PlainNursing
CMS Nursing Home Compare · August 2026

Avir at Petal Hill

900 S Baxter Ave, Tyler, TX 75701 · All homes in Tyler

Avir at Petal Hill, a 120-bed for profit - corporation nursing facility in Tyler, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #838 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9035978192

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2 / 5
Below average · CMS overall · nat'l 3.0
#838 of 1,165
In-state rank among rated TX homes
3.50
Below average · nurse hrs/day · nat'l 3.86
31
Inspection findings · 2 serious

The verdict

Avir at Petal Hill, a 120-bed for profit - corporation nursing facility in Tyler, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #838 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#838 of 1,165
In-state rank among rated TX homes
3.50
Nurse hrs/resident-day · national 3.86
31
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
455485
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
120
Residents
78
In Hospital
No
County
Smith
Last Inspection
Mar 5, 2026
Abuse citation on record

Staffing Data

How the 3.50 total nursing hours per resident-day are staffed:

RN Hours
0.36 (nat'l avg: 0.69)
LPN Hours
1.10
CNA Hours
2.05
Total Nursing Hours
3.50 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
43.9%
RN Turnover
42.9%

What the CMS Record Reveals About Avir at Petal Hill

According to CMS Nursing Home Compare, Avir at Petal Hill ranks #838 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Avir at Petal Hill operates 120 certified beds in Tyler, TX with approximately 78 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 2★ · quality 2★).

The inspection file contains 31 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $31K. Staffing is reported at 3.50 total nursing hours per resident day (national average 3.86), with RN coverage at 0.36 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Avir at Petal Hill falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 43.9% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (31 most recent)

J - Isolated - Jeopardy May 13, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: May 11, 2026

D - Isolated - Minimal harm Apr 1, 2026 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 24, 2026

E - Pattern - Minimal harm Apr 1, 2026 Tag: 0921

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

Category: Environmental Deficiencies

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 6, 2026

E - Pattern - Minimal harm Mar 5, 2026 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Mar 6, 2026

E - Pattern - Minimal harm Mar 5, 2026 Tag: 0565

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

Category: Resident Rights Deficiencies

Corrected: Mar 6, 2026

D - Isolated - Minimal harm Dec 5, 2025 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 6, 2025

J - Isolated - Jeopardy Nov 11, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

E - Pattern - Minimal harm Feb 27, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Feb 28, 2025

F - Widespread - Minimal harm Feb 27, 2025 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Mar 28, 2025

D - Isolated - Minimal harm Dec 11, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 15, 2024

D - Isolated - Minimal harm Dec 11, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 15, 2024

D - Isolated - Minimal harm Dec 11, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Jan 15, 2025

E - Pattern - Minimal harm Dec 11, 2024 Tag: 0850

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

Category: Administration Deficiencies

Corrected: Jan 15, 2025

E - Pattern - Minimal harm Dec 11, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 15, 2024

D - Isolated - Minimal harm Apr 18, 2024 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Apr 23, 2024

D - Isolated - Minimal harm Apr 18, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 23, 2024

D - Isolated - Minimal harm Apr 18, 2024 Tag: 0805

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 23, 2024

D - Isolated - Minimal harm Apr 18, 2024 Tag: 0800

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 23, 2024

D - Isolated - Minimal harm Apr 18, 2024 Tag: 0770

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

Category: Administration Deficiencies

Corrected: Apr 23, 2024

D - Isolated - Minimal harm Apr 18, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 23, 2024

E - Pattern - Minimal harm Apr 18, 2024 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Apr 23, 2024

E - Pattern - Minimal harm Mar 21, 2024 Tag: 0850

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

Category: Administration Deficiencies

Corrected: Mar 22, 2024

D - Isolated - Minimal harm Nov 8, 2023 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 14, 2023

E - Pattern - Minimal harm Nov 8, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 14, 2023

E - Pattern - Minimal harm Nov 8, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 11, 2023

E - Pattern - Minimal harm Nov 8, 2023 Tag: 0576

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

Category: Resident Rights Deficiencies

Corrected: Nov 11, 2023

C - Widespread - No harm Aug 22, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 23, 2023

D - Isolated - Minimal harm Aug 14, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 15, 2023

E - Pattern - Minimal harm Aug 14, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Aug 15, 2023

E - Pattern - Minimal harm Aug 14, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 15, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 21.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 85.9% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 23.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 89.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 13.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 61.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 35.0% No

Penalty History 2 penalties totaling $31K

Date Type Amount
May 13, 2026 Fine $16K
Nov 11, 2025 Fine $15K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Avir at Petal Hill, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Avir at Petal Hill

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 120 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Avir at Petal Hill?
Avir at Petal Hill has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (2★).
Where does Avir at Petal Hill rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Avir at Petal Hill ranks 838th among 1,165 rated nursing homes in TX (#838 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Avir at Petal Hill?
Avir at Petal Hill reports 3.50 total nursing hours per resident day (national average: 3.86). RN hours are 0.36 per resident day (national average: 0.69). Nursing staff turnover is 43.9%.
How many beds does Avir at Petal Hill have?
Avir at Petal Hill has 120 certified beds with approximately 78 residents. The facility is located at 900 S Baxter Ave, Tyler, TX 75701.
Does Avir at Petal Hill have any deficiencies on record?
Yes, Avir at Petal Hill has 31 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Avir at Petal Hill received any fines or penalties?
Yes, Avir at Petal Hill has received 2 penalties totaling $31K.
Who owns Avir at Petal Hill?
Avir at Petal Hill is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Avir at Petal Hill last inspected?
The most recent health inspection for Avir at Petal Hill was on Mar 5, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Avir at Petal Hill?
Avir at Petal Hill is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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