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D
Poor

ROSE TRAIL NURSING AND REHABILITATION CENTER

930 S BAXTER · TYLER, TX 75701

9035972068 · Government - Hospital district

172 beds79 residents99 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ROSE TRAIL NURSING AND REHABILITATION CENTER receives an overall staffing grade of D (Poor). With 2.9303 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3164 HPRD, below the recommended 0.75. It is 0.97 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.3% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9303 HPRD — needs 0.55 more hours per resident per day.
⚠️RN staffing (0.3164 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
2.9303hrs/resident/day▼ 0.97
CMS benchmark: 3.48
RN HPRD
0.3164hrs/resident/day▼ 0.37
Recommended: 0.75
Weekend Drop-off
19.3%
3.0993 weekday → 2.5013 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8799hrs/resident/day
Direct care aides
LPN HPRD
0.6563hrs/resident/day
Licensed practical nurses
Consistency
0.3431std 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-0.71 HPRD
3.64
02.93 HPRD
vs. Texas State Average-0.47 HPRD
3.40
02.93 HPRD
vs. National Average-0.97 HPRD
3.90
02.93 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
ROSE TRAIL NURSING AND REHABILITATION CENTER ★
TYLER · This facility
—
D
2.93030.3164★☆☆☆☆
AVIR AT PETAL HILL
TYLER
0 mi
C
3.31920.4237★★☆☆☆
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

20
Inspections
55
Total Deficiencies
$539,122
Fines Assessed
Jan 2, 2026Health
1 deficiency cited
▼
Nov 18, 2025Health
2 deficiencies cited
▼
Oct 2, 2025Health
5 deficiencies cited· Includes actual harm
▼
Aug 15, 2025Health
2 deficiencies cited· Includes actual harm
▼
Mar 25, 2025Health
3 deficiencies cited
▼
Sep 25, 2024Health
5 deficiencies cited
▼
Aug 25, 2024Health
1 deficiency cited
▼
Jul 10, 2024Health
1 deficiency cited
▼
May 17, 2024Health
2 deficiencies cited· Includes actual harm
▼
Apr 3, 2024Health
2 deficiencies cited· Includes actual harm
▼
Mar 18, 2024Health
3 deficiencies cited
▼
Jan 9, 2024Health
1 deficiency cited
▼
Dec 18, 2023Health
3 deficiencies cited· Includes actual harm
▼
Nov 2, 2023Health
3 deficiencies cited
▼
Sep 22, 2023Health
3 deficiencies cited
▼
Aug 18, 2023Health
9 deficiencies cited· Includes actual harm
▼
Aug 4, 2023Health
2 deficiencies cited
▼
Jun 29, 2023Health
1 deficiency cited· Includes actual harm
▼
Apr 3, 2023Health
4 deficiencies cited· Includes actual harm
▼
Jun 29, 2022Health
2 deficiencies cited
▼

Penalty History

Aug 15, 2025Fine
$161,475
Aug 15, 2025Fine
$18,520
Mar 18, 2024Fine
$230,484
Dec 18, 2023Fine
$44,590
Aug 4, 2023Fine
$49,470
Jun 29, 2023Fine
$14,518
Apr 3, 2023Fine
$20,065
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.