Avir at Azalea Heights
3505 Old Jacksonville Rd · Tyler, TX · 75701 · 9035612011
120 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Total nurse staffing below 3.0 hours per resident-day
2.77 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.77 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 2.55 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $27,550 |
Inspection citations (25 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D April 30, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 1, 2026 · Infection Control
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Potential for harm · D December 10, 2025
Ensure each resident receives an accurate assessment.
Corrected January 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 12, 2026 · Quality of Life and Care
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Potential for harm · E December 10, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 12, 2026 · Pharmacy Service
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Potential for harm · D December 10, 2025
Provide and implement an infection prevention and control program.
Corrected January 12, 2026 · Infection Control
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No harm found · B December 10, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected January 12, 2026 · Resident Rights
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Immediate jeopardy · J September 30, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · F September 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 19, 2024 · Nutrition and Dietary
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Potential for harm · D September 18, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 29, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 22, 2024 · Quality of Life and Care
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Potential for harm · D April 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 22, 2024 · Quality of Life and Care
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Potential for harm · D April 29, 2024 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 22, 2024 · Pharmacy Service
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Immediate jeopardy · J October 6, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 9, 2023 · Resident Rights
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Immediate jeopardy · J October 6, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 9, 2023 · Quality of Life and Care
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Potential for harm · D October 6, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 9, 2023 · Resident Assessment and Care Planning
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Potential for harm · E October 6, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 9, 2023 · Quality of Life and Care
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Potential for harm · D October 6, 2023 · found via complaint
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.
Corrected October 9, 2023 · Quality of Life and Care
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Potential for harm · D August 10, 2023
Ensure each resident receives an accurate assessment.
Corrected September 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · E August 10, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 5, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 10, 2023
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.
Corrected September 5, 2023 · Quality of Life and Care
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Potential for harm · E August 10, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 5, 2023 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 30, 2025 | Fine | $14,901 |
| October 6, 2023 | Fine | $12,649 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675289 · certified since January 13, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.