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Nursing HomeMedicaid

Azalea Trail Nursing and Rehabilitation Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

411 Spring Creek Rd, Grand Saline, TX 7514072 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 18 Google reviews

5
4
3
2
1
Azalea Trail Nursing and Rehabilitation Center Nursing Home in Grand Saline, TX — Street View
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What this means for your family

This facility is currently highly regarded for its staff passion, excellent food, and recent perfect state survey records. However, because of very severe historical allegations of neglect and exploitation, families should perform their own rigorous due diligence and check recent inspection reports personally.

Google Reviews

Google Reviews

18 reviews analyzed
Families can expect a facility that is highly praised for its caring, passionate staff and high-quality food. While recent reviews highlight exceptional state survey results and administrative competence, older reviews contain very serious allegations regarding neglect and elder exploitation.

Quality Themes

Tap a score for details
Food10.0Staff9.0CleanN/AActivities10.0Meds1.0MemoryN/AComms10.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • High-quality dietary services
  • Strong administrative and office management
  • Consistent excellence in state regulatory surveys

Concerns

  • Allegations of elder abuse and exploitation
  • Patient falls due to perceived neglect

Rating Trends

Tap a year to see what changed

2343.7'18(3)5.05.0'20(2)1.05.0'22(2)5.05.0'25(2)4.3'26(3)

Distribution

5
6
4
0
3
0
2
0
1
2

How They Respond to Reviews

11%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1It is wonderful to see such a high CMS health inspection rating; how does your team maintain such consistent excellence during state regulatory surveys?
  • 2We have heard great things about the dietary services here; could you tell us more about how meals are prepared and how much input residents have in their menus?
  • 3With the administrative team being so well-regarded, how do you ensure that communication between the office and the nursing staff remains seamless for families?
  • 4Could you walk us through your specific protocols for medication management to ensure everything is administered accurately and on schedule?
  • 5What steps are in place to monitor resident mobility and prevent falls, especially during the night or during shift changes?
  • 6What kind of daily activities or social outings do you organize to keep the residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The attention she receives is exactly what she needs and wants. She loves the food. We are so thankful for Azalea Trail!

Long-term resident's family · 2023★★★★★

The Azalea Trail team members have recently had the annual state survey and now for three consecutive years, had zero deficiencies!

Community member · 2025★★★★★

The staff have been wonderful with my mother and us. They truly make her feel as though Azalea Trails is her home.

Long-term resident's family · 2022★★★★★
Source: 18 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.27hrs
36%
Registered nurses for medical care
Total Nursing
3.06hrs
75%
All nurses + aides combined
Staff Turnover
27%
Lower is better (< 30% = good)
RN Turnover
40%
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
1/ 5
Better Than Avg

8

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility37.5%
Worse than Avg
Here
37.5%
US
15.3%
TX
14.9%
Van zandt
21.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility30.1%
Worse than Avg
Here
30.1%
US
14.4%
TX
16.1%
Van zandt
19.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.7%
Better than Avg
Here
6.7%
US
19.4%
TX
14.2%
Van zandt
13.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
TX
2.5%
Van zandt
4.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
19.5%
TX
18.4%
Van zandt
27.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.6%
Better than Avg
Here
7.6%
US
15.4%
TX
9.4%
Van zandt
12.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility75.0%
Worse than Avg
Here
75.0%
US
79.7%
TX
88.0%
Van zandt
83.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.7%
Better than Avg
Here
94.7%
US
81.8%
TX
89.2%
Van zandt
83.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Mixed vs Avgs
Here
1.7%
US
1.6%
TX
1.5%
Van zandt
2.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (9.1)
1 complaint-triggered

This facility shows recurring problems with heating and ventilation systems across three surveys, with the most recent violations remaining uncorrected. Additional issues include fire safety problems with cooking facilities and care planning deficiencies. One family filed a complaint that resulted in a citation for inadequate care planning. While most deficiencies have been addressed, the persistent heating and ventilation violations suggest ongoing maintenance concerns that could affect resident comfort and safety.

Nov 19, 2025Complaint
1
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.

May 14, 2025Routine
1
0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Apr 3, 2024Routine
3
0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0781ModerateCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Feb 23, 2023Routine
2
0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ekklesia Healthcare LLC

Organization Type

for profit

Administrator

KYLE M THOMPSON

Ownership & Management

Owners

Ward, Michael

Owner

Ward, Patricia

Owner

Key personnel

Ward, PatriciaManagerWard, MichaelAdp of the SnfWard, PatriciaAdp of the Snf
Source: Medicare provider data

Contact

References & Resources

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