Avir at Azalea Heights

3505 OLD JACKSONVILLE RD
TYLER, TX, 75701
9035612011
CCN: 675289
3
Overall
3
Health
2
Staffing
2
Quality
ChainAVIR HEALTH GROUP
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
WEST WHARTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTEREST100%
FROST BANK5% OR GREATER SECURITY INTERESTNOT APPLICABLE
THOMPSON, JOHNNYCORPORATE OFFICERNOT APPLICABLE
BOENING, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CAMPBELL, LESLIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CASTILLO, LYNNEAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MORRIS, NICOLEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SEHLKE, BRYONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ZUROVEC, DARRELLOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ADERHOLT, SHERYLOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TOUCHSTONE STRATEGIES - TYLER2 LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2025-09-30Fine$23K
2023-10-06Fine$13K
Health Deficiencies (23)
2025-12-10 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
B
F628 · Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2025-09-30 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-18 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2024-04-29 · Health
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
2023-10-06 · Health
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
J
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
J
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2023-08-10 · Health
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F693 · Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.01
3.68
RN Hrs/Resident/Day
0.33
0.54
LPN Hrs/Resident/Day
0.62
0.81
CNA Hrs/Resident/Day
2.05
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01