Nursing home in Tyler, Texas
Avir at Azalea Heights
Medicare and Medicaid
3505 OLD JACKSONVILLE RD, Tyler, TX 75701
(903) 561-2011
CMS star ratings
CMS gives this nursing home an overall star rating of 2 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home2
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home3
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home2
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Dec 10, 2025. CMS counts 11 health deficiencies in rating cycle 1.
- This nursing home11
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 21 health deficiencies on 6 inspection dates since Sep 30, 2023. By level of harm: 3 immediate jeopardy, 17 potential for harm, 1 minimal harm potential.
- 3 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 17 No actual harm, potential for more than minimal harm
- 1 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Apr 30, 2026 | F0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 1, 2026 |
| Apr 30, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 1, 2026 |
| Dec 10, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 12, 2026 |
| Dec 10, 2025 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 12, 2026 |
| Dec 10, 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 12, 2026 |
| Dec 10, 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 12, 2026 |
| Dec 10, 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 12, 2026 |
| Dec 10, 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 12, 2026 |
| Dec 10, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 12, 2026 |
| Dec 10, 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Resident Rights Deficiencies | B Minimal harm potential, pattern | Standard | Deficient, Provider has date of correction Jan 12, 2026 |
Show the other 11 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Sep 30, 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance Sep 28, 2025 |
| Sep 18, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Sep 19, 2024 |
| Sep 18, 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 19, 2024 |
| Apr 29, 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction May 22, 2024 |
| Apr 29, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 22, 2024 |
| Apr 29, 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy Service Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 22, 2024 |
| Oct 6, 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Oct 9, 2023 |
| Oct 6, 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Oct 9, 2023 |
| Oct 6, 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Oct 9, 2023 |
| Oct 6, 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 9, 2023 |
| Oct 6, 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 9, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home2.60 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.33 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home43.8%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 2 penalties for this nursing home: 2 fines totaling $27,550, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 120 |
|---|---|
| Average residents per day | 87.8 |
| Ownership | For profit - Limited Liability company |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Avir Health Group (118 facilities) |
| Legal business name | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Jan 13, 1994 |
| County | Smith |
| CMS certification number | 675289 |
Also in Tyler
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Meadow Lake Health Center | 20 | Non profit - Corporation | ||
| The Center at Grande | 96 | For profit - Limited Liability company | ||
| Reunion Plaza Healthcare & Rehabilitation | 99 | Government - Hospital district | ||
| The Waterton Healthcare & Rehabilitation | 92 | Government - Hospital district | ||
| Watkins-Logan-Garrison Texas State Veteran's Home | 100 | For profit - Corporation | ||
| The Heights of Tyler | 120 | For profit - Partnership | ||
| Avir at Petal Hill | 120 | For profit - Corporation | ||
| Briarcliff Health Center | 230 | For profit - Corporation | ||
| Greenbrier Nursing & Rehabilitation Center of Tyle | 120 | For profit - Corporation | ||
| Providence Park Rehabilitation and Skilled Nursing | 125 | For profit - Corporation | ||
| Avir at Rose Trail | 172 | Government - Hospital district | ||
| Park Place Nursing & Rehabilitation Center | 120 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Baylor Scott & White Texas Spine & Joint Hospital | Acute Care Hospitals | Yes | |
| CHRISTUS Mother Frances Hospital | Acute Care Hospitals | Yes | |
| University of Texas Health Science Center at Tyler | Acute Care Hospitals | Yes | |
| UT Health East Texas Tyler Regional Hospital | Acute Care Hospitals | Yes |