Avir at Azalea Heights
Tyler · 3.1 mi · 120 beds
Citations0Substantiated0
Greenbrier Nursing & Rehabilitation Center of Tyle
3526 W ERWIN ST, Tyler, TX, 75702
Nursing home120 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 18 deficiencies against Greenbrier Nursing & Rehabilitation Center of Tyle in Tyler, Texas at its most recent standard inspection on 2026-03-25, 3 of them arising from complaints. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
120certified beds
18deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.28
Potential for minimal harmThe least serious band.0
Most recentEEEDDDDDDDDDDDDDDDED
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · F0638 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · F0761 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · F0802 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · F0924 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Have policies on smoking.
Environmental Deficiencies · F0926 · 2026-03-25 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · F0585 · 2025-08-13 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2025-08-13 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-08-13 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-12-18 · standard survey · No actual harm, potential for more than minimal harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · F0693 · 2024-12-18 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.05793
Nursing staff turnoverShare of nursing staff who left in a year96.6%
Ownership
Who owns Greenbrier Nursing & Rehabilitation Center of Tyle
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | Organization | 100% | since 04/01/2022 |
| FREGIA, MILTON | Individual | NOT APPLICABLE | since 05/07/2022 |
| GARDNER, SHANNON | Individual | NOT APPLICABLE | since 08/22/2022 |
| GARDZINA, MARGARET | Individual | NOT APPLICABLE | since 02/26/2024 |
| HENRY, PAUL | Individual | NOT APPLICABLE | since 05/09/2009 |
| STRATTON, CHARLES | Individual | NOT APPLICABLE | since 05/01/2005 |
| HUGGINS, LINDA | Individual | NOT APPLICABLE | since 04/01/2022 |
| WILLIG, ZACHARY | Individual | NOT APPLICABLE | since 01/01/2025 |
| STRATTON, CHARLES | Individual | NOT APPLICABLE | since 05/01/2005 |
| TYLER II ENTERPRISES, LLC | Organization | NOT APPLICABLE | since 04/01/2022 |
| BLAKE, GARY | Individual | NOT APPLICABLE | since 04/01/2022 |
| BLAKE, MALISA | Individual | NOT APPLICABLE | since 04/01/2022 |
Part of the CREATIVE SOLUTIONS IN HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
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Providence Park Rehabilitation and Skilled Nursing
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Contact
Ask Greenbrier Nursing & Rehabilitation Center of Tyle a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675267.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction