Avir at Rose Trail
Nursing Home Facility
930 S Baxter, Tyler, TX 75701

Colonial Tyler Care Center is a 172-bed skilled nursing facility located two blocks from the local hospitals. We offer private and semi-private rooms and a Rehabilitation Center that offers services daily to our clients. We also provide 24hr RN coverage allowing us to accept a higher clinical level such as IV's, wounds and TPN.
Operated by Genesis HealthCare, which runs 507 communities in our directory.
Avir at Rose Trail is licensed for 172 beds, about typical for the area, where senior care communities in Tyler average about 202 beds.
Federal reporting puts occupancy at about 45% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Tyler average of roughly 62%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Tyler average about 2.6 stars. Its most recent standard health inspection was in December 2025 and recorded 24 deficiencies.
Residents receive about 3.0 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 70%, which is high and can affect continuity of care.
The community is located in Smith County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 62 problems at Avir at Rose Trail. 10 findings involved harm to a resident, including 7 that put residents in immediate danger. 42 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $392,851.
Findings from the most recent inspection cycle
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Put residents in immediate danger, a pattern
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Put residents in immediate danger, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, a pattern
Resident Rights
Keep residents' personal and medical records private and confidential.
Show 16 more
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Avir at Rose Trail offers assisted living, nursing home care, hospice care, respite care, and senior living.
Facility details
- Organization type for-profit limited liability corporation
- Beds / units 172
- Occupancy 45%
- Nursing hours per resident/day 3.0
- Annual staff turnover 70%
- Last health inspection December 2025
Resident & family reviews
No one has shared a review of Avir at Rose Trail yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.