Azalea Heights

    3505 Old Jacksonville Hwy, Tyler, TX, 75701
    3.8 · 42 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Clean active facility, safety concerns

    I found the facility clean, nicely landscaped and active - staff are often friendly, compassionate and helpful, and there are lots of activities. However, staffing is inconsistent and overworked: I saw both excellent caregivers and hostile, unresponsive employees, plus administration can be hard to reach. I am very concerned about safety and medical care lapses I witnessed or heard about (missed meds, ignored alarms, infrequent showers, hygiene issues, bedsores, delayed hospital transfers). Communication was hit-or-miss - sometimes excellent, sometimes misleading with promises not kept. I would consider it for a social, lower-acuity resident who wants activities and a homelike place, but not for someone with high medical needs or advanced dementia.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.81 · 42 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.8
    • Staff

      3.7
    • Meals

      3.4
    • Amenities

      1.8
    • Value

      3.0

    Pros

    • Friendly, compassionate and helpful staff
    • Staff that families describe as genuinely caring
    • Clean facility in many reports
    • Well-kept, landscaped grounds and hotel-like lobby
    • Accepts Medicaid
    • Willing to take residents with behavioral challenges
    • Active calendar (nails, movies, games, outdoor time, trips, visiting singers)
    • Assistance with insurance and smooth move-in process
    • Good communication and timely reporting of changes (in many reviews)
    • Family-like, homelike atmosphere reported by some families
    • Security measures in place (face recognition mentioned)
    • Holiday decorations and community spirit
    • High level of care reported by multiple families
    • Responsive and reassuring communication for some families
    • Long-tenured staff and camaraderie among staff and residents

    Cons

    • Reports of neglect and unsafe care (bedsores, hygiene failures)
    • Inadequate supervision; patients left unattended
    • Serious clinical incidents leading to hospital/ICU admissions (infections, pneumonia, low blood pressure)
    • Inconsistent or poor medication administration
    • Staffing shortages and overworked staff
    • Management and upper administration described as inaccessible or unhelpful
    • Chaotic and crowded common areas, especially at mealtimes and visiting hours
    • Poor follow-through and broken promises
    • Mixed to poor dining experience for some (horrendous food, food causing diarrhea, trays left in rooms)
    • Safety issues for wanderers/Alzheimer's patients; not recommended for dementia care by some reviewers
    • Inadequate personal hygiene care (infrequent showers, no washcloths)
    • Alarms sounding with no response; lack of timely staff response
    • Aging or sterile/unhomelike facility appearance in some reports
    • Shared rooms with limited amenities (no phone, no TV) and small space
    • Poor communication/hostile responses in some staff interactions and refusal to follow doctor orders

    Summary review

    Overall sentiment across the reviews is highly mixed and polarized. Many families praise the staff and certain aspects of the facility — noting compassionate, friendly caregivers, a clean environment, attractive grounds, and an active social calendar — while an overlapping set of reviews raise serious safety, supervision, and clinical-care concerns. The juxtaposition of repeated positive reports about staff kindness and facility upkeep with multiple accounts of neglect, clinical deterioration, and administrative failures is a dominant theme. This creates a situation where outcomes appear to vary substantially by unit, shift, or individual staff members.

    Care quality and clinical safety: Several reviewers describe a high level of clinical attentiveness, with prompt reporting of changes, strong care for long-term residents, and compassionate end-of-life support. Conversely, there are multiple, specific reports of neglect and unsafe care: bedsores, poor hygiene, urine odor, delayed hospital notification, untreated urinary infections, pneumonia, low blood pressure requiring ICU admission, and skin tears. There are also repeated complaints about medication administration failures (medications not given or timing falsely reported). These clinical incidents indicate inconsistent standards of care — some residents receive good monitoring and intervention while others experience serious lapses that led to hospitalization.

    Staffing, culture, and communication: A majority of reviews highlight staff who are sweet, kind, and genuinely caring; many families find the staff responsive and reassuring. At the same time, there are prominent reports of overworked or insufficient staff, hostile or unhelpful responses to family requests, and specific criticisms of upper management or the director of nursing being inaccessible or ineffective. Communication is similarly mixed — some families praise excellent communication and regular updates, while others describe poor follow-through, lies about medication timing, refusal to follow physician orders, and slow or absent responses to alarms. These patterns suggest uneven staff training, morale, or shift-level staffing that impacts resident care and family experience.

    Facility, cleanliness, and amenities: Multiple reviewers praise the facility’s cleanliness, landscaping, and hotel-like lobby; mentions of holiday decorations and a homelike atmosphere appear in several positive reviews. However, other reviews describe it as sterile, crowded, or aging in appearance, and there are isolated but serious complaints about dirty ceilings, trays left in rooms, urine odor, and inadequate bathroom amenities (no shower in some bathrooms, community showers, no washcloths). Reports of small shared rooms lacking phones or TVs and limited space also surface. Overall, while many find the facility pleasant and well-maintained, others document sanitation and amenity problems that affect dignity and comfort.

    Dining and activities: Activity offerings receive frequent praise (nails, movies, games, outdoor time, trips, visiting entertainers), and some families say residents enjoy a robust social life. Yet reviews also point to a lack of activity leadership at times, residents wandering without engagement, and inconsistent interaction between staff and residents. Dining reviews are strongly polarized: some praise “good” or “very good” food, whereas others report “horrendous” meals causing diarrhea, trays left all day, and poor meal service. This inconsistency suggests variability in dining service quality across meals or shifts.

    Safety and suitability for dementia/Alzheimer’s care: Several reviewers explicitly advise against choosing this facility for dementia or Alzheimer’s care, citing wanderer safety concerns, inadequate supervision, missing bed rails, alarms not answered, and insufficient staffing to monitor high-risk residents. At the same time, the facility has experience taking on residents with behavioral issues and accepts Medicaid, which may be important for families seeking placement for challenging cases. The overall pattern indicates the facility may manage some residents with complex needs but may not provide consistently reliable dementia-specific safety measures.

    Administrative and move-in logistics: Many families report a smooth move-in and appreciated help with insurance and Medicaid, which is a clear strength. However, multiple critiques focus on management’s lack of accountability, poor follow-through on promised changes, and reports that administrators are unconcerned about theft or staff reliability. These administrative concerns may correlate with the severe care lapses some families experienced.

    Patterns and recommendations for prospective families: Reviews reveal a facility with pockets of very good, compassionate care and a warm community feel, but also with alarming reports of neglect and safety lapses. Because experiences appear highly variable, prospective families should verify current staffing levels, ask for recent incident and staffing metrics, review state inspection reports, and request specific information about dementia care protocols, wound prevention/skin care procedures, medication administration audits, shower and hygiene schedules, alarm response times, and how the facility handles hospital transfers and family notification. During visits, observe mealtime operation, staff-to-resident interactions across different shifts (including evenings/nights), cleanliness in resident rooms and bathrooms, and whether residents appear engaged. If the resident has dementia or high supervision needs, exercise extra caution and require documented safeguards and staffing ratios appropriate for wander-risk residents.

    In summary, this facility demonstrates meaningful strengths — notably many caring staff members, a pleasant environment for some residents, and help with insurance and moves — but also has recurring and serious complaints about supervision, clinical care, and management responsiveness. These divergent reports mean that outcomes will likely depend heavily on resident acuity, unit assignment, and current staffing; careful, targeted due diligence is essential before placement.

    Location

    Map showing location of Azalea Heights

    About Azalea Heights

    Pinecrest Nursing & Rehabilitation Center is nestled in a serene spot surrounded by trees, offering a peaceful and idyllic environment for residents seeking a supportive and comfortable setting. The community is designed to provide easy access to local amenities, including shops, places of worship, and medical facilities. Nearby hospitals are located less than ten minutes away, ensuring that residents are always close to vital healthcare resources.

    Specializing in skilled nursing and rehabilitation, Pinecrest Nursing & Rehabilitation Center delivers a comprehensive approach to care. Each resident receives a thorough health assessment from the highly trained staff, who then create individualized treatment plans tailored to specific needs. The nursing team is dedicated to medication management and assists residents with activities of daily living, such as dressing and grooming, ensuring that comfort and dignity are always top priorities. For those requiring additional support, the community offers a range of rehabilitation therapies provided by a multidisciplinary team. These services include ultrasound treatment, personalized exercise programs, and respiratory therapy. Residents have access to a mental wellness program designed to support emotional and psychological well-being.

    The environment at Pinecrest Nursing & Rehabilitation Center is both comfortable and accommodating, housing up to 60 residents in rooms designed for ease and enjoyment. Each room is equipped with kitchenettes, cable television, wireless internet, and telephones, offering both convenience and connectivity. Housekeeping and linen services are included, allowing residents to enjoy a stress-free lifestyle. Dining is a key feature, with a chef preparing three nutritious meals every day. Residents can participate in scheduled transportation for off-site appointments, adding convenience and accessibility to their daily routines.

    A wide variety of activities and amenities are available, ensuring an engaging and stimulating environment. Residents can enjoy music therapy, movie sessions, and aromatherapy, while those who are confined to bed are offered interactive entertainment, such as iPad games, multisensory stimulation, and bedside exercises. The community boasts inviting spaces, including a library, a beauty salon, and a courtyard, which provide opportunities for relaxation and socialization. Pinecrest Nursing & Rehabilitation Center strives to create a nurturing home where every individual can find comfort, care, and community during their stay.

    People often ask...

    Nearby Communities

    • Exterior view of Texas Star Assisted Living facility showing a stone sign with the facility name and a building entrance with stone pillars and a covered driveway under a clear blue sky.
      $4,450 – $5,025+4.3 (76)
      Semi-private • Studio
      independent, assisted living, memory care

      Vitality Court Texas Star

      650 S Greenville Ave, Allen, TX, 75002
    • Exterior view of a single-story brick building with a covered entrance, surrounded by landscaped greenery and trees under a blue sky with scattered clouds.
      $2,625 – $3,050+3.9 (110)
      Studio • 1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      Truewood by Merrill, River Park

      3201 River Park Drive, Fort Worth, TX, 76116
    • Exterior view of Belmont Village Senior Living West Lake Hills building with a covered entrance, stone and beige facade, trees, and a partly cloudy blue sky.
      $8,000+4.4 (117)
      1 Bedroom
      independent, assisted living, memory care

      Belmont Village Senior Living West Lake Hills

      4310 Bee Caves Rd, West Lake Hills, TX, 78746
    • Front exterior view of the American House Town and Country senior living facility with a circular driveway, landscaped greenery, and an American flag on a flagpole under a wooden entrance canopy.
      $5,000+3.9 (61)
      suite
      assisted living, memory care

      American House Town and Country

      1020 Woods Mill Rd, Town and Country, MO, 63017
    • Exterior view of Renaissance on Peachtree, a multi-story building with large windows and a covered entrance. The building is surrounded by trees and greenery under a partly cloudy blue sky.
      $5,300+4.3 (118)
      2 Bedroom
      independent living, assisted living

      Renaissance on Peachtree

      3755 Peachtree Rd NE, Atlanta, GA, 30319
    • Exterior view of a senior living facility named The Ashton on Dorsey, featuring a large covered entrance with stone pillars, multiple windows, and three flagpoles with flags in front of the building under a clear blue sky.
      $4,100 – $6,900+4.7 (76)
      Studio • 1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      The Ashton on Dorsey

      1105 Dorsey Ln, Louisville, KY, 40223

    Assisted Living in Nearby Cities

    1. 23 facilities$4,799/mo
    2. 16 facilities$5,110/mo
    3. 11 facilities$4,753/mo
    4. 0 facilities
    5. 0 facilities
    6. 0 facilities
    7. 5 facilities$4,318/mo
    8. 0 facilities
    9. 5 facilities$4,318/mo
    10. 0 facilities
    11. 2 facilities
    12. 0 facilities
    © 2025 Mirador Living