For profit - Individual · 72 certified beds · CMS number 675253

Azalea Trail Nursing and Rehabilitation Center, Grand Saline, TX

CMS records 2 health deficiencies at Azalea Trail Nursing and Rehabilitation Center in Grand Saline, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 29, 2026. The highest severity cited is D (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Azalea Trail Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Azalea Trail Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (2 deficiencies)

Standard inspection Jul 29, 2026. CMS counts 2 health deficiencies and 3 fire safety deficiencies in this cycle.

Jul 29, 2026 · Standard inspection

1 deficiency, highest D

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 3, 2026

Nov 19, 2025 · Complaint inspection

1 deficiency, highest D

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 19, 2025
Previous cycle: 0 deficiencies (standard inspection May 14, 2025)

Standard inspection May 14, 2025. CMS counts 0 health deficiencies and 1 fire safety deficiency in this cycle.

No health deficiencies in this cycle.

Earlier cycle: 0 deficiencies (standard inspection Apr 3, 2024)

Standard inspection Apr 3, 2024. CMS counts 0 health deficiencies and 3 fire safety deficiencies in this cycle.

No health deficiencies in this cycle.

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.35 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.29 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.94 h
Nursing staff turnover
26.8% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
4 of 5
Health inspection rating
5 of 5
Staffing rating
3 of 5
Quality measure rating
1 of 5

CMS figures for Azalea Trail Nursing and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
411 Spring Creek Rd, Grand Saline, TX 75140
Phone
(903) 962-4226
County
Van Zandt
Accepts
Medicare and Medicaid
Ownership
For profit - Individual
Chain (CMS)
Not part of a chain in CMS data
Certified beds
72
Average residents per day
62.4
In Medicare/Medicaid since
Jan 19, 1994
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 1 time)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 1 time)

Other nursing homes in Grand Saline

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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