GoodStanding

Nursing home report

AZALEA TRAIL NURSING AND REHABILITATION CENTER

GRAND SALINE, TX · Medicare-certified · 72 beds

In good standing
For-profit
Data as of July 1, 2026
4 of 5 overall

4 out of 5 stars overall. Health inspections are strong at 5 stars, but quality measures are low at 1 star and staffing is below the federal benchmark (3.35 vs. 4.1 hours per resident per day); there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.3508 hrs/resident/day

Quality measures

Last inspection: November 19, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3508.

Staffing detail

Registered nurses
0.29
Licensed practical nurses
0.83
Nurse aides
2.24
Weekend nursing
2.94

Hours per resident per day.

Total staff turnover: 27%

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

6.2%10.5%Worsening

Residents with a fall causing major injury

6.4%9.8%Worsening

Residents with pressure ulcers (bedsores)

3%7.7%Worsening

Residents with a urinary tract infection

4.7%11.1%Worsening

Residents who lost too much weight

0%5.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

20%27.3%Worsening

Residents whose ability to walk got worse

19.7%

Long-stay residents on antianxiety or sleep medication

29.3%26.1%Improving

Short-stay residents newly given an antipsychotic

1.6%

Residents with a long-term catheter

2%3.4%Worsening

Residents with new or worsening incontinence

0%24.3%Worsening

Residents with depressive symptoms

0%0%No change

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

98.1%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

75%

Short-stay residents given the pneumonia vaccine

90.9%100%Improving

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D

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

Operator & ownership

Ownership
For profit - Limited Liability company
Occupancy
62.4 residents on an average day (87% of 72 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.