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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasRose Trail Nursing and Rehabilitation Center

Rose Trail Nursing and Rehabilitation Center

930 S Baxter, Tyler, TX 757019035972068
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
2/5
Beds
172
certified
Special Focus Facility: SFF Candidate
7 fine(s) totaling $539,122

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 172 certified beds with an average of 79 residents per day (46% occupancy)

• Last health inspection found 18 deficiencies (inspected Sep 25, 2024)

• Has been fined a total of $539,122 across 7 fine(s)

• Total nursing staff: 2.93 hours per resident per day

• Staff turnover rate: 86.4% (high)

• Part of the Avir Health Group chain (79 facilities)

Rose Trail Nursing and Rehabilitation Center is a 1-star Medicare and Medicaid certified nursing home in Tyler, Texas with 172 certified beds. It has been operating since 1977. The facility scored below average compared to Texas facilities.

Beds
172
Avg Residents/Day
79
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 1, 1977
Sprinklers
Yes
Council
Resident
County
Smith
Last Inspection
Sep 25, 2024
Deficiencies (Cycle 1)
18
Weighted Score
418.8
Infection Citations
0

Deficiency Citations (55)

F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Jan 2, 2026Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 18, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 2, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 2, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Oct 2, 2025Corrected: NoCycle: 1
F0695Immediate Jeopardy

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Oct 2, 2025Corrected: NoCycle: 1
F0880Immediate Jeopardy

Provide and implement an infection prevention and control program.

Survey: Oct 2, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Aug 15, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 25, 2025Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 25, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 25, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 25, 2024Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Sep 25, 2024Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Sep 25, 2024Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Sep 25, 2024Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 25, 2024Corrected: NoCycle: 1
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Aug 25, 2024Corrected: NoCycle: 2
F0850Potential for Harm

Hire a qualified full-time social worker in a facility with more than 120 beds.

Survey: Jul 10, 2024Corrected: NoCycle: 2
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 17, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 17, 2024Corrected: NoCycle: 2
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 3, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Apr 3, 2024Corrected: NoCycle: 2
F0622Potential for Harm

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.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0626Potential for Harm

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Survey: Mar 18, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Aug 18, 2023Corrected: NoCycle: 2
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Aug 18, 2023Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 18, 2023Corrected: NoCycle: 2

+ 25 more deficiencies

Total Fines
$539,122
Number of Fines
7
Payment Denials
0
Total Penalties
7

Penalty History

FineJun 29, 2023
$14,518
FineAug 15, 2025
$18,520
FineApr 3, 2023
$20,065
FineDec 18, 2023
$44,590
FineAug 4, 2023
$49,470
FineAug 15, 2025
$161,475
FineMar 18, 2024
$230,484

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.96 hrs
National avg: 2.35 hrs
LPN0.66 hrs
National avg: 0.86 hrs
RN0.32 hrs
National avg: 0.68 hrs
Total Nursing2.93 hrs
National avg: 3.89 hrs
Weekend Total2.50 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
86.4%
RN Turnover
100.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
WEST WHARTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2024
930 S BAXTER OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2025
AUGUSTUS, LAZELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
BELL, ROBBINOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2025
THOMPSON, JOHNNYCORPORATE DIRECTORIndividualN/AMay 15, 2024
930 S BAXTER PROPERTY OWNER, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AMar 1, 2025
WELLTOWER NNN GROUP, LLC5% OR GREATER SECURITY INTERESTOrganizationN/AMar 1, 2025
WELLTOWER OP LLC5% OR GREATER SECURITY INTERESTOrganizationN/AMar 1, 2025

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Frequently Asked Questions

What is the CMS rating for Rose Trail Nursing and Rehabilitation Center?▾
Rose Trail Nursing and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 2/5. This facility is rated below average.
Has Rose Trail Nursing and Rehabilitation Center had any health inspection violations?▾
Rose Trail Nursing and Rehabilitation Center had 18 deficiency citations in its most recent health inspection (Sep 25, 2024). The facility has been fined a total of $539,122 across 7 fine(s).
What are the staffing levels at Rose Trail Nursing and Rehabilitation Center?▾
Rose Trail Nursing and Rehabilitation Center provides 2.93 total nursing staff hours per resident per day, including 0.32 RN hours, 0.66 LPN hours, and 1.96 nurse aide hours. The total staff turnover rate is 86.4%.
How many beds does Rose Trail Nursing and Rehabilitation Center have?▾
Rose Trail Nursing and Rehabilitation Center has 172 certified beds with an average of 79 residents per day, resulting in approximately 46% occupancy. The facility is Government - Hospital district owned and is part of the Avir Health Group chain.
Are there other nursing homes near Rose Trail Nursing and Rehabilitation Center?▾
Yes, there are 12 other nursing homes in Tyler, Texas with an average rating of 3.2/5. You can compare all facilities on the Tyler nursing homes page.

Part of Avir Health Group

This chain operates 79 facilities. View all →