Elder Care Record

Texas › Smith County › Tyler

Meadow Lake Health Center

16044 County Road 165, Tyler, TX 75703

CCN 676286 · Non-profit, corporation · 20 certified beds · chain Lifespace Communities

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 20 beds, Meadow Lake Health Center serves Tyler in Smith County, Texas and has taken Medicare and Medicaid residents since 2011.

CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 3 and quality measures 5.

Inspectors recorded 4 health deficiencies across the three most recent survey cycles (0, 2, 2 by cycle, most recent first), none at the actual-harm level. That is 20.0 per 100 beds, about the same as the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.0 hours per resident per day (0.8 RN), close to the Texas median of 3.3; nursing staff turnover is 56.3%.

4health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.0nurse hours per resident per daystate median 3.3
142%occupancy (residents ÷ beds)28 residents a day

Compared with county, state and nation

MeasureThis facilitySmith Co. medianTexas medianUS average
Overall star rating5233.0
Health citations, 3 cycles4232528.7
Citations per 100 beds20.020.022.526.8
Total nurse hours per resident day4.03.43.33.9
RN hours per resident day0.80.40.40.7
Nursing staff turnover56.3%56.3%52.1%45.8%
Fines listed$0$31,256$16,801—

County and state figures are medians across facilities (17 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)0
Cycle 22
Cycle 32

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Sep 2025, 21 Aug 2024.

Severity mix: D ×2 E ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
19 May 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation20 May 2025
21 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey22 Aug 2024
19 Jul 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EStandard survey20 Jul 2023
19 Jul 2023F0610Respond appropriately to all alleged violations.EStandard survey20 Jul 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.01 h
Nurse aides2.62 h
LPN0.57 h
RN0.83 h
Weekend total3.39 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 56.3%, RNs 62.5%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.6%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.0%0.7%1.0%
Percentage of long-stay residents with pressure ulcersLong Stay6.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.1%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, corporation. Legal business name: Meadow Lake, Llc. Chain: Lifespace Communities (15 facilities).

OrganisationRole in the CMS recordInterestSince
Lifespace Communities IncOperational/managerial controlNOT APPLICABLE07/19/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Smith County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
The Center At GrandeTyler9655199.4—20 May 2026
Reunion Plaza Healthcare & RehabilitationTyler9945155.1—7 Aug 2025
The Waterton Healthcare & RehabilitationTyler924421010.9$23K6 May 2026
Oak Brook Health Care CenterWhitehouse1203411210.0—17 Jun 2026
The Heights of TylerTyler1203412117.5$14K24 Mar 2026
Avir At Azalea HeightsTyler1202312520.8$28K30 Apr 2026
Avir At Petal Hillabuse iconTyler1202223125.8$31K13 May 2026
Briarcliff Health CenterTyler230233146.1$51K21 May 2025

All 17 facilities in Smith County

Questions and answers

How many deficiencies has Meadow Lake Health Center been cited for?

4 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Meadow Lake Health Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Meadow Lake Health Center compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Meadow Lake Health Center?

It is part of the Lifespace Communities chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Lifespace Communities Inc. Individual owners and managers are not listed on this site.

When was Meadow Lake Health Center last inspected?

The most recent survey or investigation in the CMS record is dated 19 May 2025; the most recent standard health survey was 24 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.