Avir At Azalea Heights
3505 OLD JACKSONVILLE RD, Tyler, TX, 75701
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 120 · avg 84 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 0% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $35,574 total
State licensing & capacity
- License number
- 310613
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 13 Medicare-only · 107 Medicaid/Medicare
- Current license effective
- December 15, 2025
- Current license expires
- December 15, 2028
- Initial license date
- March 31, 1983
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 3505 Old Jacksonville Rd Opco Llc
- Administrator
- Nicole Morris
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (23 on record)
- Touchstone Strategies - Tyler2 Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Nicole Morris
Operational/managerial Control · since 2025
- Frost Bank
5% or Greater Security Interest · 15% · since 2024
- Sheryl Aderholt
Operational/managerial Control · since 2023
- Johnny Thompson
Corporate Officer · since 2023
+ 17 additional owners on the federal record.
Recent change of ownership
December 2022 (3 years ago) · acquired from Pinecrest Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 23)
- D0880·Dec 10, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0755·Dec 10, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0677·Dec 10, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0656·Dec 10, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0655·Dec 10, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0644·Dec 10, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0641·Dec 10, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- B0628·Dec 10, 2025
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Federal penalties
By year
- 20251 fine · $23K
- 20231 fine · $13K
Most recent events
- Sep 30, 2025Fine · $23K
- Oct 6, 2023Fine · $13K
Largest single fine on record: $23K.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Azalea Heights is a 120-bed Medicare/Medicaid nursing home in Tyler, Texas, operated under the Avir Health Group chain. CMS rates it 3 stars overall, with 2-star ratings on both staffing and quality measures for short-stay residents. Two CMS fines totaling $35,574 have been assessed. The facility is currently running at about 70% of licensed capacity, with 83 of 120 beds occupied on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — a level shared by about 32% of Texas nursing homes. Each resident receives roughly 180 minutes of nursing care per day, about 61 minutes less than at a 4-star-staffing facility in Texas. Beyond the raw hours, residents here need more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 180 minutes stretch thinner than they appear on paper.
Registered nurse turnover is exceptionally low: 0 in 10 RNs left in the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas on this measure.
One administrator has turned over in the past year. That level of leadership change can affect consistency in how care policies are carried out day to day.
Two CMS fines totaling $35,574 have been assessed. About 30% of Texas nursing homes have received no fines; the state median among facilities that do have fines is $20,699, placing this facility's total above the midpoint for penalized facilities in the state.
The facility is operating at roughly 70% of its 120 licensed beds — about 83 residents on an average day. That level of vacancy, alongside the other signals in this record, is a data point families may want to raise directly with staff.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing hours on weekends
Weekend nursing hours here average 2.78 minutes per resident per hour — lower than the already-below-average weekday figure; ask how many nurses and aides are scheduled on Saturdays and Sundays.
What the two fines were for
Two CMS fines totaling $35,574 have been assessed; ask which deficiencies triggered them and what changes were made afterward.
Current administrator tenure
One administrator left in the past year; ask how long the current administrator has been in this role and whether the same management team is still in place.
Why occupancy is at 70%
Only about 83 of 120 beds are filled on an average day; ask whether that reflects a recent admission freeze, staffing limits, or another operational factor.
Short-stay quality outcomes
CMS rates short-stay quality measures at 1 star while long-stay measures rate 5 stars; ask which specific short-stay outcomes drove that rating and how they are being addressed.
Resident Council meeting frequency
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how family members can receive summaries of concerns raised.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.