Nursing home · Top rated by CMS
Azalea Trail Nursing and Rehabilitation Center
411 Spring Creek Rd, Grand Saline, TX 75140 · Map
For profit - Limited Liability company · 72 certified beds
Azalea Trail Nursing and Rehabilitation Center is a Medicare-certified nursing home in Grand Saline, Texas. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.49 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on May 14, 2025 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Azalea Trail Nursing and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.49 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.31 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.29 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 27.3% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 1.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Azalea Trail Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Nov 19, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 411 Spring Creek Rd
Grand Saline, TX 75140 - CMS certification #
- 675253
- Ownership
- For profit - Limited Liability company
- Certified beds
- 72
- Avg residents/day
- 53.5
- Provider type
- Medicare and Medicaid
- First certified
- 1994-01-19
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Azalea Trail Nursing and Rehabilitation Center using Google Maps.
Other public records
- Emergency In FEMA's high-risk flood area (Zone A)
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ut Health East Texas Quitman Hospital, Quitman. 17.3 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Avir at Bradburn, Grand Saline. 0.3 miles away, straight line.
- Nearest home health agency office
- Veteran Home Care, Canton. 13.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire's Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75140 as rural (rural area).
- Dialysis within 15 miles
- Rcg Mineola Dialysis, Mineola, 12.8 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Canton Dialysis, Canton, 13.3 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 19 Medicare hospices tell CMS they serve ZIP code 75140.
Reflections Hospice Of Texas LLC, office in Quitman, 19.0 miles away, straight line - Nearest geriatric medicine practice
- Vmd Primary Providers North Texas PLLC, Garland. 58.0 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone A: 1% annual chance flood area (high risk); no base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Azalea Trail Nursing and Rehabilitation Center a good nursing home?
CMS gives Azalea Trail Nursing and Rehabilitation Center an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Azalea Trail Nursing and Rehabilitation Center staffed?
Azalea Trail Nursing and Rehabilitation Center reports 3.49 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Azalea Trail Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Azalea Trail Nursing and Rehabilitation Center have?
Azalea Trail Nursing and Rehabilitation Center is certified for 72 beds.