The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
Nursing home report
AZALEA TRAIL NURSING AND REHABILITATION CENTER
GRAND SALINE, TX · Medicare-certified · 72 beds
In good standing
For-profit
Data as of September 1, 2026
4 of 5 overall
4 out of 5 stars overall. Strong health inspection results and no fines in the last 24 months, but staffing is below the federal benchmark (3.35 vs 4.1 hours per resident per day) and quality measures are low at 1 out of 5 stars.
Facility ratings
Health inspections
Staffing
3.3508 hrs/resident/day
Quality measures
Last inspection: July 29, 2026Penalties, 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
- 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
- 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
Operator & ownership
- Ownership
- For profit - Individual
- 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.