Avir At Petal Hill
900 S BAXTER AVE, 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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Avir Health Group
- Certified beds
- 120 · avg 80 residents/day
- Total nursing staff turnover
- 77.9% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $61,847 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 311721
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 22 Medicare-only · 98 Medicaid/Medicare
- Current license effective
- March 1, 2025
- Current license expires
- January 1, 2027
- Initial license date
- April 18, 1984
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 900 S Baxter Avenue Opco Llc
- Administrator
- Todd C Bickle
Texas HHS licensing registry · as of April 16, 2026
About this community
Avir At Petal Hill is a 120-bed nursing home in Tyler, Texas, operated under the Avir Health Group name and licensed to West Wharton County Hospital District. CMS rates it 2 stars overall, with a substantiated abuse or neglect finding within the past 36 months and two fines totaling $61,847 since the most recent reporting period. Three administrators have turned over in the past year. About 80 of the 120 licensed beds are currently occupied.
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. Each resident receives about 199 minutes of nursing care per day — roughly 42 minutes less than at a 4-star-staffing facility in Texas. Of those minutes, only 25 come from a registered nurse. Texas 4-star facilities average 37 RN minutes per resident per day.
Roughly 8 in 10 nursing staff left in the past year — a very high rate by Texas standards, above the state's 75th-percentile cutoff. Every single registered nurse on staff turned over in that same period. A long-stay resident will likely go through two or three primary caregivers, and the RN turnover means supervisory continuity is also disrupted.
Three administrators have left in the past year. That pace of leadership change affects how consistently policies are carried out day to day.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. This finding appears on the CMS record and is separate from the fine history.
Two CMS fines totaling $61,847 have been issued. The median fine total among penalized Texas nursing homes is about $20,699, so this total is roughly three times that midpoint. About 30% of Texas facilities have no fines at all.
The facility is running at about 67% of its 120 licensed beds — 80 residents on an average day. Paired with the staffing, turnover, and safety flags above, that occupancy level reflects conditions worth examining directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Details behind the abuse finding
CMS shows a substantiated abuse or neglect finding within the past 36 months — ask what happened, what changed, and how staff are trained and monitored now.
Current administrator and tenure
Three administrators have left in the past year; ask who is currently in the role, how long they have been here, and whether the position is considered stable.
RN coverage on evenings and weekends
Every registered nurse on staff turned over in the past year and RN hours per resident are 25 minutes per day — ask whether a registered nurse is physically present during nights and weekends.
Reasons for low occupancy
About 40 of 120 beds are empty on an average day; ask management what accounts for the vacancy rate and whether any units or wings are currently closed.
What the two fines covered
Two CMS fines totaling $61,847 have been issued; ask what deficiencies triggered each fine and what corrective steps the facility completed.
Staffing levels on a typical weekend
Reported weekend nursing hours per resident are lower than weekday figures; ask how many nurses and aides are on the floor on a Saturday or Sunday.
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.