Senior Care Inspection Finder
Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Texas › Smith County › Avir at Rose Trail

Avir at Rose Trail

930 S Baxter, Tyler, TX 75701 · CMS Certification Number (CCN) 455429

Special Focus Facility candidate

CMS lists this home in its data as a candidate for the Special Focus Facility (SFF) program, which CMS describes as for homes with a history of serious quality issues. CMS Technical Users’ Guide

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
60 in the last 3 inspection cycles (7 immediate jeopardy, 3 actual harm, 36 from complaints)
Fire safety citations
4
Fines (last 3 years)
6 fines, total $482,145
Payment denials
0
Most recent standard inspection
December 4, 2025
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★☆☆☆☆ 1 of 51.92.9
Quality measures★★☆☆☆ 2 of 53.73.6
Long-stay quality★★★☆☆ 3 of 5Not publishedNot published
Short-stay quality★★☆☆☆ 2 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)December 4, 2025221012
Cycle 2September 25, 202429524

CMS weighted health inspection score: 331 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

60 health citations across 20 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

June 26, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/30/2026
D F-0602 Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/30/2026
June 3, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/10/2026
March 5, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/16/2026
January 2, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/03/2026
December 4, 2025: 10 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/11/2025
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/05/2025
D F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/05/2025
D F-0759 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/05/2025
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/05/2025
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/05/2025
D F-0656 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
Standard Deficient, Provider has date of correction
Corrected 12/24/2025
D F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/08/2025
D F-0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/05/2025
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/05/2025
November 18, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0656 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
Complaint Deficient, Provider has date of correction
Corrected 11/19/2025
E F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/19/2025
October 2, 2025: 5 citations (Complaint)
SeverityTagWhat was citedTypeStatus
K F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/04/2025
K F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/04/2025
D F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/04/2025
D F-0656 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
Complaint Deficient, Provider has date of correction
Corrected 10/04/2025
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/04/2025
August 15, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/18/2025
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Past Non-Compliance
Corrected 08/12/2025
March 25, 2025: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/28/2025
D F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/28/2025
D F-0656 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
Complaint Deficient, Provider has date of correction
Corrected 03/28/2025
September 25, 2024: 5 citations (Standard)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/27/2024
D F-0759 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/27/2024
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/27/2024
D F-0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/27/2024
E F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/27/2024
August 25, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0770 Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/25/2024
July 10, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0850 Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/15/2024
May 17, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/18/2024
G F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/18/2024
April 3, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/22/2024
K F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/22/2024
March 18, 2024: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0626 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/02/2024
D F-0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/02/2024
D F-0622 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/02/2024
January 9, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
F F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/10/2024
December 18, 2023: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
G F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/19/2023
G F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/19/2023
D F-0585 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/19/2023
November 2, 2023: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0791 Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/07/2023
D F-0656 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
Complaint Deficient, Provider has date of correction
Corrected 11/07/2023
D F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/07/2023
September 22, 2023: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0693 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
Complaint Deficient, Provider has date of correction
Corrected 09/23/2023
E F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/23/2023
E F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/23/2023
August 18, 2023: 9 citations (Standard)
SeverityTagWhat was citedTypeStatus
C F-0732 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/21/2023
E F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/21/2023
E F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/21/2023
D F-0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/21/2023
J F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/21/2023
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/21/2023
J F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/21/2023
J F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/21/2023
E F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/21/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

4 fire safety citations across 2 inspection dates
DateSeverityTagWhat was citedStatus
12/04/2025EK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 12/08/2025
12/04/2025EK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 12/08/2025
09/25/2024EK-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/27/2024
09/25/2024FE-0039Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 09/27/2024

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
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—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.043.393.86
Registered nurse (RN) hours per resident per day0.390.430.69
LPN/LVN hours per resident per day0.65Not publishedNot published
Nurse aide hours per resident per day2Not publishedNot published
Total nurse staff hours per resident per day, weekends2.55Not publishedNot published
RN hours per resident per day, weekends0.22Not publishedNot published
Total nursing staff turnover (%)69.655.345.8
Registered nurse turnover (%)87.5Not publishedNot published
Administrators who have left0Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
West Wharton County Hospital District
Ownership type
Government - Hospital district
Chain
Avir Health Group (118 facilities)
Ownership changed in last 12 months
No
Certified beds
172
Average residents per day
77.5
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
January 1, 1977
County/parish
Smith

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

19 ownership and management records
NameRoleTypeOwnership %Since
930 S BAXTER PROPERTY OWNER, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER INC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER NNN GROUP, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER OP, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
THOMPSON, JOHNNYCORPORATE DIRECTORIndividualNOT APPLICABLEundefined undefined, NaN
930 S BAXTER OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
AUGUSTUS, LAZELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
BELL, ROBBINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
DAGAN, AMITAIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
930 S BAXTER OPCO, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
930 S BAXTER PROPERTY OWNER, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
AUGUSTUS, LAZELADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
BELL, ROBBINADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.