Avir at Rose Trail, Tyler, Texas
- 60
- Citations from health inspectionsTexas average: 28 a home
- 10
- Residents harmed or put in dangerTexas average: 2.3 a home
- $482,145
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
20 inspection visits produced 60 citations. Residents were in immediate danger in seven findings. Residents were found hurt in three cases. Federal fines came to $482,145 (six fines).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 3.04 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.39 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 69.6%against the Texas average of 55.3%
- Beds that are certified
- 172
- Ownership
- Hospital district (government)
- Chain
- Avir Health Group, with 118 homes
- Street address
- 930 S Baxter, Tyler, Texas 75701
- County
- Smith
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Two citations dated June 26, 2026
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated June 3, 2026
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated March 5, 2026
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Jan. 2, 2026
- F583 Keep Resident Records Private: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
10 citations dated Dec. 4, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Two citations dated Nov. 18, 2025
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Five citations dated Oct. 2, 2025
- F880 Infection Prevention and Control: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Aug. 15, 2025
Three citations dated March 25, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Sept. 25, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents.
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
One citation dated Aug. 25, 2024
- F770 Timely Quality Laboratory Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated July 10, 2024
- F850 Full Time Social Worker in Large Facilities: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated May 17, 2024
Two citations dated April 3, 2024
Three citations dated March 18, 2024
- F626 Right to Return After Hospital Stay: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Jan. 9, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, widespread, found on a complaint visit.
Three citations dated Dec. 18, 2023
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Nov. 2, 2023
- F791 Dental Services for Residents: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated Sept. 22, 2023
- F693 Feeding Tube Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Nine citations dated Aug. 18, 2023
- F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread.
- F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents.
- F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, one or a few residents.
- F610 Investigating Abuse Allegations: immediate danger to residents, one or a few residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
- F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, one or a few residents.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Aug. 14, 2026 | Fine | $74,220 |
| Aug. 15, 2025 | Fine | $12,038 |
| Aug. 15, 2025 | Fine | $105,739 |
| May 17, 2024 | Fine | $15,074 |
| March 18, 2024 | Fine | $230,484 |
| Dec. 18, 2023 | Fine | $44,590 |
Ownership and Management of the Home
- The home is run by 930 S Baxter Opco, LLC (operational or managerial control).
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 455429. Other homes in Texas.