About Azalea Trail Nursing And Rehabilitation CenterAzalea Trail Nursing And Rehabilitation Center is located at 411 Spring Creek Rd, Grand Saline, TX, reachable at (903) 962-4226. This For profit – Limited Liability company facility operates 72.0 certified beds and serves an average of 53 residents per day. Medicare and Medicaid services have been provided since 1994-01-19. Azalea Trail Nursing And Rehabilitation Center has held a 5-star overall rating for 3 consecutive years, reflecting consistent high-quality care.
Azalea Trail Nursing And Rehabilitation Center is a strong choice for families in the Grand Saline, TX area seeking a well-inspected, high-quality care environment.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★5 / 5
Health Inspection
★★★★★5 / 5
Staffing Rating
★★★★★3 / 5
Quality Measures (QM)
★★★★★2 / 5
Long-Stay QM Rating
★★★★★2 / 5
Short-Stay QM Rating
★★★★★1 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightAzalea Trail Nursing And Rehabilitation Center currently provides 3 hours 30 minutes of total nurse staffing per resident per day, including 18 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). Total nursing staff turnover is 27.3%, near the national average.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 30 minutes
Nurse Aide Hours2 hours 17 minutes
Licensed Practical Nurse (LPN) Hours54 minutes
Registered Nurse (RN) Hours18 minutes
Physical Therapist Hours7 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours2 hours 58 minutes
Weekend Registered Nurse (RN) Hours16 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryThe facility has received 5 fine(s) over the 5-year period, totaling $94,235. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Nationally, Azalea Trail Nursing And Rehabilitation Center ranks 9296th out of 14,703 facilities (composite score: 67.7/100), placing it in the below average nationwide. Within TX, it ranks 705th out of 1,177 nursing homes. In Grand Saline, it ranks 2nd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #9,164 nationally and RN hours rank #12,596 nationally (#764 in TX).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TX State Rank
Note
2022
3.60
#7,131 / 14,703
#294 / 1,177
Above average
2023
3.45
#8,247 / 14,703
#381 / 1,177
Below average
2024
3.65
#6,861 / 14,703
#206 / 1,177
Above average
2025
3.46
#9,285 / 14,703
#321 / 1,177
Below average
2026
3.49
#9,164 / 14,703
#320 / 1,177
Below average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
TX State Rank
Note
2022
0.46
#9,651 / 14,703
#322 / 1,177
Below average
2023
0.46
#9,063 / 14,703
#235 / 1,177
Below average
2024
0.44
#9,649 / 14,703
#292 / 1,177
Below average
2025
0.53
#7,877 / 14,703
#218 / 1,177
Below average
2026
0.31
#12,596 / 14,703
#764 / 1,177
⚠️ Bottom 25%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Azalea Trail Nursing And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-01-19. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (903) 962-4226 or your local Medicaid office to verify current eligibility.
Azalea Trail Nursing And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (3★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 67.7/100, placing it #9296 of 14703 facilities nationally and #705 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Azalea Trail Nursing And Rehabilitation Center receives a reported average of 3 hours 30 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 18 minutes; Licensed Practical Nurse (LPN) — 54 minutes; Nurse Aide — 2 hours 17 minutes. On weekends, total nurse staffing is 2 hours 58 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 27.3%. Families are encouraged to ask about current staffing schedules during their facility visit.
The facility has received 5 fine(s) over the 5-year period, totaling $94,235. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 3.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Azalea Trail Nursing And Rehabilitation Center ranks 9296th out of 14,703 facilities (composite score: 67.7/100), placing it in the below average nationwide. Within TX, it ranks 705th out of 1,177 nursing homes. In Grand Saline, it ranks 2nd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 3. For 2026 staffing: total nurse hours rank #9,164 nationally and RN hours rank #12,596 nationally (#764 in TX). Our composite quality score of 67.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Grand Saline, visit: https://nursinghomesnearme.org/texas/grand-saline/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.