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Avir at Rose Trail

Nursing Home Facility

930 S Baxter, Tyler, TX 75701

Assisted Living Nursing Home Care Hospice Care Respite Care Senior Living
Avir at Rose Trail

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.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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

  • Put residents in immediate danger, a pattern Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected October 2025, after a complaint. Corrected by October 4, 2025.

  • Put residents in immediate danger, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected October 2025, after a complaint. Corrected by October 4, 2025.

  • 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.

    Inspected August 2025, after a complaint. Corrected by August 12, 2025.

  • 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.

    Inspected June 2026, after a complaint. Corrected by June 30, 2026.

  • 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.

    Inspected June 2026, after a complaint. Corrected by June 30, 2026.

  • 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.

    Inspected June 2026, after a complaint. Corrected by June 10, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected March 2026, after a complaint. Corrected by March 16, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected January 2026, after a complaint. Corrected by January 3, 2026.

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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.

    Inspected December 2025. Corrected by December 5, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025. Corrected by December 11, 2025.

  • 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.

    Inspected December 2025. Corrected by December 5, 2025.

  • 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.

    Inspected December 2025. Corrected by December 5, 2025.

  • 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

    Inspected December 2025. Corrected by December 8, 2025.

  • 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.

    Inspected December 2025. Corrected by December 24, 2025.

  • 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.

    Inspected December 2025. Corrected by December 5, 2025.

  • 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.

    Inspected December 2025. Corrected by December 5, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected December 2025. Corrected by December 5, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected December 2025. Corrected by December 5, 2025.

  • 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

    Inspected November 2025, after a complaint. Corrected by November 19, 2025.

  • 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.

    Inspected November 2025, after a complaint. Corrected by November 19, 2025.

  • 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.

    Inspected October 2025, after a complaint. Corrected by October 4, 2025.

  • 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.

    Inspected October 2025, after a complaint. Corrected by October 4, 2025.

  • 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.

    Inspected October 2025, after a complaint. Corrected by October 4, 2025.

  • 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.

    Inspected August 2025, after a complaint. Corrected by August 18, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

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

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