nursing home in Tyler, TX
Greenbrier Nursing & Rehabilitation Center of Tyle
3526 West Erwin Street, Tyler, TX 75702 · (903) 593-6441
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Greenbrier Nursing & Rehabilitation Center of Tyle at a glance
Greenbrier Nursing & Rehabilitation Center of Tyle is a 120-bed for-profit nursing home in Tyler, Texas (Smith County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.1 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (March 25, 2026) found 15 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 96.6% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- February 14, 1994
- Resident/family council
- Resident
- County
- Smith County
- CMS Certification Number
- 675267
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.06 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.21 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.81 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.64 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 96.6% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 100% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 15 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 69 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 54 | 76 | 86 | |
| Occupancy | 45.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 7.9% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.4% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 9.2% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.2% | 15.8% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 10.2% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 3.1% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.3% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 13.1% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.9% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.4% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 25, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected April 9, 2026 |
| March 25, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected April 9, 2026 |
| March 25, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected April 10, 2026 |
| March 25, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| March 25, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected March 26, 2026 |
| March 25, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected March 26, 2026 |
| March 25, 2026 Standard | 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 · Tag F0725 | E Potential harm, pattern | Corrected April 2, 2026 |
| March 25, 2026 Standard | 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 · Tag F0657 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 25, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 25, 2026 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 25, 2026 Standard | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Tag F0924 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 25, 2026 Standard | 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 · Tag F0580 | D Potential harm, isolated | Corrected April 17, 2026 |
| March 25, 2026 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 25, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 25, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 25, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 25, 2026 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 25, 2026 Standard | 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 · Tag F0761 | D Potential harm, isolated | Corrected March 26, 2026 |
| March 25, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected March 26, 2026 |
| August 13, 2025 Complaint | 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 · Tag F0585 | D Potential harm, isolated | Corrected August 14, 2025 |
| August 13, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected August 14, 2025 |
| August 13, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 14, 2025 |
| December 18, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected December 18, 2024 |
| December 18, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| December 18, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected January 8, 2025 |
| December 18, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected January 8, 2025 |
| December 18, 2024 Standard | 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 · Tag F0693 | D Potential harm, isolated | Corrected January 8, 2025 |
| December 18, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected January 8, 2025 |
| October 6, 2024 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected October 7, 2024 |
| October 6, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected October 7, 2024 |
| October 6, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 7, 2024 |
| May 21, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 22, 2024 |
| January 8, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected January 30, 2024 |
| November 15, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected December 4, 2023 |
| November 15, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected December 4, 2023 |
| November 15, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| November 15, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | E Potential harm, pattern | Corrected November 16, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 Organization | 5% or greater direct ownership interest | 100% | 04/01/2022 |
| BLAKE, GARY Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| HEKIMIAN, KHOREN Individual | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| STEPPS, LAURIE Individual | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| TYLER II ENTERPRISES, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| HUGGINS, LINDA Individual | corporate director | NOT APPLICABLE | 04/01/2022 |
| WILLIG, ZACHARY Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| STRATTON, CHARLES Individual | corporate officer | NOT APPLICABLE | 05/01/2005 |
| FREGIA, MILTON Individual | managing control - governing body | NOT APPLICABLE | 05/07/2022 |
| GARDNER, SHANNON Individual | managing control - governing body | NOT APPLICABLE | 08/22/2022 |
| GARDZINA, MARGARET Individual | managing control - governing body | NOT APPLICABLE | 02/26/2024 |
| HENRY, PAUL Individual | managing control - governing body | NOT APPLICABLE | 05/09/2009 |
| STRATTON, CHARLES Individual | managing control - governing body | NOT APPLICABLE | 05/01/2005 |
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
| TYLER II ENTERPRISES, LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2022 |
Other nursing homes near Greenbrier Nursing & Rehabilitation Center of Tyle
- ★★★★★2Below average
Avir at Azalea Heights
3505 Old Jacksonville Rd, Tyler, TX 75701 · 3.1 mi
For-profit · 120 beds · Part of Avir Health Group
★★★★★2Below averageAvir at Petal Hill
900 S Baxter Ave, Tyler, TX 75701 · 3.3 mi
For-profit · 120 beds · Part of Avir Health Group
- Abuse citation
★★★★★2Below averageAvir at Rose Trail
930 S Baxter, Tyler, TX 75701 · 3.3 mi
Government · 172 beds · Part of Avir Health Group
- Special Focus candidate
★★★★★1Much below averagePark Place Nursing & Rehabilitation Center
2450 E Fifth St, Tyler, TX 75701 · 4.3 mi
For-profit · 120 beds
- Abuse citation
★★★★★1Much below averageReunion Plaza Healthcare & Rehabilitation
1401 Rice Rd, Tyler, TX 75703 · 4.3 mi
Government · 99 beds · Part of Southwest LTC
★★★★★4Above average
Frequently asked questions
What is Greenbrier Nursing & Rehabilitation Center of Tyle's rating?
Greenbrier Nursing & Rehabilitation Center of Tyle has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Greenbrier Nursing & Rehabilitation Center of Tyle receive?
Its most recent standard health inspection found 15 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Greenbrier Nursing & Rehabilitation Center of Tyle accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Greenbrier Nursing & Rehabilitation Center of Tyle?
It is for profit - corporation and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Greenbrier Nursing & Rehabilitation Center of Tyle and how do I contact it?
Greenbrier Nursing & Rehabilitation Center of Tyle is at 3526 West Erwin Street, Tyler, TX 75702. Phone: (903) 593-6441.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.