Avir at Azalea Heights
Tyler, Texas · CCN 675289
33 surveys since 2010. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 101
- Surveys
- 33
- Harm or worse
- 8
- Immediate jeopardy
- 6
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- AVIR HEALTH GROUP
- County
- Smith
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 2
- Health inspection
- 3
- Staffing
- 1
- Quality measures
- 2
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Apr 30, 2026
193 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.60 | 3.25 |
| Registered-nurse hours per resident day | 0.33 | — |
| Annual nurse turnover | 43.8% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $27,550 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J312.0% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1560.0% | E520.0% | F14.0% |
| No harm, potential for minimal | A— | B14.0% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6773×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6412×
Ensure each resident receives an accurate assessment.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6932×
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.
In the surveyor’s words
From the most serious findings on record at Avir at Azalea Heights, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Sep 30, 2025
Based on observation, interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents (Resident #1)The facility failed to prevent Resident #1 from sustaining a fall from the bed on 08/28/2025 which resulted in a fractured right femur. The noncompliance was identified as PNC (past noncompliance). The IJ began on 08/28/2025 and ended on 09/02/2025. […]
- Immediate jeopardy, isolatedF580Oct 6, 2023
Based on interview and record review, the facility failed to consult with the resident's physician when there was a significant change in the resident's physical and mental status that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications for 1 of 4 (Resident #1) residents reviewed for resident rights. The facility failed to notify Resident #1's physician of elevated blood sugars resulting in her being sent to the emergency department unresponsive and with a blood sugar of 946 (normal blood sugar ranges are 70-110) This failure resulted in an identification of an Immediate Jeopardy (IJ) at 3:00 p.m. on 10/4/23. While the IJ was removed on 10/6/23 at 10:39 a.m. […]
- Immediate jeopardy, isolatedF684Oct 6, 2023
Based on interview and record review the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 1 of 4 (Resident #1) residents reviewed for quality of care. 1. The facility failed to monitor Resident #1's condition following elevated blood sugar readings. 2. The facility failed to notify Resident #1's physician of elevated blood sugars resulting in her being sent to the emergency department unresponsive and with a blood sugar of 946 (normal blood sugar ranges are 70-110) 3. The facility's Diabetic Management policy failed to address high blood sugars. 4. […]
- No harm, potential for more than minimal, widespreadF812Sep 18, 2024
Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen observed for kitchen sanitation. The paper towel dispensers at the hand wash sink and employee restroom had no paper towels. The bulk flour bin had a large scoop stored inside the product on 09/16/24 and 09/17/24. The utensil drawer was soiled with food debris and dried liquid. A 25 lb. bag of brown sugar and 2-16 oz. bags of potato chips were opened and not re-sealed. The 3 compartment sink was not sanitizing and was being used. The 3 compartment sink and dish machine logs had been pre-filled with results for the entire day (09/16/24) when the noon and evening meals had not occurred. […]
- No harm, potential for more than minimal, widespreadF812Mar 10, 2021
Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the kitchen. The DM did not know if the 3-compartment sink was sanitizing properly. This failure could place residents who ate food from the kitchen at risk of foodborne illness. Findings included: During an observation on 03/09/21 at 10:55 AM, Cook A was observed preparing the 3-compartment sink with fresh soapy water and sanitizer solution. […]
Read 25 findings in full →The most serious and the most recent: 25 of 101 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 28, 2026Complaint1 finding
- Apr 30, 2026Complaint2 findings
- Dec 10, 2025Standard8 findings
- Sep 30, 2025Complaint1 finding · 1 harm
- Sep 18, 2024Standard2 findings
- Apr 29, 2024Complaint3 findings
- Oct 6, 2023Complaint5 findings · 2 harm
- Aug 10, 2023Standard4 findings
Show the 25 earlier surveys
- Jun 22, 2022Standard1 finding
- Jul 28, 2021Infection control1 finding
- Mar 10, 2021Standard2 findings
- Oct 23, 2020Infection control1 finding
- Aug 6, 2019Complaint1 finding
- Jun 19, 2019Standard1 finding
- Apr 27, 2018Standard6 findings
- Feb 7, 2018Complaint2 findings · 1 harm
- Oct 25, 2017Complaint1 finding
- Oct 6, 2017Complaint3 findings · 3 harm
- Jul 20, 2017Complaint1 finding
- Jun 21, 2017Standard7 findings
- Mar 21, 2017Complaint2 findings
- Oct 16, 2016Complaint1 finding · 1 harm
- Jun 8, 2016Standard and complaint8 findings
- Aug 26, 2015Complaint2 findings
- Jun 24, 2015Standard9 findings
- Feb 5, 2015Complaint2 findings
- Jul 1, 2014Standard9 findings
- Sep 25, 2013—2 findings
- Jul 18, 2013—4 findings
- Jul 18, 2012—2 findings
- Jan 4, 2012—3 findings
- Nov 10, 2010—2 findings
- Oct 5, 2010—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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