Senior Home Review
Home›Browse›Texas›Tyler›Avir At Rose Trail
Nursing homeFAID #12062

Avir At Rose Trail

930 S BAXTER, TYLER, TX, 75701
(903) 597-2068
172 licensed beds

CMS rates Avir At Rose Trail 1 out of 5 overall. Federal inspectors issued 63 citations across 23 inspections in the last three years, with $483,785 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

Generate this report

Delivered within 24–48 hours
What we can show you for free.
Bed capacity
172
CMS facility ID
455429
Care type
Nursing home
County
Smith
Facility name
Avir At Rose Trail
Street address
930 S BAXTER
City / state / ZIP
Tyler, TX 75701
Phone
(903) 597-2068

Avir At Rose Trail is a Medicare/Medicaid-certified skilled nursing facility in Tyler, Texas. It is licensed for 172 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 45 senior care facilities in Tyler and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Rose Trail 63 times across 23 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $483,785 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Avir Health Group
Ownership type
Government - Hospital district

Registered owners & officers

930 S Baxter Opco, Llc
Operational control · Additional disclosable party — since 2025
930 S Baxter Property Owner, Llc
Security-interest holder · Additional disclosable party — since 2025
Augustus, Lazel
Operational control · Additional disclosable party — since 2025
Bell, Robbin
Operational control · Additional disclosable party — since 2025
Dagan, Amitai
Owner of a disclosable party — since 2025
Freund, Nochum
Operational control — since 2025
Goldberger, Abraham
Owner of a disclosable party — since 2025
Thompson, Johnny
Director — since 2024
Travitsky, Aaron
Operational control — since 2025
Welltower Inc
Security-interest holder · Additional disclosable party — since 2025
Welltower Nnn Group, Llc
Security-interest holder · Additional disclosable party — since 2025
Welltower Op Llc
Security-interest holder · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since
1977-01-01
CMS overall rating
1 of 5 stars
Health deficiencies
24 at the last standard inspection
Federal fines
$483,785 total
Last standard inspection
2025-12-04
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$246 per day (≈ $7,480/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
80% Medicaid · 9% Medicare · 10% private/other
Occupancy
55% (fiscal year 2023)
Vs. state median
11% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
172
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-08-14Health inspectionComplaint-triggered2 citations
F-0580
K · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-08-15
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-08-15
2026-06-26Health inspectionComplaint-triggered2 citations
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2026-06-30
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-06-30
20 earlier / fire-safety inspections (59 citations)
2026-06-03Health inspectionComplaint-triggered1 citation
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-06-10
2026-03-05Health inspectionComplaint-triggered1 citation
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-03-16
2026-01-02Health inspectionComplaint-triggered1 citation
F-0583
E · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2026-01-03
2025-12-04Health inspection10 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-05
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-12-05
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-12-08
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-24
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-05
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-05
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-12-05
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-12-05
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-05
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-11
2025-11-18Health inspectionComplaint-triggered2 citations
F-0655
E · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-11-19
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-19
2025-10-02Health inspectionComplaint-triggered5 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-10-04
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-04
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-10-04
F-0695
K · Immediate jeopardyFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-04
F-0880
K · Immediate jeopardyFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-10-04
2025-08-15Health inspectionComplaint-triggered2 citations
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-12
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-18
2025-03-25Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-28
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-28
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-03-28
2024-09-25Health inspection5 citations
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-09-27
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-09-27
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-27
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-27
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-27
2024-08-25Health inspectionComplaint-triggered1 citation
F-0770
D · No harm foundFrom a complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-08-25
2024-07-10Health inspectionComplaint-triggered1 citation
F-0850
D · No harm foundFrom a complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2024-07-15
2024-05-17Health inspectionComplaint-triggered2 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-18
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-05-18
2024-04-03Health inspectionComplaint-triggered2 citations
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-22
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-04-22
2024-03-18Health inspectionComplaint-triggered3 citations
F-0622
D · No harm foundFrom a complaint
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.
Corrected 2024-04-02
F-0623
D · No harm foundFrom a complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-04-02
F-0626
D · No harm foundFrom a complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-04-02
2024-01-09Health inspectionComplaint-triggered1 citation
F-0880
F · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-01-10
2023-12-18Health inspectionComplaint-triggered3 citations
F-0585
D · No harm foundFrom a complaint
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.
Corrected 2023-12-19
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-19
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-19
2023-11-02Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2023-11-07
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-07
F-0791
E · No harm foundFrom a complaint
Provide or obtain dental services for each resident.
Corrected 2023-11-07
2023-08-18Health inspection9 citations
F-0584
E · No harm found
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.
Corrected 2023-08-21
F-0600
J · Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-21
F-0607
J · Immediate jeopardy
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-08-21
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-21
F-0610
J · Immediate jeopardy
Respond appropriately to all alleged violations.
Corrected 2023-08-21
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-08-21
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-08-21
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-21
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2023-08-21
2025-12-04Fire-safety inspection2 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-12-08
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-12-08
2024-09-25Fire-safety inspection2 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-09-27
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-09-27

Federal penalties

2026-08-14Fine$75,860
2025-08-15Fine$12,038
2025-08-15Fine$105,739
2024-05-17Fine$15,074
2024-03-18Fine$230,484
2023-12-18Fine$44,590
Total fines$483,785
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455429.
How it compares in Texas.
Inspection citations, 3 years
63
More than 91% of nursing homes in the state
State median: 33
Federal fines, 3 years
$483,785
More than 100% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.4
Higher than 65% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
60%
Higher than 75% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 8 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased13.2%15.8%13.5%Better than state
Lose too much weight2.4%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection1.1%0.8%1.5%Worse than state
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury3.5%3.2%3.2%Near state average
Assessed and appropriately given the pneumococcal vaccine97.9%96.4%93.7%Near state average
Ability to walk independently worsened7.9%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication32.0%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine98.8%97.0%95.3%Near state average
With pressure ulcers15.9%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence9.5%12.5%18.3%Better than state
Received an antipsychotic medication12.9%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days3.792.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days3.251.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine82.1%88.7%82.3%Near state average
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine86.4%85.4%80.1%Near state average
Were rehospitalized after a nursing home admission26.6%25.5%23.4%Near state average
Had an outpatient emergency department visit24.8%12.2%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0656 5 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0880 5 inspections. Provide and implement an infection prevention and control program.
  • F-0609 4 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • F-0641 3 inspections. Ensure each resident receives an accurate assessment.
  • F-0600 3 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Ut Health East Texas Tyler Regional Hospital, about 0.3 miles. CMS rating 2 of 5.
  • Christus Mother Frances Hospital, about 0.5 miles. CMS rating 4 of 5.
  • Baylor Scott & White Texas Spine & Joint Hospital, about 1.0 miles. CMS rating 5 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.0129 ratings on Google
★★★★★AJ Pauley · 2026-05-05 · via Google

“I stopped by to tour this facility as we are having to place our loved one into a home. From the moment our family walked through the doors, we felt welcomed and reassured that we made the right decision to try and place our loved one here. The staff took the time to answer questions, explain everything clearly, and make us feel comfortable during what can be a stressful time. I met with the admi…”

★Sharune Beck · 2025-09-17 · via Google

“In the beginning, this facility was gracious and considerate, and I was thankful they accepted my mother when others would not. However, I can no longer recommend Rose Trail due to the ongoing lack of care, coordination, and communication. I constantly have to go around staff just to receive a callback. Calls often go straight to voicemail, and weeks pass before I am told referrals are “sent,” on…”

★★★★★Emily Taylor · 2024-10-17 · via Google

“This establishment has been such a gift to not just those who are receiving care, and the job opportunities it possesses, but a gift to my family also. I have spoken with the administrator, who is wonderful Mrs.Robin is so sweet and very obviously cares about the quality of the facility and expects her employees to do the same. The activity director worked with me on a separate occasion, I called …”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 63 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered