Avir at Rose Trail

Special Focus Facility candidate · CCN 455429 · WEST WHARTON COUNTY HOSPITAL DISTRICT · Government - Hospital district · AVIR HEALTH GROUP chain · 172 certified beds · Smith · TX


Avir at Rose Trail is a 172-bed nursing home in TYLER, Texas. CMS has certified it for Medicare and Medicaid since 1977-01-01. It averages 77.5 residents a day.

What harm was found in the violations cited at Avir at Rose Trail?

CMS lists 62 health-inspection deficiencies for Avir at Rose Trail, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-06-26.

Survey dateTagDeficiencySeverity
2026-06-26F0602, F0609Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2026-06-03F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E
2026-03-05F0760Ensure that residents are free from significant medication errors.D
2026-01-02F0583Keep residents' personal and medical records private and confidential.E
2025-12-04F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2025-12-04F0550, F0644, F0655, F0656, F0695, F0755, F0759, F0760Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors.D
2025-11-18F0655, F0656Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2025-10-02F0695, F0880Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program.K
2025-10-02F0609, F0656, F0690Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2025-08-15F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-08-15F0695Provide safe and appropriate respiratory care for a resident when needed.D
2025-03-25F0656, F0686, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program.D
2024-09-25F0641, F0755Ensure each resident receives an accurate assessment. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2024-09-25F0644, F0759, F0880Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program.D
2024-08-25F0770Provide timely, quality laboratory services/tests to meet the needs of residents.D
2024-07-10F0850Hire a qualified full-time social worker in a facility with more than 120 beds.D
2024-05-17F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2024-05-17F0610Respond appropriately to all alleged violations.D
2024-04-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K
2024-04-03F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-03-18F0622, F0623, F0626Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D
2024-01-09F0880Provide and implement an infection prevention and control program.F
2023-12-18F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-12-18F0585Honor 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.D
2023-11-02F0791Provide or obtain dental services for each resident.E
2023-11-02F0641, F0656Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2023-09-22F0550, F0690, F0693Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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.E
2023-08-18F0600, F0607, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations.J
2023-08-18F0584, F0641, F0677Honor 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. / Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable.E
2023-08-18F0609, F0640Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D
2023-08-18F0732Post nurse staffing information every day.C
2023-08-04F0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.E
2023-08-04F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D

Why was Avir at Rose Trail fined 4 times?

DateTypeAmount
2025-08-15Fine$105,739
2025-08-15Fine$12,038
2024-03-18Fine$230,484
2023-12-18Fine$44,590

How is Avir at Rose Trail staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.037323.38539
Total nursing staff turnover (%)69.655.3
Average number of residents per day77.575.8

Who owns Avir at Rose Trail, and what chain is it in?

Avir at Rose Trail is registered with CMS as Government - Hospital district, operates under the legal business name WEST WHARTON COUNTY HOSPITAL DISTRICT and belongs to the AVIR HEALTH GROUP chain.

RoleOwnerAssociation date
5% OR GREATER SECURITY INTEREST930 S BAXTER PROPERTY OWNER, LLC, WELLTOWER INC, WELLTOWER NNN GROUP, LLC, WELLTOWER OP, LLCsince 03/01/2025
CORPORATE DIRECTORTHOMPSON, JOHNNYsince 05/15/2024
OPERATIONAL/MANAGERIAL CONTROL930 S BAXTER OPCO, LLC, AUGUSTUS, LAZEL, BELL, ROBBIN, FREUND, NOCHUM, TRAVITSKY, AARONsince 03/01/2025
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFDAGAN, AMITAI, GOLDBERGER, ABRAHAMsince 04/25/2025
ADP OF THE SNF930 S BAXTER OPCO, LLC, 930 S BAXTER PROPERTY OWNER, LLC, WELLTOWER INC, WELLTOWER NNN GROUP, LLC, WELLTOWER OP, LLC, AUGUSTUS, LAZEL, BELL, ROBBINsince 03/01/2025

Were you or a family member harmed at Avir at Rose Trail?