER, TX · Medicare-certified · 172 beds

Needs attention
Special Focus candidateGovernment-runChain member
Data as of July 1, 2026
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 $117,777 in fines in the last 24 months, and reported nurse staffing is 3.04 hours per resident per day versus the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

3.0373 hrs/resident/day

Quality measures

Last inspection: March 5, 2026Penalties, last 24 months: $117,777special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0373.

Staffing detail

Registered nurses
0.39
Licensed practical nurses
0.65
Nurse aides
2.00
Weekend nursing
2.55

Hours per resident per day.

Total staff turnover: 70%
Registered nurse turnover: 88%

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

15.2%13.2%Improving

Residents with a fall causing major injury

4.4%4%No change

Residents with pressure ulcers (bedsores)

15.7%15.4%No change

Residents with a urinary tract infection

0%1.5%Worsening

Residents who lost too much weight

3.4%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

12.1%16.7%Worsening

Residents whose ability to walk got worse

8%3.1%Improving

Long-stay residents on antianxiety or sleep medication

30.6%31.9%Worsening

Short-stay residents newly given an antipsychotic

1.7%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

13.8%2.7%Improving

Residents with depressive symptoms

1.7%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

95.6%98.7%Improving

Short-stay residents given the seasonal flu vaccine

54.3%

Short-stay residents given the pneumonia vaccine

65.8%86.4%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 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

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

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $105,739 was recorded.

  6. PENALTY

    A federal fine of $12,038 was recorded.

  7. PENALTY

    A federal fine of $162,675 was recorded.

  8. PENALTY

    A federal fine of $18,520 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $442,321 in total fines.

  • Federal fine

    Aug 15, 2025

    $105,739
  • Federal fine

    Aug 15, 2025

    $12,038
  • Federal fine

    Mar 18, 2024

    $230,484
  • Federal fine

    Dec 18, 2023

    $44,590
  • Federal fine

    Aug 4, 2023

    $49,470

Operator & ownership

Recent ownership change · Jan 1, 2024

Now operated by Avir at Rose Trail, previously Rose Trail Nursing and Rehabilitation Center.

Ownership
Government - Hospital district
Chain
Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
Occupancy
77.5 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.