Azalea Trail Nursing and Rehabilitation Center
411 Spring Creek Rd, Grand Saline, TX 75140 · Van Zandt County · 72 certified beds · avg 62 residents/day · certified since Jan 19, 1994
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (1)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.04 | 3.46 | 3.95 | top 14% in Texas; top 38% in the U.S. |
| Registered Nurse hours | 0.34 | 0.44 | 0.69 | bottom 39% in Texas; bottom 15% in the U.S. |
| Weekend total nurse staffing | 3.54 | 3.04 | 3.50 | top 15% in Texas; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.34 | 0.48 | top 40% in Texas; bottom 38% in the U.S. |
| Total nursing staff turnover (%) | 26.8 | 55.3 | 45.8 | top 3% in Texas; top 9% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.35, RN 0.29, weekend 2.94. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ward, Michael | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2007 |
| Ward, Patricia | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2007 |
| Ward, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2007 |
| Ward, Patricia | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2007 |
| Ward, Patricia | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2007 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Avir at Bradburn | 0.3 mi | Grand Saline, TX | ★☆☆☆☆ | 2/5 | |
| Avir at Grand Saline | 0.5 mi | Grand Saline, TX | ★★☆☆☆ | 2/5 | |
| Van Healthcare | 11.3 mi | Van, TX | ★★★★☆ | 4/5 | |
| Avir at Mineola | 12.7 mi | Mineola, TX | ★☆☆☆☆ | 2/5 | abuse |
| Mineola Gardens Wellness & Rehabilitation | 13.2 mi | Mineola, TX | ★☆☆☆☆ | 2/5 | abuse |
| Canton Oaks | 13.3 mi | Canton, TX | ★★★★☆ | 4/5 | |
| Emory Health and Rehab | 14.6 mi | Emory, TX | ★★★☆☆ | 4/5 | |
| Crestwood Health and Rehabilitation Center | 16.8 mi | Wills Point, TX | ★★★★★ | 5/5 | |
| Quitman Wellness & Rehabilitation | 17.9 mi | Quitman, TX | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675253.