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Nursing HomeMedicaid Investigative

Avir at Petal Hill

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

900 S Baxter Ave, Midtown · Tyler, TX 75701120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 113 Google reviews

5
4
3
2
1
Avir at Petal Hill Nursing Home in Tyler, TX — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • High staff turnover (78%)
  • High RN turnover (100%)

Below average in Texas · Below recommended RN staffing · Very high staff turnover · $61,847 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility shows strong signs of improvement under new leadership, with many families praising the compassion of the nursing staff. However, due to past documented instances of serious neglect and communication failures, families should closely monitor care plans and consider installing cameras in resident rooms for peace of mind.

Google Reviews

Google Reviews

113 reviews analyzed
AVIR AT PETAL HILL is frequently praised for its compassionate and dedicated nursing and CNA staff, with many families noting a significant positive turnaround under recent leadership. However, potential residents should be aware of serious allegations regarding medical neglect, lack of communication during emergencies, and concerns regarding cleanliness and facility maintenance.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean5.0Activities5.0MedsN/AMemory5.0Comms3.0ValueN/A

Strengths

  • Compassionate and caring nursing staff
  • Positive recent leadership and administration
  • Friendly and welcoming reception team
  • Improved cleanliness in certain areas

Concerns

  • Serious allegations of resident neglect and physical abuse (mentioned by 2 reviewers)
  • Poor communication from administration and nursing regarding health status (mentioned by 3 reviewers)
  • Inconsistent cleanliness and odor issues in common areas (mentioned by 2 reviewers)
  • Difficulty reaching staff via telephone (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.0'17(2)2.03.3'21(7)3.84.3'23(12)4.54.1'25(14)3.3'26(3)

Distribution

5
50
4
6
3
0
2
0
1
18

How They Respond to Reviews

40%response rate
Good

The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific details of the feedback. For negative reviews, the owner attempts to provide direct contact information or explain specific administrative improvements and corrective actions.

Questions for Your Tour

  • 1It is wonderful to hear that the reception team is so welcoming; how does the administration ensure that families are kept updated on a resident's health status and daily changes?
  • 2We have noticed some positive feedback regarding the recent changes in leadership; what specific steps is the new administration taking to improve staffing levels and care consistency?
  • 3Could you tell us more about the dining experience and how the facility is working to improve the quality and variety of the meals provided?
  • 4How does the nursing team handle medical emergencies or sudden changes in health during the overnight hours?
  • 5With the recent improvements in cleanliness mentioned by some visitors, what are your current protocols for maintaining the odor and hygiene of the common areas?
  • 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The nurses and CNA’s here have so much compassion. My father was here until he passed and I could not have asked for a more caring staff.

Long-term resident's family · 2025★★★★★

The weekend nurse Lexus and the weekday nurse Amanda are 2 of the most caring and compassionate people I have ever met. They take such great care of my brother and always take the time to let me know how he is doing.

Rehab patient's family · 2024★★★★★

This place is amazing — clean, well-run, and full of heart. Tonaka, the administrator, has completely turned things around.

Long-term resident's family · 2025★★★★★
Source: 113 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
3.21hrs
78%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Both 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

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility79.2%
Worse than Avg
Here
79.2%
US
93.4%
TX
96.9%
Smith
96.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
12.1%
TX
2.5%
Smith
3.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility89.6%
Worse than Avg
Here
89.6%
US
95.5%
TX
98.0%
Smith
96.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
14.4%
TX
16.1%
Smith
16.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.7%
Mixed vs Avgs
Here
9.7%
US
15.4%
TX
9.4%
Smith
12.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
5.3%
TX
3.2%
Smith
3.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility35.0%
Worse than Avg
Here
35.0%
US
79.7%
TX
88.0%
Smith
76.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility44.2%
Worse than Avg
Here
44.2%
US
81.8%
TX
89.2%
Smith
85.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.3%
Worse than Avg
Here
3.3%
US
1.6%
TX
1.5%
Smith
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
3penalties
Near state avg (9.1)
25 complaint-triggered
$61,847 in fines

Nearly half of AVIR at Petal Hill's 38 deficiencies were complaint-triggered, indicating families have filed reports about care concerns. Recurring issues span medication management, facility cleanliness and safety, and nutrition services. Most deficiencies appear corrected after citation, though problems with environmental conditions and pharmacy services have repeated across multiple surveys, suggesting ongoing challenges in these areas.

Mar 5, 2026Routine
3
0565ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Dec 5, 2025Complaint
1
0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Nov 11, 2025Complaint
1
0600Severe

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Feb 27, 2025Complaint
2
0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Dec 11, 2024Routine
26
0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0761ModerateCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0850ModerateCorrected

Administration Deficiencies

Hire a qualified full-time social worker in a facility with more than 120 beds.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0761ModerateCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0850ModerateCorrected

Administration Deficiencies

Hire a qualified full-time social worker in a facility with more than 120 beds.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0584MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0656MinorCorrected

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.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0222MinorCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0584MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0656MinorCorrected

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.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0222MinorCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0741MinorCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Apr 18, 2024Complaint
14
0925ModerateCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0925ModerateCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0770MinorCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0800MinorCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0805MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0770MinorCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0800MinorCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0805MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Federal Penalties

Fine

Nov 11, 2025

$14,901

Fine

Jul 13, 2023

$38,922

Payment Denial

Jul 13, 2023

3-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

900 S BAXTER AVENUE OPCO LLC

Administrator

TODD C BICKLE

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 49 of 90

Ownership & Management

Owners

Dagan, Amitai

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Freund, Nochum

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldberger, Abraham

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldberger, Faigy

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Thompson, JohnnyOfficer / Director900 S Baxter Avenue Opco, LLCManagerAugustus, LazelManagerTravitsky, AaronManagerWicks, StevenManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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