Avir at Rose Trail: Staffing, Turnover, and Inspection Record
Avir at Rose Trail is a 172-bed government-run nursing home in Tyler, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 2.00 nurse aide hours per resident per day, about the same as the Texas average of 2.00, and 69.6% nursing staff turnover (Texas average 55.3%).
Avir at Rose Trail
930 S BaxterTyler, TX 75701
Smith County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at Rose Trail, nurse aides logged 2.00 hours per resident per day, about the same as the Texas average. With about 78 residents a day, that works out to roughly 155 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.00 | 2.00 | 2.32 |
| Licensed practical nurses | 0.65 | 0.95 | 0.86 |
| Registered nurses | 0.39 | 0.43 | 0.69 |
| All nursing staff | 3.04 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.55 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
69.6% of nursing staff at Avir at Rose Trail left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 87.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 4, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 24 health deficiencies (Texas average 9.3). CMS lists 4 fines totaling $392,851 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 15, 2025 | Fine | $12,038 |
| Aug 15, 2025 | Fine | $105,739 |
| Mar 18, 2024 | Fine | $230,484 |
| Dec 18, 2023 | Fine | $44,590 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at Rose Trail holds 1 of 5 overall; the Texas average is 2.6.
About Avir at Rose Trail
- Ownership: Government - Hospital district
- Chain: Avir Health Group, 116 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Jan 1, 1977
- Councils: resident council
- Area: urban
Nursing homes near Avir at Rose Trail
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Petal Hill Tyler · abuse citation | 0.0 | 120 | 2.05 | 3.50 | 43.9% | 2 | $31,256 |
| Park Place Nursing & Rehabilitation Center Tyler · abuse citation | 1.0 | 120 | 2.12 | 3.41 | 63.8% | 1 | $287,159 |
| Briarcliff Health Center Tyler | 2.7 | 230 | 2.37 | 3.67 | 41.0% | 2 | $51,034 |
| Avir at Azalea Heights Tyler | 2.7 | 120 | 1.76 | 2.60 | 43.8% | 2 | $27,550 |
| The Waterton Healthcare & Rehabilitation Tyler | 3.2 | 92 | 2.09 | 3.38 | 50.7% | 4 | $23,389 |
| Greenbrier Nursing & Rehabilitation Center of Tyle Tyler | 3.3 | 120 | 1.81 | 3.06 | 96.6% | 2 | None |
| Providence Park Rehabilitation and Skilled Nursing Tyler | 3.4 | 125 | 1.82 | 3.24 | 40.9% | 2 | $188,361 |
| Reunion Plaza Healthcare & Rehabilitation Tyler | 3.8 | 99 | 1.89 | 3.20 | 66.3% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.