nursing home in Tyler, TX
Meadow Lake Health Center
16044 Cr 165, Tyler, TX 75703 · (903) 526-5599
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★5
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Meadow Lake Health Center at a glance
Meadow Lake Health Center is a 20-bed non-profit nursing home in Tyler, Texas (Smith County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 4 hours of nursing care per day (0.8 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (September 24, 2025) found 0 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 56.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 20
- Certified for
- Medicare
- Chain / affiliated entity
- Lifespace Communities
- Medicare-certified since
- May 31, 2011
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Smith County
- CMS Certification Number
- 676286
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 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) | 4.01 hrs | 3.39 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.83 hrs | 0.43 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.62 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.39 hrs | 2.98 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 56.3% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 62.5% | 54.6% | 42.9% | Worse |
| 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) | 0 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 2 | 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 | 20 | 113 | 107 | |
| Average residents per day | 28 | 76 | 86 | |
| Occupancy | 100% | 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) | 1.5% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.2% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 7.1% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3% | 0.8% | 1.6% | Worse |
| 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) | 15.6% | 15.8% | 13.9% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.7% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 8.3% | 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) | 56.3% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 15.2% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.5% | 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) | 2% | 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) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 4 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 19, 2025 Complaint | 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 May 20, 2025 |
| August 21, 2024 Standard | 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 August 22, 2024 |
| July 19, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected July 20, 2023 |
| July 19, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected July 20, 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 |
|---|---|---|---|
| JANTZEN, JESSE Individual | corporate director | NOT APPLICABLE | 07/19/2022 |
| GORMAN, JOSEPH Individual | corporate officer | NOT APPLICABLE | 07/19/2022 |
| HARSHFIELD, NICHOLAS Individual | corporate officer | NOT APPLICABLE | 07/19/2022 |
| JANTZEN, JESSE Individual | corporate officer | NOT APPLICABLE | 07/19/2022 |
| POPE, ERIN Individual | corporate officer | NOT APPLICABLE | 07/25/2022 |
| LIFESPACE COMMUNITIES INC Organization | operational/managerial control | NOT APPLICABLE | 07/19/2022 |
| BELL, ROBBIN Individual | w-2 managing employee | NOT APPLICABLE | 07/19/2022 |
Other nursing homes near Meadow Lake Health Center
Providence Park Rehabilitation and Skilled Nursing
5505 New Copeland Rd, Tyler, TX 75703 · 1.1 mi
For-profit · 125 beds · Part of Stonegate Senior Living
★★★★★2Below averageReunion Plaza Healthcare & Rehabilitation
1401 Rice Rd, Tyler, TX 75703 · 1.3 mi
Government · 99 beds · Part of Southwest LTC
★★★★★4Above averageThe Heights of Tyler
2650 Elkton Trail, Tyler, TX 75703 · 2 mi
For-profit · 120 beds · Part of Touchstone Communities
★★★★★3AverageAvir at Azalea Heights
3505 Old Jacksonville Rd, Tyler, TX 75701 · 2.4 mi
For-profit · 120 beds · Part of Avir Health Group
★★★★★2Below average- ★★★★★2Below average
The Waterton Healthcare & Rehabilitation
2875 Shiloh Road, Tyler, TX 75703 · 2.6 mi
Government · 92 beds · Part of The Ensign Group
★★★★★4Above average
Frequently asked questions
What is Meadow Lake Health Center's rating?
Meadow Lake Health Center has 5 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 Meadow Lake Health Center receive?
Its most recent standard health inspection found 0 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Meadow Lake Health Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Meadow Lake Health Center?
It is non profit - corporation and part of Lifespace Communities. The ownership section on this page lists the owners and managers reported to CMS.
Where is Meadow Lake Health Center and how do I contact it?
Meadow Lake Health Center is at 16044 Cr 165, Tyler, TX 75703. Phone: (903) 526-5599.
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.