Home›Texas›Smith County›AVIR AT PETAL HILL
C
Below Standard

AVIR AT PETAL HILL

900 S BAXTER AVE · TYLER, TX 75701

9035978192 · Government - Hospital district

120 beds80.1 residents96 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AVIR AT PETAL HILL receives an overall staffing grade of C (Below Standard). With 3.3192 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4237 HPRD, below the recommended 0.75. It is 0.58 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 9.3% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3192 HPRD — needs 0.16 more hours per resident per day.
⚠️RN staffing (0.4237 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 9.3% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.3192hrs/resident/day▼ 0.58
CMS benchmark: 3.48
RN HPRD
0.4237hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
9.3%
3.4088 weekday → 3.0918 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9005hrs/resident/day
Direct care aides
LPN HPRD
0.995hrs/resident/day
Licensed practical nurses
Consistency
0.228std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Smith County Average-0.32 HPRD
3.64
03.32 HPRD
vs. Texas State Average-0.08 HPRD
3.40
03.32 HPRD
vs. National Average-0.58 HPRD
3.90
03.32 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AVIR AT PETAL HILL ★
TYLER · This facility
—
C
3.31920.4237★★☆☆☆
ROSE TRAIL NURSING AND REHABILITATION CENTER
TYLER
0 mi
D
2.93030.3164★☆☆☆☆
OAK BROOK HEALTH CARE CENTER
WHITEHOUSE
9.3 mi
D
3.63260.3958★★★★☆
CHANDLER NURSING CENTER
CHANDLER
11.6 mi
C
3.56220.407★★★☆☆
VAN HEALTHCARE
VAN
24.4 mi
D
4.0710.2732★★★★★
HERITAGE AT LONGVIEW HEALTHCARE CENTER
LONGVIEW
34.3 mi
D
2.6970.2645★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
29
Total Deficiencies
$61,847
Fines Assessed
Dec 5, 2025Health
1 deficiency cited
▼
Nov 11, 2025Health
1 deficiency cited· Includes actual harm
▼
Feb 27, 2025Health
2 deficiencies cited
▼
Dec 11, 2024Health
5 deficiencies cited
▼
Apr 18, 2024Health
7 deficiencies cited
▼
Mar 21, 2024Health
1 deficiency cited
▼
Nov 8, 2023Health
4 deficiencies cited
▼
Aug 22, 2023Health
1 deficiency cited
▼
Aug 14, 2023Health
3 deficiencies cited
▼
Jul 13, 2023Health
2 deficiencies cited· Includes actual harm
▼
Sep 21, 2022Health
2 deficiencies cited
▼

Penalty History

Nov 11, 2025Fine
$22,925
Jul 13, 2023Fine
$38,922
Jul 13, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.