Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Azalea Trail Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and a history of falls had her bed alarm discontinued, but the care plan was not updated to reflect this change or to address a subsequent fall with major injury. Staff interviews confirmed that bed alarms were discontinued facility-wide, but alternative interventions were not clearly documented in the care plan, and the frequency of visual checks was not specified.
Failure to Update Care Plan After Discontinuing Bed Alarm and Resident Fall
Penalty
Summary
The facility failed to develop and implement a comprehensive, person-centered care plan to address all of a resident's medical, nursing, mental, and psychosocial needs. Specifically, the care plan did not reflect the discontinuation of a bed alarm for a resident with a history of falls and severe cognitive impairment, nor did it address a significant fall with major injury that occurred after the alarm was discontinued. The resident, who was dependent on staff for personal hygiene and required maximal assistance with toileting, had a recent history of hip fracture and a severely impaired cognitive level as indicated by a BIMS score of 03. Despite these risk factors, the care plan was not updated to reflect changes in interventions or to document the rationale and monitoring strategies following the discontinuation of the bed alarm and after the resident experienced a fall resulting in a new hip fracture. Interviews with facility staff, including the DON, CNA, and Medical Director, revealed that bed alarms had been discontinued facility-wide based on the belief that they were restraints and not effective in preventing falls. However, there was no documentation in the care plan regarding the discontinuation of the alarm or the implementation of alternative interventions with specific time frames or responsibilities. The acute care plan presented after the fall included frequent visual checks, but did not specify the frequency or timing of these checks. The lack of timely and comprehensive updates to the care plan following significant changes in the resident's condition and interventions contributed to the deficiency.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Grand Saline
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Bradburn | 0.3 mi | ★★★★★ | 7 | 2 |
| Avir At Grand Saline | 0.5 mi | ★★★★★ | 16 | 1 |
| Van Healthcare | 11.3 mi | ★★★★★ | 9 | 0 |
| Avir At Mineola | 12.7 mi | ★★★★★ | 22 | 1 |
| Mineola Gardens Wellness & Rehabilitation | 13.2 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.