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Medicare-certifiedSkilled Nursing

Avir at Rose Trail

(903) 597-2068

About Avir at Rose Trail

Avir at Rose Trail brings compassionate skilled nursing and rehabilitation care to Tyler, Texas families. Our clinical team focuses on recovery, healing, and helping residents regain independence through personalized treatment plans and therapeutic support.

Community at a glance

Capacity

172 residents

Medicare rating

1 of 5 stars

Location

Tyler, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

930 S BAXTER, Tyler, Texas 75701

(903) 597-2068

Medicare inspection and quality record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Avir at Rose Trail is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.

Medicare rates Avir at Rose Trail 1 out of 5 stars overall, which it describes as much below average. The average across Texas's nursing homes is 2.7 stars.

At its most recent standard inspection, on December 4, 2025, state inspectors cited 22 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 2 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.

Medicare fined Avir at Rose Trail 6 times in the last three years, $482,145 in total.

Overall

1 of 5

much below average

Combines the three ratings below

Health inspections

1 of 5

much below average

Results of state inspections over three years

Staffing

1 of 5

much below average

Nurse hours per resident and staff turnover

Quality of resident care

2 of 5

below average

Outcomes like falls, pressure ulcers and rehospitalization

Texas average: 2.7 stars across 1,177 nursing homes. National average: 3.0 stars.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 2 minutesBelow the Texas average
Registered nurse time per resident, per day24 minutesBelow the Texas average
Nursing staff who left in the past year70%Above the Texas average

Inspections

48 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 26, 2026 · Complaint investigation · 2 citations

  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 30, 2026
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 30, 2026

June 3, 2026 · Complaint investigation · 1 citation

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 10, 2026
March 5, 2026 · Complaint investigation · 1 citation+
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Mar 16, 2026
January 2, 2026 · Complaint investigation · 1 citation+
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 3, 2026
December 4, 2025 · Standard inspection · 10 citations+
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Dec 5, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Dec 11, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 8, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 5, 2025
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 5, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 5, 2025
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 5, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 24, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 5, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 5, 2025
November 18, 2025 · Complaint investigation · 2 citations+
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 19, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 19, 2025
October 2, 2025 · Complaint investigation · 5 citations+
  • Provide safe and appropriate respiratory care for a resident when needed.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Oct 4, 2025
  • Provide and implement an infection prevention and control program.

    Immediate danger to residents, a pattern (level K)Infection ControlFrom a complaintCorrected Oct 4, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Oct 4, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 4, 2025
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 4, 2025
August 15, 2025 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Aug 12, 2025
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 18, 2025
March 25, 2025 · Complaint investigation · 3 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 28, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 28, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Mar 28, 2025
September 25, 2024 · Standard inspection · 5 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Sep 27, 2024
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Sep 27, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 27, 2024
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 27, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Sep 27, 2024
August 25, 2024 · Complaint investigation · 1 citation+
  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Aug 25, 2024
July 10, 2024 · Complaint investigation · 1 citation+
  • Hire a qualified full-time social worker in a facility with more than 120 beds.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Jul 15, 2024
May 17, 2024 · Complaint investigation · 2 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 18, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 18, 2024
April 3, 2024 · Complaint investigation · 2 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Apr 22, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 22, 2024
March 18, 2024 · Complaint investigation · 3 citations+
  • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 2, 2024
  • Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 2, 2024
  • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Apr 2, 2024
January 9, 2024 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, widespread (level F)Infection ControlFrom a complaintCorrected Jan 10, 2024
December 18, 2023 · Complaint investigation · 3 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 19, 2023
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Dec 19, 2023
  • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 19, 2023
November 2, 2023 · Complaint investigation · 3 citations+
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 7, 2023
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 7, 2023
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 7, 2023

Fines and payment denials

6 fines totaling $482,145 in the last three years.

  • August 14, 2026Fine: $74,220
  • August 15, 2025Fine: $12,038
  • August 15, 2025Fine: $105,739
  • May 17, 2024Fine: $15,074
  • March 18, 2024Fine: $230,484
  • December 18, 2023Fine: $44,590

About the home, per Medicare

Ownership
Government - Hospital district
Legal business name
West Wharton County Hospital District
Medicare-certified beds
172
Average residents per day
78
Accepts
Medicare and Medicaid
First certified
January 1, 1977
Part of a chain
Avir Health Group, 118 homes (chain average 2.3 stars)
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
455429

Location

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930 S BAXTERTyler, TX 75701

12 other communities within 10 miles

Senior living near Tyler

Questions about Avir at Rose Trail

What is Avir at Rose Trail's Medicare star rating?+

Medicare rates Avir at Rose Trail 1 out of 5 stars overall (much below average). Health inspections: 1 stars. Staffing: 1 stars. Quality of resident care: 2 stars. Source: CMS Care Compare, data as of September 1, 2026.

How did Avir at Rose Trail do on its last inspection?+

State inspectors visited on December 4, 2025 and cited 22 health deficiencies, 12 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Avir at Rose Trail?+

Nurses and aides spend 3 hours 2 minutes with each resident per day, including 24 minutes from registered nurses. 70% of nursing staff left over the past year.

Has Avir at Rose Trail been fined by Medicare?+

Yes. Medicare fined Avir at Rose Trail 6 times in the last three years, totaling $482,145.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.

Senior living in Tyler Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026