Nursing Home Alerts

Avir at Petal Hill

900 S Baxter Ave, Tyler, TX 75701

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Avir at Petal Hill is a nursing home in Tyler, 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.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(903) 597-8192
Last standard health inspection
March 5, 2026 (8 months ago)
Certified beds
120
Residents per day, on average
81
Ownership type
For profit - Corporation
Legal business name
West Wharton County Hospital District
Chain
Avir Health Group
Takes part in
Medicare and Medicaid

Fewer health citations than the Texas average (27 vs 28).

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.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  2. CMS update of October 8, 2026

    • Fine

      CMS changed the fine from May 13, 2026 from $16,355 to $10,631.

  3. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  4. Payment stopped

    July 1, 2026 (4 months ago)

    CMS stopped payment for new admissions from July 1, 2026, for 34 days.

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  5. CMS update of May 27, 2026

    • Fine

      CMS changed the fine from November 11, 2025 from $22,925 to $14,901.

  6. 1 citation

    Health inspection on May 13, 2026

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    129 of 1,177 Texas homes (11%) got a citation at the immediate jeopardy level in 2026.

    • Citation F0689. Severity J: immediate jeopardy, 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 May 11, 2026.

      CMS has cited this home for F0689 2 times since 2024.

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  7. Fine

    May 13, 2026 (5 months ago)

    CMS fine of $10,631 on May 13, 2026.

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  8. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  9. 2 citations

    Health inspection on April 1, 2026

    CMS lists this as a complaint inspection.

    • Citation F0921. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on August 4, 2026.

      CMS has cited this home for F0921 3 times since 2024.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on May 24, 2026.

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  10. 3 citations

    Health inspection on March 5, 2026

    CMS lists this as a standard inspection.

    • Citation F0565. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.

      CMS lists it as corrected on March 6, 2026.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on March 6, 2026.

      CMS has cited this home for F0755 2 times since 2024.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on March 6, 2026.

      CMS has cited this home for F0645 2 times since 2023.

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  11. CMS update of January 14, 2026

    • CMS abuse icon

      CMS added its abuse icon to this home.

  12. 1 citation

    Health inspection on December 5, 2025

    CMS lists this as a complaint inspection.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on December 6, 2025.

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  13. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  14. 1 citation

    Health inspection on November 11, 2025

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    • Citation F0600. Severity J: immediate jeopardy, isolated.

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

      CMS lists it as corrected on November 6, 2025.

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  15. Fine

    November 11, 2025 (1 year ago)

    CMS fine of $14,901 on November 11, 2025.

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  16. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Name

      CMS lists a new name for this home. It was PETAL HILL NURSING & REHABILITATION CENTER.

    • Ownership

      CMS lists this home under a new chain.

  17. CMS update of April 30, 2025

    • Staffing

      Total nurse staffing reported to CMS went from 3.9 to 3.2 hours per resident per day.

  18. CMS update of March 26, 2025

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS lists this home under a new chain.

  19. 2 citations

    Health inspection on February 27, 2025

    CMS lists this as a complaint inspection.

    • Citation F0921. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on March 28, 2025.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on February 28, 2025.

      CMS has cited this home for F0584 2 times since 2024.

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  20. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Changed ownership in the last 12 months

      CMS no longer shows a change of ownership in the past 12 months.

    • Name

      CMS lists a new legal business name for this home.

  21. 5 citations

    Health inspection on December 11, 2024

    CMS lists this as a standard inspection.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 15, 2024.

    • Citation F0850. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Hire a qualified full-time social worker in a facility with more than 120 beds.

      CMS lists it as corrected on January 15, 2025.

      CMS has cited this home for F0850 2 times since 2024.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on January 15, 2025.

    • 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 15, 2024.

    • 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 December 15, 2024.

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  22. 8 citations

    Fire safety inspection on December 11, 2024

    CMS lists this as a standard inspection.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on December 31, 2024.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on December 31, 2024.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on December 15, 2024.

    • Citation K0345. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on December 15, 2024.

    • 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 December 15, 2024.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on December 15, 2024.

    • Citation K0222. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on December 15, 2024.

    • Citation K0741. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

      CMS lists it as corrected on December 15, 2024.

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  23. CMS update of October 30, 2024

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

    • Changed ownership in the last 12 months

      CMS records show a change of ownership in the past 12 months.

  24. 7 citations

    Health inspection on April 18, 2024

    CMS lists this as a complaint inspection.

    • Citation F0925. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 23, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on April 23, 2024.

    • Citation F0770. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide timely, quality laboratory services/tests to meet the needs of residents.

      CMS lists it as corrected on April 23, 2024.

    • Citation F0800. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 23, 2024.

    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on April 23, 2024.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 23, 2024.

    • Citation F0921. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 23, 2024.

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  25. 1 citation

    Health inspection on March 21, 2024

    CMS lists this as a complaint inspection.

    • Citation F0850. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Hire a qualified full-time social worker in a facility with more than 120 beds.

      CMS lists it as corrected on March 22, 2024.

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  26. CMS update of February 29, 2024

    • Fine

      CMS changed the fine from July 13, 2023 from $59,880 to $38,922.

  27. 4 citations

    Health inspection on November 8, 2023

    CMS lists this as a standard inspection.

    • Citation F0576. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure residents have reasonable access to and privacy in their use of communication methods.

      CMS lists it as corrected on November 11, 2023.

    • Citation F0679. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on November 11, 2023.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on November 14, 2023.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on November 14, 2023.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Avir at Petal Hill last inspected?

CMS lists March 5, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Avir at Petal Hill have?

CMS lists 27 health citations since November 8, 2023. CMS also calls these deficiencies.

Has Avir at Petal Hill been fined?

CMS lists 2 fines in the past three years, $25,532 in total.

What is the CMS star rating of Avir at Petal Hill?

Its CMS overall star rating is 2 of 5.

Is Avir at Petal Hill a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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