Avir at Azalea Heights
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 44 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- Above-median deficiencies (9 vs median 8.0)
Above average in Texas · Critically understaffed (RN) · Chain outperformer · $35,574 in fines
What this means for your family
This facility is highly regarded by many for its friendly, compassionate staff and clean environment. However, families should be extremely vigilant regarding medication administration and room amenities, as multiple recent reviews report serious failures in these areas.
Google Reviews
Google Reviews
44 reviews analyzed“Families often praise the facility for its compassionate, friendly staff and the warm, home-like atmosphere during short-term stays. However, there are serious, recurring allegations regarding medication errors, inadequate room amenities (such as lack of TVs or phones), and poor responsiveness to medical needs.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and friendly nursing staff
- Clean and well-maintained environment
- Welcoming and helpful front desk staff
- Supportive atmosphere for short-term respite care
Concerns
- Medication management issues and delays (mentioned by 2 reviewers)
- Inadequate room amenities (lack of TV, phone, or emergency buttons) (mentioned by 2 reviewers)
- Physical injuries such as skin tears during stays
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on pre-written templates that vary slightly depending on whether the review is positive or negative. While they acknowledge the reviewer's name in some positive responses, they rarely address the specific details or complaints mentioned in the reviews.
Questions for Your Tour
- 1We've heard wonderful things about how friendly the front desk and nursing staff are; how do you foster that welcoming atmosphere for new residents?
- 2What specific protocols do you have in place to ensure medication is administered accurately and on time each day?
- 3Can you tell us about the safety features in the resident rooms, such as how someone would call for help or use an emergency button?
- 4What steps does the clinical team take to prevent common issues like skin tears or other physical injuries during a stay?
- 5What kind of daily activities or social programs are available to keep residents engaged and active?
- 6How does the facility communicate important updates or changes in health status to family members?
Personalized based on this facility's data
Key Review Excerpts
“The staff is great the administrator’s is always helpful and easy going love it here”
“My grandmother is being taken care of so well! It makes my heart smile to know the people here have compassion because that’s very hard to get these days”
“No tv. No phone. No emergency help button. ONE sheet for cover. Bugs on the ceiling. Nobody checking on me or even bringing me water!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
4
measures
4
measures
Residents on antipsychotic medication
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints against this facility, triggering 9 of 23 total deficiencies across recent surveys, indicating ongoing concerns about care quality. The most recurring issues involve care planning and assessments, daily living assistance, and safety hazards, with problems in these areas appearing repeatedly from 2023 through 2025. While the facility has corrected past violations, the pattern of recurring deficiencies in core care areas and continued complaint-driven investigations suggest persistent quality challenges that warrant careful consideration during any visit.
Dec 10, 2025Routine8
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Sep 30, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 18, 2024Routine2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 29, 2024Complaint6
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Oct 6, 2023Complaint5
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Aug 10, 2023Routine4
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Federal Penalties
Fine
Sep 30, 2025
$14,901
Fine
Oct 6, 2023
$12,649
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
3505 OLD JACKSONVILLE RD OPCO LLC
NICOLE MORRIS
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 27 of 90
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
44 reviews from families & visitors
Official Website
Visit azaleaheights.com
Medicare data downloads
Original nursing home datasets
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