Avir at Rose Trail
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 126 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.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (23 vs median 8.0)
- High staff turnover (86%)
- High RN turnover (100%)
Bottom 25% in Texas · Critically understaffed (RN) · Very high staff turnover · Worst in AVIR HEALTH GROUP chain · $539,122 in fines · Special Focus Facility (CMS)
What this means for your family
This facility offers excellent rehabilitation therapy and a highly engaging activities program that can greatly improve quality of life during recovery. However, families should exercise extreme caution regarding medical oversight and communication, as multiple recent reports indicate significant failures in monitoring health changes and responding to family inquiries.
Google Reviews
Google Reviews
126 reviews analyzed“Families considering AVIR at Rose Trail will find a facility with a highly praised rehabilitation and activities department, but recent reviews highlight serious concerns regarding medical oversight and communication. While many long-term residents and rehab patients praise the friendly staff and clean environment, several recent reviewers report critical issues including untreated medical conditions, poor responsiveness to family calls, and staffing shortages.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional rehabilitation and physical therapy teams
- Engaging and creative activities programs
- Friendly and welcoming administrative staff
- Clean and bright facility environment
Concerns
- Poor communication and difficulty reaching staff/nurses (mentioned by 4 reviewers)
- Inadequate medical monitoring and oversight (mentioned by 3 reviewers)
- Staffing shortages and slow response times (mentioned by 3 reviewers)
- Issues with food quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides highly personalized responses that frequently use the reviewer's name and reference specific staff members or departments. They handle negative feedback with empathy and a clear call to action, often directing concerns to specific management personnel.
Questions for Your Tour
- 1We've heard wonderful things about your physical therapy and rehab teams; can you tell us more about how they work with residents to regain independence?
- 2With so many creative activities on your schedule, how do you ensure residents are encouraged to participate in things they truly enjoy?
- 3How does the nursing team ensure that medication is managed accurately and that doctors are updated promptly on any changes in health?
- 4What is the best way for our family to stay in regular, consistent contact with the nursing staff and the administration regarding our loved one's care?
- 5Could you walk us through the protocol for medical monitoring during the night and how you handle unexpected medical emergencies?
- 6We noticed the facility looks very bright and clean; how do you manage the dining experience to ensure meals are both high quality and enjoyable for everyone?
Personalized based on this facility's data
Key Review Excerpts
“The activity director worked with me on a separate occasion, I called to set up a nail painting station for whoever wanted to be pampered and she was so so quick to jump”
“A few weeks into his stay, the nursing staff and nursing director failed to acknowledge an untreated UTI that lead to a critical hospital stay due to my dad being so sedated on Xanax that he was too lethargic to tell anyone about his UTI.”
“I would like to thank everyone for the wonderful treatment I received during my stay at Rose Trail. I loved the nurses and therapy team for all of their hard work helping me to recover from hip surgery.”
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
8
measures
7
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents with pressure sores (bedsores)
Residents with depression symptoms
Residents vaccinated for the flu
Residents on antipsychotic medication
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
This facility shows a concerning pattern of 67 deficiencies with 43 triggered by family complaints, indicating ongoing issues requiring families to file reports. Recurring problems span abuse and neglect protection, care planning, infection control, and medication management. While all violations show correction dates, the persistent nature of complaints across multiple areas—including repeated issues with protecting residents from abuse and developing proper care plans—suggests systemic challenges that families should carefully consider.
Mar 5, 2026Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jan 2, 2026Complaint1
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Dec 4, 2025Routine12
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nov 18, 2025Complaint2
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.
Oct 2, 2025Complaint5
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Aug 15, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal Penalties
Fine
Aug 15, 2025
$18,520
Fine
Aug 15, 2025
$162,675
Fine
Mar 18, 2024
$230,484
Fine
Dec 18, 2023
$44,590
Fine
Aug 4, 2023
$49,470
Fine
Jun 29, 2023
$14,518
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
930 S BAXTER OPCO LLC
THOMAS O MCDOWELL
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 79 of 90 (Worst)
Ownership & Management
Owners
Dagan, Amitai
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
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
126 reviews from families & visitors
Official Website
Visit rose-trail.com
Medicare data downloads
Original nursing home datasets
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