Skilled nursing · Tyler, TX

Avir at Rose Trail

930 S BAXTER, Tyler, TX 75701

1 / 5CMS 172 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Avir at Rose Trail carries a Palmelle Clarity Score of 0 out of 100, derived from federal CMS Care Compare data plus Texas state records. Health inspection rating sits at 1-star, staffing at 1-star, quality measures at 2-star. Long-stay antipsychotic prescribing is at 18.6 percent versus a 14 percent national median. RN coverage is 0.34 hours per resident per day. Nurse turnover 67 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Texas DPH

In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

0.34

National

0.78

Annual nurse turnover

This

67%

National

53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This

18.6%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Texas state data

The full record.

Federal CMS ratings

Overall★★★★★1 / 5

Health inspection★★★★★1 / 5

Staffing★★★★★1 / 5

Quality measures★★★★★2 / 5

Staffing

RN hours per resident, daily

This

0.34

Nat

0.78

Total nurse hours / resident, daily

This

2.9

Nat

3.62

Annual nurse turnover

This

67%

Nat

53%

Annual RN turnover

This

75%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

18.6%

Nat

14%

Sedative / sleep med

This

32.1%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

1.9%

Nat

1.6%

Penalties & status

No abuse iconSFF CandidateInspection current$520,257 in fines (6)

Identity & licensing

CMS ID455429

OwnershipGovernment - Hospital district

ChainIndependent

Beds172

Avg residents78

Citations · last 36 months

Flagged by CMS data
CMS has designated this facility as a Special Focus Facility (SFF Candidate). This designation is given to nursing homes with a history of serious quality problems. Only the worst performers in the country receive this designation.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Registered nurse hours are 0.34 per resident per day — below the recommended minimum of 0.75 hours. RNs are responsible for clinical assessments and oversight. Low RN coverage is associated with higher rates of hospitalization and missed diagnoses.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Long-stay antianxiety / sleep medication rate is 32%. This category often shifts up when antipsychotic prescribing is restricted — different drug class, same effect on the resident. Worth asking the facility's prescribing rate for both classes side by side.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Texas DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for Avir at Rose Trail?

Avir at Rose Trail has an overall CMS Care Compare rating of 1 out of 5 stars. It scores 1 of 5 on health inspection, 1 of 5 on staffing, and 2 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Avir at Rose Trail been cited for resident harm?

It has $520,257 in federal fines across 6 penalties on record in the last 36 months. CMS data flagged 3 concerns on the latest reconcile. The full record for Avir at Rose Trail appears in the record section above.

Does Avir at Rose Trail use antipsychotic medications?

18.6 percent of long-stay residents at Avir at Rose Trail are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at 32.1 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Avir at Rose Trail's Palmelle Clarity Score?

Avir at Rose Trail has a Palmelle Clarity Score of 0 out of 100, putting it below the national median. The score is a composite of federal CMS and Texas state inspection data. Higher is better.

How can I tour or contact Avir at Rose Trail?

Avir at Rose Trail is located at 930 S BAXTER, Tyler, TX 75701. Phone: (903) 597-2068. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Avir at Rose Trail a special focus facility?

Avir at Rose Trail carries special focus status (SFF Candidate) on the federal program that identifies facilities with persistent quality problems.

What does F-689 mean on Avir at Rose Trail's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Avir at Rose Trail has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Avir at Rose Trail compare to other Tyler skilled nursing facilities?

Avir at Rose Trail holds a Palmelle Clarity Score of 0. The full Tyler directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Tyler directory to compare more facilities by score, staffing, and inspection record.

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