PlainNursing
CMS Nursing Home Compare · August 2026

Azalea Trail Nursing and Rehabilitation Center

411 Spring Creek Rd, Grand Saline, TX 75140

Azalea Trail Nursing and Rehabilitation Center, a 72-bed for profit - limited liability company nursing facility in Grand Saline, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #307 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm 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: 9039624226

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4 / 5
Above average · CMS overall · nat'l 3.0
#307 of 1,165
In-state rank among rated TX homes
3.35
Below average · nurse hrs/day · nat'l 3.86
1
Inspection findings

The verdict

Azalea Trail Nursing and Rehabilitation Center, a 72-bed for profit - limited liability company nursing facility in Grand Saline, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #307 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#307 of 1,165
In-state rank among rated TX homes
3.35
Nurse hrs/resident-day · national 3.86
1
Inspection findings on file

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 - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

5/5

Staffing

3/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
675253
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
72
Residents
62
In Hospital
No
County
Van Zandt
Last Inspection
May 14, 2025

Staffing Data

How the 3.35 total nursing hours per resident-day are staffed:

RN Hours
0.29 (nat'l avg: 0.69)
LPN Hours
0.83
CNA Hours
2.24
Total Nursing Hours
3.35 (nat'l avg: 3.86)
PT Hours
0.08
Nursing Turnover
26.8%

What the CMS Record Reveals About Azalea Trail Nursing and Rehabilitation Center

According to CMS Nursing Home Compare, Azalea Trail Nursing and Rehabilitation Center ranks #307 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Azalea Trail Nursing and Rehabilitation Center operates 72 certified beds in Grand Saline, TX with approximately 62 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 5★ · staffing 3★ · quality 1★).

The inspection file contains 1 deficiency record from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider. Reported nurse staffing runs 3.35 total hours per resident day (national average 3.86); RN hours specifically are 0.29 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Azalea Trail Nursing and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 26.8% (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 (1 most recent)

D - Isolated - Minimal harm Nov 19, 2025 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 19, 2025

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 32.9% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 7.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 9.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 37.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.6% 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 99.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 25.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.1% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 75.0% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Azalea Trail Nursing and Rehabilitation Center, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Azalea Trail Nursing and Rehabilitation Center

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 72 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 Azalea Trail Nursing and Rehabilitation Center?
Azalea Trail Nursing and Rehabilitation Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (5★), staffing levels (3★), and quality measures (1★).
Where does Azalea Trail Nursing and Rehabilitation Center rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Azalea Trail Nursing and Rehabilitation Center ranks 307th among 1,165 rated nursing homes in TX (#307 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 Azalea Trail Nursing and Rehabilitation Center?
Azalea Trail Nursing and Rehabilitation Center reports 3.35 total nursing hours per resident day (national average: 3.86). RN hours are 0.29 per resident day (national average: 0.69). Nursing staff turnover is 26.8%.
How many beds does Azalea Trail Nursing and Rehabilitation Center have?
Azalea Trail Nursing and Rehabilitation Center has 72 certified beds with approximately 62 residents. The facility is located at 411 Spring Creek Rd, Grand Saline, TX 75140.
Does Azalea Trail Nursing and Rehabilitation Center have any deficiencies on record?
Yes, Azalea Trail Nursing and Rehabilitation Center has 1 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Azalea Trail Nursing and Rehabilitation Center received any fines or penalties?
No, Azalea Trail Nursing and Rehabilitation Center has no fines or penalties on record.
Who owns Azalea Trail Nursing and Rehabilitation Center?
Azalea Trail Nursing and Rehabilitation Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Azalea Trail Nursing and Rehabilitation Center last inspected?
The most recent health inspection for Azalea Trail Nursing and Rehabilitation Center was on May 14, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Azalea Trail Nursing and Rehabilitation Center?
Azalea Trail Nursing and Rehabilitation Center 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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