Nursing homes in Smith County, Texas
There are 17 certified nursing homes in Smith County, Texas, with 1,985 beds between them.
65% of them are rated 1 or 2 stars overall, a larger share than the state (48%). Inspectors recorded 392 health deficiencies over three cycles, 19.7 per 100 beds against 24.4 statewide.
Fines in the period covered total $2.4M across 30 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Smith County | Texas | US |
|---|---|---|---|
| Facilities | 17 | 1177 | 14690 |
| Rated 1–2 stars overall | 65% | 48% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 19.7 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.4 | 3.3 | 3.7 |
| Fines listed | $2.4M | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Meadow Lake Health Center | Tyler | 20 | 5 | 5 | 3 | 4 | 20.0 | — | 19 May 2025 |
| The Center At Grande | Tyler | 96 | 5 | 5 | 1 | 9 | 9.4 | — | 20 May 2026 |
| Reunion Plaza Healthcare & Rehabilitation | Tyler | 99 | 4 | 5 | 1 | 5 | 5.1 | — | 7 Aug 2025 |
| The Waterton Healthcare & Rehabilitation | Tyler | 92 | 4 | 4 | 2 | 10 | 10.9 | $23K | 6 May 2026 |
| Oak Brook Health Care Center | Whitehouse | 120 | 3 | 4 | 1 | 12 | 10.0 | — | 17 Jun 2026 |
| The Heights of Tyler | Tyler | 120 | 3 | 4 | 1 | 21 | 17.5 | $14K | 24 Mar 2026 |
| Avir At Azalea Heights | Tyler | 120 | 2 | 3 | 1 | 25 | 20.8 | $28K | 30 Apr 2026 |
| Avir At Petal Hillabuse icon | Tyler | 120 | 2 | 2 | 2 | 31 | 25.8 | $31K | 13 May 2026 |
| Briarcliff Health Center | Tyler | 230 | 2 | 3 | 3 | 14 | 6.1 | $51K | 21 May 2025 |
| Greenbrier Nursing & Rehabilitation Center of Tyle | Tyler | 120 | 2 | 3 | 1 | 28 | 23.3 | — | 25 Mar 2026 |
| Providence Park Rehabilitation and Skilled Nursing | Tyler | 125 | 2 | 2 | 2 | 24 | 19.2 | $188K | 15 Jun 2026 |
| Watkins-Logan-Garrison Texas State Veteran'S Home | Tyler | 100 | 2 | 2 | 4 | 19 | 19.0 | $215K | 11 Jun 2026 |
| Avir At Lindale | Lindale | 122 | 1 | 1 | 2 | 39 | 32.0 | $755K | 10 Jun 2026 |
| Avir At Rose TrailSFF Candidate | Tyler | 172 | 1 | 1 | 1 | 62 | 36.0 | $393K | 26 Jun 2026 |
| Bluebonnet Point Wellness | Bullard | 119 | 1 | 2 | 1 | 34 | 28.6 | $182K | 15 Jan 2026 |
| Colonial Nursing & Rehabilitation Center | Lindale | 90 | 1 | 2 | 1 | 23 | 25.6 | $248K | 18 Mar 2026 |
| Park Place Nursing & Rehabilitation Centerabuse icon | Tyler | 120 | 1 | 1 | 1 | 32 | 26.7 | $287K | 22 Apr 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 27 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 26 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 18 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | 18 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 18 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 11 |
| Government | 5 |
| Non profit | 1 |
Chains present: Avir Health Group (4), Creative Solutions In Healthcare (2), Lifespace Communities (1), Caring Healthcare Group (1), Stonegate Senior Living (1), Southwest Ltc (1), Veritas Management Group (1), Touchstone Communities (1).
Questions and answers
How many nursing homes are in Smith County, Texas?
17 Medicare-certified nursing homes with 1,985 certified beds.
Which nursing homes in Smith County have the highest CMS ratings?
Meadow Lake Health Center (5 stars), The Center At Grande (5 stars), Reunion Plaza Healthcare & Rehabilitation (4 stars)
How do Smith County nursing homes compare with Texas?
65% are rated 1–2 stars overall against 48% statewide; citations run at 19.7 per 100 beds against 24.4 statewide.