Azalea Trail Nursing And Rehabilitation Center
Nursing Home · 411 Spring Creek Rd, Grand Saline, TX 75140 · 9039624226
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 5.0 / 5 | high |
| Staffing | 2.9 / 5 | high |
| Clinical outcomes | 1.7 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 4.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 72 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Ekklesia Healthcare, Llc |
| Certified since | 1994-01-19 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $ of 5 · ~$156/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 1 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 1 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-11-19 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2025-12-19 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.06 hrs/resident/day (expected 3.26 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.27 hrs/resident/day (expected 0.57 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 2.05 · LPN 0.73 hrs/resident/day
- Weekend total staffing: 2.61 hrs/resident/day (expected 2.90 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 26.8% · RN turnover 40.0% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.17 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 37.5% | 31.1 → · → 19.7 → · | worse than 98% of US homes · TX median 13% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 8.7% | 8.3 → 6.4 → 10.6 → 9.3 | worse than 97% of US homes · TX median 3% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 6.5% | 8.7 → 4.7 → 4.4 → 8 | worse than 96% of US homes · TX median 0.3% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 30.1% | 15 → 20 → 39 → 45.2 | worse than 95% of US homes · TX median 14.8% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 1% | 0 → 2 → 0 → 1.9 | worse than 71% of US homes · TX median 0% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 1.7% | not reported | worse than 68% of US homes · TX median 0.7% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 3% | 4.7 → 3 → 2.7 → 1.8 | better than 70% of US homes · TX median 3.4% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 7.6% | 6.1 → 6.3 → 9.1 → 8.8 | better than 77% of US homes · TX median 8.1% |
What this costs
- This facility's reported avg daily charge: $156/day · $ (price tier 1 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 61% Medicaid · 12% Medicare · 27% other/private · 64% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Compare nearby
- B+ Crestwood Health And Rehabilitation Center · Wills Point
- B Van Healthcare · Van
- B Canton Oaks · Canton
- C+ Avir At Grand Saline · Grand Saline
- C Avir At Bradburn · Grand Saline
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Van Zandt County nursing homes coverage. Spot an error? Tell us.