Home›Browse›Texas›Grand Saline›Azalea Trail Nursing and Rehabilitation Center

Nursing homeFAID #14022

Azalea Trail Nursing and Rehabilitation Center

411 SPRING CREEK RD, GRAND SALINE, TX, 75140

(903) 962-4226

72 licensed beds

CMS rates Azalea Trail Nursing and Rehabilitation Center 5 out of 5 overall. Federal inspectors issued 9 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

411 Spring Creek Rd

Grand Saline, TX 75140

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675253

Care type

Nursing home

County

Van Zandt

Facility name

Azalea Trail Nursing and Rehabilitation Center

Street address

411 SPRING CREEK RD

City / state / ZIP

Grand Saline, TX 75140

Phone

(903) 962-4226

About this facility — Azalea Trail Nursing and Rehabilitation Center

Azalea Trail Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Grand Saline, Texas. It is licensed for 72 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 3 senior care facilities in Grand Saline 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.

Federal inspectors have cited Azalea Trail Nursing and Rehabilitation Center 9 times across 7 inspections in the last three years; no federal fines are on record. 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.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Individual

Registered owners & officers

Ward, Michael

Direct owner · Additional disclosable party — since 2007

Ward, Patricia

Direct owner · Operational control · Additional disclosable party — since 2007

Regulatory standing

Licensed / certified since

1994-01-19

CMS overall rating

5 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-07-29

Nurse staffing

3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$157 per day (≈ $4,770/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

61% Medicaid · 18% Medicare · 21% private/other

Occupancy

63% (fiscal year 2023)

Vs. state median

43% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2026-07-29Health inspection1 citation

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-08-03

2025-11-19Health inspectionComplaint-triggered1 citation

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 2025-12-19

3 earlier / fire-safety inspections (7 citations)

2026-07-29Fire-safety inspection3 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 2026-08-06

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-08-07

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2025-05-14Fire-safety inspection1 citation

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2024-04-03Fire-safety inspection3 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-05-31

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K-0781

E · No harm found

Have restrictions on the use of portable space heaters.

Corrected 2024-05-31

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 675253.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

Among the fewest of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.7

Higher than 80% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

33%

Higher than 10% 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 7 and worse on 10. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	32.7%	15.8%	13.5%	Worse than state
Lose too much weight	1.8%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	2.0%	0.3%	0.7%	Worse than state
With a urinary tract infection	9.4%	0.8%	1.5%	Worse than state
Have depressive symptoms	1.1%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	9.6%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	99.5%	96.4%	93.7%	Near state average
Ability to walk independently worsened	35.3%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	25.7%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	98.4%	97.0%	95.3%	Near state average
With pressure ulcers	4.7%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	13.5%	12.5%	18.3%	Near state average
Received an antipsychotic medication	9.2%	9.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	2.62	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	2.23	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.3%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	1.6%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	96.3%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	21.9%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	9.5%	12.2%	11.8%	Better 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.

K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Verify & compare

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 Quitman Hospital, about 17 miles. CMS rating 4 of 5.
Christus Mother Frances Hospital- Winnsboro, about 30 miles.
Christus Mother Frances Hospital, about 33 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Avir At Bradburn, Grand Saline, about 0.3 miles. CMS rating 1 of 5.
Avir At Grand Saline, Grand Saline, about 0.5 miles. CMS rating 3 of 5.
Van Healthcare, Van, about 11 miles. CMS rating 3 of 5.
Avir At Mineola, Mineola, about 13 miles. CMS rating 2 of 5.
Mineola Gardens Wellness & Rehabilitation, Mineola, about 13 miles. CMS rating 2 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 9 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

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

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