Nursing home in Tyler, Texas
The Waterton Healthcare & Rehabilitation
Medicare and Medicaid
2875 Shiloh Road, Tyler, TX 75703
(903) 561-1300
CMS star ratings
CMS gives this nursing home an overall star rating of 4 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 home4
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home4
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home2
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): May 6, 2026. CMS counts 5 health deficiencies in rating cycle 1.
- This nursing home5
- 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 10 health deficiencies on 5 inspection dates since Sep 30, 2023. By level of harm: 1 immediate jeopardy, 1 actual harm, 8 potential for harm.
- 1 Immediate jeopardy to resident health or safety
- 1 Actual harm
- 8 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 |
|---|---|---|---|---|---|
| May 6, 2026 | F0584 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 7, 2026 |
| May 6, 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 7, 2026 |
| May 6, 2026 | F0842 | 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 | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction May 7, 2026 |
| May 6, 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 May 7, 2026 |
| Apr 23, 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies | G Actual harm, isolated | Complaint | Deficient, Provider has date of correction Apr 27, 2026 |
| Mar 26, 2025 | 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 Apr 10, 2025 |
| Mar 26, 2025 | F0692 | Provide enough food/fluids to maintain a resident's health.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Apr 10, 2025 |
| Jan 31, 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Mar 1, 2024 |
| Jan 31, 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 Mar 1, 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 | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Jan 9, 2024 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.38 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 home0.51 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 home50.7%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 2 penalties for this nursing home: 2 fines totaling $23,389, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 92 |
|---|---|
| Average residents per day | 66.5 |
| Ownership | Government - Hospital district |
| 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 | The Ensign Group (344 facilities) |
| Legal business name | FANNIN COUNTY HOSPITAL AUTHORITY |
| First approved for Medicare and Medicaid | Sep 3, 2008 |
| County | Smith |
| CMS certification number | 676193 |
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 | ||
| 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 | ||
| Greenbrier Nursing & Rehabilitation Center of Tyle | 120 | 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 |