Azalea Trail Nursing And Rehabilitation Center
411 SPRING CREEK RD, Grand Saline, TX, 75140
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
- Certified beds
- 72 · avg 54 residents/day
- Total nursing staff turnover
- 27.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 144302
- Service type
- Medicare/medicaid
- Licensed capacity
- 72 beds
- Bed type breakdown
- 17 Medicare-only · 55 Medicaid/Medicare
- Current license effective
- March 4, 2025
- Current license expires
- January 1, 2028
- Initial license date
- April 6, 1981
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Ekklesia Healthcare Llc (Limited Liability Company (LLC))
- Administrator
- Kyle M Thompson
Texas HHS licensing registry · as of April 16, 2026
About this community
Azalea Trail Nursing And Rehabilitation Center is a 72-bed nursing home in Grand Saline, Van Zandt County, licensed to Ekklesia Healthcare LLC and certified for both Medicare and Medicaid. CMS rates it 5 stars overall and 5 stars on health inspections — the top tier. Staffing comes in at 3 stars, and quality-measure ratings are lower: 2 stars for long-stay residents and 1 star for short-stay. The facility is currently operating at about 74% of its licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 3 stars on staffing. Each resident receives about 210 minutes of nursing care per day — roughly 31 minutes less than at a 4-star-staffing facility in Texas. That said, the resident mix here requires less hands-on care than at a typical facility, so those hours stretch somewhat further than the raw number suggests.
Nursing staff turnover is exceptionally low: roughly 3 in 10 nursing staff left in the past year, below Texas's 25th-percentile cutoff — better than about three-quarters of nursing homes in the state. A long-stay resident is unlikely to cycle through many different primary caregivers.
The facility is running at about 74% of its 72 licensed beds, with an average of 53 or 54 residents on any given day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay quality ratings explained
CMS rates short-stay quality outcomes at 1 star — ask which specific measures drove that rating and what changes have been made.
Long-stay quality measures
Long-stay quality rates 2 stars despite a 5-star health inspection; ask which resident outcomes are below average and how care plans address them.
RN coverage on evenings and weekends
Reported RN hours are about 18 minutes per resident per day; ask how many registered nurses are on duty overnight and on weekends.
Current bed availability
The facility is at roughly 74% occupancy — ask whether that reflects recent admissions trends or a longer pattern, and what the current waitlist looks like.
Resident Council participation
A Resident Council is active here but no Family Council; ask how family members can formally raise concerns or receive updates on resident care.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.