Azalea Trail Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Azalea Trail Nursing and Rehabilitation Center is a 72-bed for-profit nursing home in Grand Saline, Texas. In the CMS August 2026 release it reported 2.24 nurse aide hours per resident per day, 12% above the Texas average of 2.00, and 26.8% nursing staff turnover (Texas average 55.3%).
Azalea Trail Nursing and Rehabilitation Center
411 Spring Creek RdGrand Saline, TX 75140
Van Zandt County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Azalea Trail Nursing and Rehabilitation Center, nurse aides logged 2.24 hours per resident per day, 12% above the Texas average. With about 62 residents a day, that works out to roughly 140 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.24 | 2.00 | 2.32 |
| Licensed practical nurses | 0.83 | 0.95 | 0.86 |
| Registered nurses | 0.29 | 0.43 | 0.69 |
| All nursing staff | 3.35 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.94 | 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
26.8% of nursing staff at Azalea Trail Nursing and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 1 health deficiency (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Azalea Trail Nursing and Rehabilitation Center holds 4 of 5 overall; the Texas average is 2.6.
About Azalea Trail Nursing and Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Legal name: Ekklesia Healthcare, LLC
- Medicare and Medicaid certified since: Jan 19, 1994
- Councils: resident council
- Area: rural
Nursing homes near Azalea Trail Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Bradburn Grand Saline · many days without an RN | 0.3 | 76 | 2.14 | 3.39 | 83.8% | 1 | $136,027 |
| Avir at Grand Saline Grand Saline | 0.5 | 120 | 2.58 | 3.68 | 42.0% | 2 | $8,410 |
| Van Healthcare Van | 11.3 | 60 | 2.63 | 3.95 | 70.8% | 4 | None |
| Avir at Mineola Mineola · abuse citation · many days without an RN | 12.7 | 115 | 2.32 | 3.45 | — | 1 | $24,850 |
| Mineola Gardens Wellness & Rehabilitation Mineola · abuse citation | 13.2 | 82 | 1.52 | 3.16 | 88.9% | 1 | $50,527 |
| Canton Oaks Canton | 13.3 | 120 | 2.06 | 3.24 | 30.4% | 4 | $49,111 |
| Emory Health and Rehab Emory | 14.6 | 68 | 1.87 | 2.85 | 80.0% | 3 | None |
| Crestwood Health and Rehabilitation Center Wills Point | 16.8 | 117 | 1.95 | 3.29 | 50.0% | 5 | 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.