Starfile / Texas

ROSE TRAIL NURSING AND REHABILITATION CENTER

930 S BAXTER, TYLER, TX 75701 · CCN 455429

SFF Candidate

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$539,122

Number of fines

7

Number of penalties

7

Payment denials

0

Chain

Chain

AVIR HEALTH GROUP

Facilities in chain

90

Chain avg overall

2.30 / 5

Inspection citations (63)9 immediate jeopardy3 actual harm

1. EF0583Keep residents' personal and medical records private and confidential.2026-01-02 · Health · corrected 2026-01-03

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

3. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

4. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-12-04 · Health · corrected 2025-12-08

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-04 · Health · corrected 2025-12-24

   Potential for more than minimal harm

6. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

7. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

8. DF0759Ensure medication error rates are not 5 percent or greater.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

9. DF0760Ensure that residents are free from significant medication errors.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

10. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-04 · Health · corrected 2025-12-05

    Potential for more than minimal harm

11. EF0880Provide and implement an infection prevention and control program.2025-12-04 · Health · corrected 2025-12-11

    Potential for more than minimal harm

12. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-11-18 · Health · corrected 2025-11-19

    Potential for more than minimal harm

13. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-18 · Health · corrected 2025-11-19

    Potential for more than minimal harm

14. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-10-02 · Health · corrected 2025-10-04

    Potential for more than minimal harm

15. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-10-02 · Health · corrected 2025-10-04

    Potential for more than minimal harm

16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-10-02 · Health · corrected 2025-10-04

    Potential for more than minimal harm

17. KF0695Provide safe and appropriate respiratory care for a resident when needed.2025-10-02 · Health · corrected 2025-10-04

    Immediate jeopardy

18. KF0880Provide and implement an infection prevention and control program.2025-10-02 · Health · corrected 2025-10-04

    Immediate jeopardy

19. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-15 · Health · corrected 2025-08-12

    Immediate jeopardy

20. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-15 · Health · corrected 2025-08-18

    Potential for more than minimal harm

21. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-25 · Health · corrected 2025-03-28

    Potential for more than minimal harm

22. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-25 · Health · corrected 2025-03-28

    Potential for more than minimal harm

23. DF0880Provide and implement an infection prevention and control program.2025-03-25 · Health · corrected 2025-03-28

    Potential for more than minimal harm

24. EF0641Ensure each resident receives an accurate assessment.2024-09-25 · Health · corrected 2024-09-27

    Potential for more than minimal harm

25. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-09-25 · Health · corrected 2024-09-27

    Potential for more than minimal harm

26. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-25 · Health · corrected 2024-09-27

    Potential for more than minimal harm

27. DF0759Ensure medication error rates are not 5 percent or greater.2024-09-25 · Health · corrected 2024-09-27

    Potential for more than minimal harm

28. DF0880Provide and implement an infection prevention and control program.2024-09-25 · Health · corrected 2024-09-27

    Potential for more than minimal harm

29. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-08-25 · Health · corrected 2024-08-25

    Potential for more than minimal harm

30. DF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2024-07-10 · Health · corrected 2024-07-15

    Potential for more than minimal harm

31. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-17 · Health · corrected 2024-05-18

    Actual harm

32. DF0610Respond appropriately to all alleged violations.2024-05-17 · Health · corrected 2024-05-18

    Potential for more than minimal harm

33. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-03 · Health · corrected 2024-04-22

    Immediate jeopardy

34. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-03 · Health · corrected 2024-04-22

    Potential for more than minimal harm

35. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-03-18 · Health · corrected 2024-04-02

    Potential for more than minimal harm

36. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-03-18 · Health · corrected 2024-04-02

    Potential for more than minimal harm

37. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-03-18 · Health · corrected 2024-04-02

    Potential for more than minimal harm

38. FF0880Provide and implement an infection prevention and control program.2024-01-09 · Health · corrected 2024-01-10

    Potential for more than minimal harm

39. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-12-18 · Health · corrected 2023-12-19

    Potential for more than minimal harm

40. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-12-18 · Health · corrected 2023-12-19

    Actual harm

41. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-12-18 · Health · corrected 2023-12-19

    Actual harm

42. DF0641Ensure each resident receives an accurate assessment.2023-11-02 · Health · corrected 2023-11-07

    Potential for more than minimal harm

43. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-02 · Health · corrected 2023-11-07

    Potential for more than minimal harm

44. EF0791Provide or obtain dental services for each resident.2023-11-02 · Health · corrected 2023-11-07

    Potential for more than minimal harm

45. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-22 · Health · corrected 2023-09-23

    Potential for more than minimal harm

46. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-22 · Health · corrected 2023-09-23

    Potential for more than minimal harm

47. EF0693Ensure 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.2023-09-22 · Health · corrected 2023-09-23

    Potential for more than minimal harm

48. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-08-18 · Health · corrected 2023-08-21

    Potential for more than minimal harm

49. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-18 · Health · corrected 2023-08-21

    Immediate jeopardy

50. JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-18 · Health · corrected 2023-08-21

    Immediate jeopardy

51. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-18 · Health · corrected 2023-08-21

    Potential for more than minimal harm

52. JF0610Respond appropriately to all alleged violations.2023-08-18 · Health · corrected 2023-08-21

    Immediate jeopardy

53. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-08-18 · Health · corrected 2023-08-21

    Potential for more than minimal harm

54. EF0641Ensure each resident receives an accurate assessment.2023-08-18 · Health · corrected 2023-08-21

    Potential for more than minimal harm

55. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-18 · Health · corrected 2023-08-21

    Potential for more than minimal harm

56. CF0732Post nurse staffing information every day.2023-08-18 · Health · corrected 2023-08-21

    Potential for minimal harm

57. EF0606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.2023-08-04 · Health · corrected 2023-08-05

    Potential for more than minimal harm

58. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-04 · Health · corrected 2023-08-05

    Potential for more than minimal harm

59. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-29 · Health · corrected 2023-06-30

    Immediate jeopardy

60. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-04-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

61. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-03 · Health · corrected 2023-04-05

    Immediate jeopardy

62. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

63. DF0926Have policies on smoking.2023-04-03 · Health · corrected 2023-04-05

    Potential for more than minimal harm

Ownership

Other facilities in TYLER

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.