Nursing home
Rose Trail Nursing and Rehabilitation Center
930 S Baxter, Tyler, TX 75701 · Map
Government - Hospital district · Part of Avir Health Group (90 facilities) · 172 certified beds
Rose Trail Nursing and Rehabilitation Center is a Medicare-certified nursing home in Tyler, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.93 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 4, 2025 cited 23 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 7 fines totaling $539,122In CMS records: 7 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Rose 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) | 2.93 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.32 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.96 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 86.4% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 23.0 | 9.1 | 9.5 | above 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.
Penalties in CMS records: 7 fines totaling $539,122, 7 total penalties.
What inspectors found at Rose 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
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Mar 5, 2026 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Jan 2, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 4, 2025 · Full report (PDF) - 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 · Dec 4, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Dec 4, 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
- 930 S Baxter
Tyler, TX 75701 - CMS certification #
- 455429
- Ownership
- Government - Hospital district
- Certified beds
- 172
- Avg residents/day
- 79.0
- Provider type
- Medicare and Medicaid
- First certified
- 1977-01-01
- Chain
- Avir Health Group (90 facilities)
- Setting
- Urban
Part of Avir Health Group
Avir Health Group operates 90 nursing facilities across the United States. View all Avir Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Rose Trail Nursing and Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ut Health East Texas Tyler Regional Hospital, Tyler. 0.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Avir at Petal Hill, Tyler. 0.0 miles away, straight line.
- Nearest home health agency office
- Nightingale Home Health Agency, Tyler. 0.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75701 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Watson Wise Dialysis Center, Tyler, 0.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Fresenius Medical Care Tyler Home Dialysis, Tyler, 2.2 miles away, straight line (CMS rating 5 of 5 stars)
Renal Care Group-Southeast Tyler, Tyler, 2.2 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 26 Medicare hospices tell CMS they serve ZIP code 75701.
Angel Hands Hospice Of East Texas, office in Tyler, 0.1 miles away, straight line
Compass Hospice Of East Texas LLC, office in Tyler, 0.2 miles away, straight line
Harbor Hospice 27 Lp, office in Tyler, 0.7 miles away, straight line - Nearest geriatric medicine practice
- Healthtexas Provider Network, Waxahachie. 88.6 miles away, straight line. 1 geriatric medicine doctor 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave relatively high, earthquake relatively 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 | Only cases that look tied to an earlier operator (not shown) |
| 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 very 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 Rose Trail Nursing and Rehabilitation Center a good nursing home?
CMS gives Rose Trail Nursing and Rehabilitation Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Rose Trail Nursing and Rehabilitation Center staffed?
Rose Trail Nursing and Rehabilitation Center reports 2.93 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Rose Trail Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 23 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Rose Trail Nursing and Rehabilitation Center have?
Rose Trail Nursing and Rehabilitation Center is certified for 172 beds.