AZALEA TRAIL NURSING AND REHABILITATION CENTER

411 SPRING CREEK RD, GRAND SALINE, TX 75140

Provider number (CCN): 675253
Certification: Medicare and Medicaid
Ownership: For profit - Limited Liability company
Certified beds: 72
Phone: (903) 962-4226
CMS data as of: July 1, 2026

What the records show

CMS rates AZALEA TRAIL NURSING AND REHABILITATION CENTER 4 out of 5 stars overall, with 5 of 5 for health inspections, 3 of 5 for staffing, 1 of 5 for quality measures. Federal inspectors cited 1 health deficiency across the last three survey cycles, most recently surveyed in 2025. CMS lists no fines or payment denials for this facility in the covered period.

Facility Assessment This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.

Reviews, Ratings and Official Records

This page reviews AZALEA TRAIL NURSING AND REHABILITATION CENTER using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.

Below the repealed 0.55 hr RN benchmark — elevated deficiency count.

Ratings and Grade Breakdown

RN Staffing Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.	0.29 — Below the repealed 0.55 hr benchmark
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why
Health Deficiencies (last 3 survey cycles) Violations found during federal inspections, with how many remain open and how many involved actual harm.	Total 1 Outstanding 0 Actual harm or worse (G–L) 0
CMS Ratings Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.	Overall: ★★★★☆ (4/5) Health inspection: ★★★★★ (5/5) Quality: ★☆☆☆☆ (1/5) Staffing: ★★★☆☆ (3/5)
NursingHomeGrade Score	48/100

Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.

CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.

Staffing Compared With State and National Levels

Registered nurse hours per resident per day compared with state and national levels
This facility	0.29 hrs
TX median	0.38 hrs
National average	0.69 hrs

Total nursing staff turnover: 26.8%

Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.

Inspection Records Covered

Most recent standard health survey: May 14, 2025.
Citations shown below span 1 recorded inspection cycle.

Source records: CMS Care Compare profile for provider 675253 ↗ · the federal files we load and when.

Inspection Deficiencies

Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).

1 deficiency found. 1 corrected. None involved actual harm.

Most recent inspection (November 19, 2025)

D Potential harm — isolated F0656 Status: Corrected

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 — Deficient, Provider has date of correction, corrected December 19, 2025

Fines and Enforcement Actions

CMS lists no fines and no payment denials for AZALEA TRAIL NURSING AND REHABILITATION CENTER in the enforcement records covering the last three years, as published in the file processed July 1, 2026.

Ownership and Contact Information

Facility name: AZALEA TRAIL NURSING AND REHABILITATION CENTER
Legal business name: EKKLESIA HEALTHCARE, LLC
Address: 411 SPRING CREEK RD, GRAND SALINE, TX 75140
Phone: (903) 962-4226
Provider number (CCN): 675253
Ownership type: For profit - Limited Liability company
Medicare/Medicaid certified since: January 19, 1994
Official record: CMS Care Compare profile ↗
Details verified against CMS data dated: July 1, 2026

The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.

How We Stay Independent

NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.

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Sources and Methodology

CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗

The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.

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