Avir At Rose Trail
930 S BAXTER, 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.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Avir Health Group
- Certified beds
- 172 · avg 79 residents/day
- Total nursing staff turnover
- 86.4% — 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
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 7 fines · $539,122 total
State licensing & capacity
- License number
- 311723
- Service type
- Medicare/medicaid
- Licensed capacity
- 172 beds
- Bed type breakdown
- 59 Medicare-only · 113 Medicaid/Medicare
- Current license effective
- March 28, 2025
- Current license expires
- January 1, 2027
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 930 S Baxter Opco Llc
- Administrator
- Thomas O Mcdowell
Texas HHS licensing registry · as of April 16, 2026
About this community
Avir At Rose Trail is a 172-bed nursing home in Tyler, Texas, part of the Avir Health Group chain and licensed to West Wharton County Hospital District. CMS rates it 1 star overall, with a 1-star health inspection rating and designation as a Special Focus Facility Candidate — a pattern of serious deficiencies flagged by federal regulators. Seven fines totaling $539,122 have been issued. The facility is currently operating at roughly 46% of its licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Avir At Rose Trail 1 star on staffing — placing it among the bottom 38% of Texas nursing homes on this measure. Each resident receives about 176 minutes of nursing care per day, roughly 65 minutes less than at a 4-star-staffing facility in Texas. Registered nurses account for only 19 minutes of that daily total; the Texas threshold for a 4-star RN rating is 37 minutes. Residents here also require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those staffing hours stretch thinner than the raw numbers already suggest.
Nine in 10 nursing staff left in the past year — well above the Texas 75th percentile of 60%. Every registered nurse on staff turned over in that same period. At that pace, a long-stay resident will likely cycle through multiple primary caregivers within a single year.
CMS has flagged this facility as a Special Focus Facility Candidate — one step below the worst-performing designation in the federal system, signaling a documented pattern of serious deficiencies. Inspections at SFF Candidates occur more frequently than the standard annual cycle.
Seven CMS fines totaling $539,122 have been assessed. The median total fine amount among Texas nursing homes that have been fined is $20,699; this facility's total is more than 26 times that figure. Roughly 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 46% of its 172 licensed beds — about 79 residents on a typical day. That occupancy level, combined with the regulatory and staffing signals above, is a material data point.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
SFF Candidate designation and corrective plan
Ask management to walk through the specific deficiencies that led to the Special Focus Facility Candidate designation and what concrete steps have been taken since.
Plans to address $539,000 in fines
Seven federal fines totaling $539,122 have been assessed — ask which citations drove the largest penalties and whether those issues have been formally resolved with CMS.
Staffing levels on nights and weekends
Reported weekend nursing hours run 2.5 hours per resident per day, below the already-low weekday figure — ask how many nurses and aides are on the floor during overnight and weekend shifts.
RN turnover and current RN coverage
Every registered nurse on staff turned over in the past year — ask how many RNs are currently employed and how many shifts per week each works on-site.
Current bed occupancy and waitlist status
The facility is running at roughly 46% occupancy — ask what is driving the low census and whether services or staffing levels have changed as a result.
Management company's role day to day
The facility is licensed to a hospital district but managed by 930 S Baxter Opco LLC — ask which entity makes staffing and care decisions and who is accountable for regulatory compliance.
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.