Avir at Petal Hill

900 S Baxter Ave · Tyler, TX · 75701 · 9035978192

120 certified beds For profit - Corporation Chain: Avir Health Group

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $14,901 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 28
Staffing 20% 52
Federal penalties 15% 35
Trend 10% 88
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.213.48 min · 4.1 strong
RN hours / resident-day0.330.55–0.75
Weekend hours / resident-day2.91≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)2 · $53,823

Inspection citations (32 in the current record)

  • Potential for harm · D April 1, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 24, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 1, 2026 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected May 24, 2026 · Environmental

  • Potential for harm · E March 5, 2026

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected March 6, 2026 · Resident Rights

  • Potential for harm · D March 5, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E March 5, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 6, 2026 · Pharmacy Service

  • Potential for harm · D December 5, 2025 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected December 6, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J November 11, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 27, 2025 · found via complaint

    Honor 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.

    Corrected February 28, 2025 · Resident Rights

  • Potential for harm · F February 27, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected March 28, 2025 · Environmental

  • Potential for harm · D December 11, 2024

    Honor 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.

    Corrected January 15, 2025 · Resident Rights

  • Potential for harm · D December 11, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 11, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 15, 2024 · Quality of Life and Care

  • Potential for harm · E December 11, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected December 15, 2024 · Pharmacy Service

  • Potential for harm · E December 11, 2024

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Corrected January 15, 2025 · Administration

  • Potential for harm · D April 18, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 23, 2024 · Pharmacy Service

  • Potential for harm · D April 18, 2024 · found via complaint

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected April 23, 2024 · Administration

  • Potential for harm · D April 18, 2024 · found via complaint

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected April 23, 2024 · Nutrition and Dietary

  • Potential for harm · D April 18, 2024 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected April 23, 2024 · Nutrition and Dietary

  • Potential for harm · D April 18, 2024 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 23, 2024 · Nutrition and Dietary

  • Potential for harm · D April 18, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected April 23, 2024 · Environmental

  • Potential for harm · E April 18, 2024 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected April 23, 2024 · Environmental

  • Potential for harm · E March 21, 2024 · found via complaint

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Corrected March 22, 2024 · Administration

  • Potential for harm · E November 8, 2023

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected November 11, 2023 · Resident Rights

  • Potential for harm · D November 8, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected November 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E November 8, 2023

    Provide activities to meet all resident's needs.

    Corrected November 11, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 11, 2025Fine$14,901
July 13, 2023Fine$38,922
July 13, 2023Payment Denial3 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455485 · certified since April 18, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.