nursing home in Tyler, TX
The Waterton Healthcare & Rehabilitation
2875 Shiloh Road, Tyler, TX 75703 · (903) 561-1300
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
The Waterton Healthcare & Rehabilitation at a glance
The Waterton Healthcare & Rehabilitation is a 92-bed government nursing home in Tyler, Texas (Smith County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.4 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (May 6, 2026) found 5 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $23,389.
Nursing staff turnover is 50.7% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 92
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- September 3, 2008
- Resident/family council
- Resident
- County
- Smith County
- CMS Certification Number
- 676193
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.38 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.51 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.09 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.00 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 50.7% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 44.4% | 54.6% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 49.8 | 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) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $23,389 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 92 | 113 | 107 | |
| Average residents per day | 67 | 76 | 86 | |
| Occupancy | 72.3% | 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) | 6.8% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.7% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 6.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 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) | 17.4% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11.7% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.5% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 7.9% | 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) | 13.4% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 14.5% | 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) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.2% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 6, 2026 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected May 7, 2026 |
| May 6, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 7, 2026 |
| May 6, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 7, 2026 |
| May 6, 2026 Standard | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Tag F0694 | D Potential harm, isolated | Corrected May 7, 2026 |
| April 23, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected April 27, 2026 |
| March 26, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected April 10, 2025 |
| March 26, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected April 10, 2025 |
| January 31, 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 March 1, 2024 |
| January 31, 2024 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | D Potential harm, isolated | Corrected March 1, 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 | J Immediate jeopardy, isolated | Corrected January 9, 2024 |
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 2 federal penalties in the past three years, including $23,389 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 23, 2026 | Fine | $14,380 |
| January 8, 2024 | Fine | $9,009 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 03/01/2022 |
| CHICKADEE HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 05/14/2025 |
| COSTA, CHARLIE Individual | adp of the snf | NOT APPLICABLE | 05/14/2025 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2022 |
| ROSE HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2022 |
| STANDARD BEARER HEALTHCARE OP, LP Organization | adp of the snf | NOT APPLICABLE | 03/01/2022 |
| THE ENSIGN GROUP INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2022 |
| WILSON, JENNIFER Individual | adp of the snf | NOT APPLICABLE | 04/27/2025 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 03/01/2022 |
| SANDERSON, CLARK Individual | corporate officer | NOT APPLICABLE | 10/29/2012 |
| COSTA, CHARLIE Individual | managing control - governing body | NOT APPLICABLE | 03/01/2022 |
| WILSON, JENNIFER Individual | managing control - governing body | NOT APPLICABLE | 03/01/2022 |
| CHICKADEE HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2022 |
| COSTA, CHARLIE Individual | operational/managerial control | NOT APPLICABLE | 03/01/2022 |
Other nursing homes near The Waterton Healthcare & Rehabilitation
The Center at Grande
3219 East Grande Boulevard, Tyler, TX 75707 · 1.3 mi
For-profit · 96 beds · Part of Veritas Management Group
★★★★★5Much above averageProvidence Park Rehabilitation and Skilled Nursing
5505 New Copeland Rd, Tyler, TX 75703 · 1.6 mi
For-profit · 125 beds · Part of Stonegate Senior Living
★★★★★2Below averagePark Place Nursing & Rehabilitation Center
2450 E Fifth St, Tyler, TX 75701 · 2.6 mi
For-profit · 120 beds
- Abuse citation
★★★★★1Much below averageMeadow Lake Health Center
16044 Cr 165, Tyler, TX 75703 · 2.6 mi
Non-profit · 20 beds · Part of Lifespace Communities
- CMS high performer
★★★★★5Much above averageAvir at Rose Trail
930 S Baxter, Tyler, TX 75701 · 3.2 mi
Government · 172 beds · Part of Avir Health Group
- Special Focus candidate
★★★★★1Much below 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 average
Frequently asked questions
What is The Waterton Healthcare & Rehabilitation's rating?
The Waterton Healthcare & Rehabilitation has 4 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 The Waterton Healthcare & Rehabilitation receive?
Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does The Waterton Healthcare & Rehabilitation 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 The Waterton Healthcare & Rehabilitation?
It is government - hospital district and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is The Waterton Healthcare & Rehabilitation and how do I contact it?
The Waterton Healthcare & Rehabilitation is at 2875 Shiloh Road, Tyler, TX 75703. Phone: (903) 561-1300.
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.