AZALEA TRAIL NURSING AND REHABILITATION CENTER

411 SPRING CREEK RD, GRAND SALINE, TX 75140 (903) 962-4226
For profit - Limited Liability company 72 Beds Independent Data: November 2025
Trust Grade
90/100
#6 of 1168 in TX
Last Inspection: May 2025

Inspected within the last 6 months. Data reflects current conditions.

Overview

Azalea Trail Nursing and Rehabilitation Center has received an excellent Trust Grade of A, indicating it is highly recommended and performing well overall. With a state rank of #6 out of 1168 facilities in Texas, and the top facility in Van Zandt County, it stands out among its peers. The facility is new, with no prior inspection records, suggesting a fresh start with no history of issues. Staffing is considered average with a turnover rate of 33%, which is still better than the Texas average of 50%. There have been no fines recorded, which is a positive sign, and there are no documented incidents of deficiencies, indicating a strong commitment to care and compliance. Overall, Azalea Trail appears to be a strong option for families considering nursing home care.

Trust Score
A
90/100
In Texas
#6/1168
Top 1%
Safety Record
Low Risk
No red flags
Inspections
Too New
0 → 0 violations
Staff Stability
○ Average
33% turnover. Near Texas's 48% average. Typical for the industry.
Penalties
✓ Good
No fines on record. Clean compliance history, better than most Texas facilities.
Skilled Nurses
⚠ Watch
Each resident gets only 19 minutes of Registered Nurse (RN) attention daily — below average for Texas. Fewer RN minutes means fewer trained eyes watching for problems.
Violations
✓ Good
No deficiencies on record. Exceptional compliance history. Very rare.
★★★★★
5.0
Overall Rating
★★★☆☆
3.0
Staff Levels
★★☆☆☆
2.0
Care Quality
★★★★★
5.0
Inspection Score
Stable
: 0 issues
2025: 0 issues

The Good

  • Full Sprinkler Coverage · Fire safety systems throughout facility
  • No fines on record
  • Staff turnover below average (33%)

    15 points below Texas average of 48%

Facility shows strength in fire safety.

The Bad

Staff Turnover: 33%

13pts below Texas avg (46%)

Typical for the industry

The Ugly 0 deficiencies on record

Clean Inspection Record

This facility has zero deficiencies on record - the average nursing home has 7. Only 1% of facilities nationally achieve a completely clean inspection record.

Understanding Severity Codes (click to expand)
Life-Threatening (Immediate Jeopardy)
J - Isolated K - Pattern L - Widespread
Actual Harm
G - Isolated H - Pattern I - Widespread
Potential for Harm
D - Isolated E - Pattern F - Widespread
No Harm (Minor)
A - Isolated B - Pattern C - Widespread

Questions to Ask on Your Visit

  • "Can I speak with families of current residents?"
  • "What's your RN coverage like on weekends and overnight?"

Our Honest Assessment

Strengths
  • • Grade A (90/100). Above average facility, better than most options in Texas.
  • • No major safety red flags. No abuse findings, life-threatening violations, or SFF status.
  • • No fines on record. Clean compliance history, better than most Texas facilities.
  • • No deficiencies on record. Exceptional compliance history. Very rare.
Concerns
  • • No significant concerns identified. This facility shows no red flags across CMS ratings, staff turnover, or federal penalties.
Bottom line: Generally positive indicators. Standard due diligence and a personal visit recommended.

About This Facility

What is Azalea Trail's CMS Rating?

CMS assigns AZALEA TRAIL NURSING AND REHABILITATION CENTER an overall rating of 5 out of 5 stars, which is considered much above average nationally. Within Texas, this rating places the facility higher than 99% of the state's 100 nursing homes. This rating reflects solid performance across the metrics CMS uses to evaluate nursing home quality.

How is Azalea Trail Staffed?

CMS rates AZALEA TRAIL NURSING AND REHABILITATION CENTER's staffing level at 3 out of 5 stars, which is average compared to other nursing homes. Staff turnover is 33%, compared to the Texas average of 46%. This relatively stable workforce can support continuity of care.

What Have Inspectors Found at Azalea Trail?

Based on CMS data, AZALEA TRAIL NURSING AND REHABILITATION CENTER has no deficiency citations on record during the current review period. This is relatively uncommon - most facilities receive at least some citations during routine inspections.

Who Owns and Operates Azalea Trail?

AZALEA TRAIL NURSING AND REHABILITATION CENTER is owned by a for-profit company. For-profit facilities operate as businesses with obligations to shareholders or private owners. The facility operates independently rather than as part of a larger chain. With 72 certified beds and approximately 51 residents (about 71% occupancy), it is a smaller facility located in GRAND SALINE, Texas.

How Does Azalea Trail Compare to Other Texas Nursing Homes?

Compared to the 100 nursing homes in Texas, AZALEA TRAIL NURSING AND REHABILITATION CENTER's overall rating (5 stars) is above the state average of 2.8, staff turnover (33%) is significantly lower than the state average of 46%, and health inspection rating (5 stars) is much above the national benchmark.

What Should Families Ask When Visiting Azalea Trail?

Based on this facility's data, families visiting should ask: "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" "Can I speak with family members of current residents about their experience?"

Is Azalea Trail Safe?

Based on CMS inspection data, AZALEA TRAIL NURSING AND REHABILITATION CENTER has a clean safety record: no substantiated abuse findings (meaning no confirmed cases of resident harm), no Immediate Jeopardy citations (the most serious violation level indicating risk of serious injury or death), and is not on the Special Focus Facility watch list (a federal program monitoring the lowest-performing 1% of nursing homes). The facility has a 5-star overall rating and ranks #1 of 100 nursing homes in Texas. While no facility is perfect, families should still ask about staff-to-resident ratios and recent inspection results during their visit.

Do Nurses at Azalea Trail Stick Around?

AZALEA TRAIL NURSING AND REHABILITATION CENTER has a staff turnover rate of 33%, which is about average for Texas nursing homes (state average: 46%). Moderate turnover is common in nursing homes, but families should still ask about staff tenure and how the facility maintains care continuity when employees leave.

Was Azalea Trail Ever Fined?

AZALEA TRAIL NURSING AND REHABILITATION CENTER has no federal fines on record. CMS issues fines when nursing homes fail to meet care standards or don't correct problems found during inspections. The absence of fines suggests the facility has either maintained compliance or corrected any issues before penalties were assessed. This is a positive indicator, though families should still review recent inspection reports for the full picture.

Is Azalea Trail on Any Federal Watch List?

AZALEA TRAIL NURSING AND REHABILITATION CENTER is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.