Azalea Trail Nursing and Rehabilitation Center
411 Spring Creek Rd, Grand Saline, TX 75140
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Follow this homeAzalea Trail Nursing and Rehabilitation Center is a nursing home in Grand Saline, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionJuly 29, 2026 (3 months ago)
- Health citations since November 19, 20252 (Texas average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Health inspection on July 29, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 3, 2026.
Fire safety inspection on July 29, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on August 6, 2026.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on August 7, 2026.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS has cited this home for K0521 3 times since 2024.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.5 to 3.1 hours per resident per day.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 2 of 5.
Health inspection on November 19, 2025
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on December 19, 2025.
CMS update of July 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Fire safety inspection on May 14, 2025
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Fire safety inspection on April 3, 2024
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on May 31, 2024.
Citation K0781. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have restrictions on the use of portable space heaters.
CMS lists it as corrected on May 31, 2024.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 5 of 5.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 4 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (903) 962-4226
- Last standard health inspection
- July 29, 2026 (3 months ago)
- Certified beds
- 72
- Residents per day, on average
- 55.3
- Ownership type
- For profit - Individual
- Legal business name
- Ekklesia Healthcare, LLC
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (2 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- WARD, MICHAELDirect ownership interest · not applicable · since 01/01/2007
- WARD, PATRICIADirect ownership interest · not applicable · since 01/01/2007
- WARD, PATRICIAOperational/managerial control · not applicable · since 01/01/2007
Questions
When was Azalea Trail Nursing and Rehabilitation Center last inspected?
CMS lists July 29, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Azalea Trail Nursing and Rehabilitation Center have?
CMS lists 2 health citations since November 19, 2025. CMS also calls these deficiencies.
Has Azalea Trail Nursing and Rehabilitation Center been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Azalea Trail Nursing and Rehabilitation Center?
Its CMS overall star rating is 5 of 5.
Is Azalea Trail Nursing and Rehabilitation Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.