Avir at Rose Trail

930 S Baxter, Tyler, TX 75701 · (903) 597-2068
Government - Hospital district · 172 certified beds

Avir at Rose Trail has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 10 citations (the Texas average is 9.4). It was fined 6 times in the last three years, $482,145 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on December 4, 2025 found 10 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 4, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.December 4, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.December 4, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.December 4, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDecember 4, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 4, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.December 4, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 4, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.December 4, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.December 4, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 33 citations.

• Protect each resident from the wrongful use of the resident's belongings or money.June 26, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 26, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 3, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.March 5, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.January 2, 2026 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedNovember 18, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 18, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 2, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.October 2, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.October 2, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.October 2, 2025 · F0695 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Provide and implement an infection prevention and control program.October 2, 2025 · F0880 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 15, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.August 15, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 25, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 25, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.March 25, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.August 25, 2024 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Hire a qualified full-time social worker in a facility with more than 120 beds.July 10, 2024 · F0850 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 17, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.May 17, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 3, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 3, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 18, 2024 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.March 18, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.March 18, 2024 · F0626 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 9, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.December 18, 2023 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 18, 2023 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 18, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.November 2, 2023 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 2, 2023 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain dental services for each resident.November 2, 2023 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

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

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home