Nursing home in Tyler, Texas
Greenbrier Nursing & Rehabilitation Center of Tyle
Medicare and Medicaid
3526 West Erwin Street, Tyler, TX 75702
(903) 593-6441
CMS star ratings
CMS gives this nursing home an overall star rating of 2 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home2
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home3
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home3
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Mar 25, 2026. CMS counts 15 health deficiencies in rating cycle 1.
- This nursing home15
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 28 health deficiencies on 7 inspection dates since Sep 30, 2023. By level of harm: 28 potential for harm.
- 0 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 28 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Mar 25, 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0725 | 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 | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 2, 2026 |
| Mar 25, 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0580 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 17, 2026 |
| Mar 25, 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0657 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Apr 16, 2026 |
| Mar 25, 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0761 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
Show the other 18 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Mar 25, 2026 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0924 | Put firmly secured handrails on each side of hallways.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Mar 25, 2026 | F0926 | Have policies on smoking.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 26, 2026 |
| Aug 13, 2025 | F0585 | 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 | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Aug 14, 2025 |
| Aug 13, 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Aug 14, 2025 |
| Aug 13, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Aug 14, 2025 |
| Dec 18, 2024 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 8, 2025 |
| Dec 18, 2024 | F0693 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 8, 2025 |
| Dec 18, 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 8, 2025 |
| Dec 18, 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 8, 2025 |
| Oct 6, 2024 | F0600 | 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 | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 7, 2024 |
| Oct 6, 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 7, 2024 |
| Oct 6, 2024 | F0656 | 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 | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 7, 2024 |
| May 21, 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction May 22, 2024 |
| Jan 8, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jan 30, 2024 |
| Nov 15, 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Nov 16, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.06 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.21 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home96.6%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 120 |
|---|---|
| Average residents per day | 54.3 |
| Ownership | For profit - Corporation |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Creative Solutions in Healthcare (149 facilities) |
| Legal business name | LIBERTY COUNTY HOSPITAL DISTRICT NO 1 |
| First approved for Medicare and Medicaid | Feb 14, 1994 |
| County | Smith |
| CMS certification number | 675267 |
Also in Tyler
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Meadow Lake Health Center | 20 | Non profit - Corporation | ||
| The Center at Grande | 96 | For profit - Limited Liability company | ||
| Reunion Plaza Healthcare & Rehabilitation | 99 | Government - Hospital district | ||
| The Waterton Healthcare & Rehabilitation | 92 | Government - Hospital district | ||
| Watkins-Logan-Garrison Texas State Veteran's Home | 100 | For profit - Corporation | ||
| The Heights of Tyler | 120 | For profit - Partnership | ||
| Avir at Azalea Heights | 120 | For profit - Limited Liability company | ||
| Avir at Petal Hill | 120 | For profit - Corporation | ||
| Briarcliff Health Center | 230 | For profit - Corporation | ||
| Providence Park Rehabilitation and Skilled Nursing | 125 | For profit - Corporation | ||
| Avir at Rose Trail | 172 | Government - Hospital district | ||
| Park Place Nursing & Rehabilitation Center | 120 | For profit - Limited Liability company |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| Baylor Scott & White Texas Spine & Joint Hospital | Acute Care Hospitals | Yes | |
| CHRISTUS Mother Frances Hospital | Acute Care Hospitals | Yes | |
| University of Texas Health Science Center at Tyler | Acute Care Hospitals | Yes | |
| UT Health East Texas Tyler Regional Hospital | Acute Care Hospitals | Yes |