Texas › Smith County › Tyler
The Heights of Tyler
2650 Elkton Trail, Tyler, TX 75703
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 120 beds, The Heights of Tyler serves Tyler in Smith County, Texas and has taken Medicare and Medicaid residents since 2010.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 3.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (7, 7, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 17.5 per 100 beds, fewer than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.1 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 56.1%.
Compared with county, state and nation
| Measure | This facility | Smith Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 23 | 25 | 28.7 |
| Citations per 100 beds | 17.5 | 20.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 56.1% | 56.3% | 52.1% | 45.8% |
| Fines listed | $14,276 | $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
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Feb 2026, 30 Oct 2024.
Severity mix: K ×1 D ×12 E ×6 F ×1 C ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Mar 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 26 Mar 2026 |
| 25 Feb 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. | E | Standard survey | 3 Mar 2026 |
| 25 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 3 Mar 2026 |
| 25 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Mar 2026 |
| 25 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Mar 2026 |
| 25 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 3 Mar 2026 |
| 25 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Mar 2026 |
| 30 Oct 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint investigation | 30 Oct 2024 |
| 30 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 Oct 2024 |
| 30 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Oct 2024 |
| 4 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 23 Oct 2024 |
| 4 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 Oct 2024 |
| 18 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 27 Sep 2023 |
| 28 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Aug 2024 |
| 20 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Oct 2023 |
| 20 Sep 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 1 Oct 2023 |
| 20 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Oct 2023 |
| 20 Sep 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | C | Standard survey | 1 Oct 2023 |
| 1 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 17 Aug 2023 |
| 1 Sep 2023 | 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. | E | Complaint investigation | 15 Sep 2023 |
| 1 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 15 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Sep 2023 | Fine | $14,276 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 56.1%, RNs 54.5%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.0% | 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: for-profit, partnership. Legal business name: Liberty County Hospital District No 1. Chain: Touchstone Communities (25 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Liberty County Hospital District No 1 | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| Capital Funding Group, Inc. | 5% or greater mortgage interest | NOT APPLICABLE | 12/01/2014 |
| Touchstone Strategies-Tyler LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| Aegis Therapies, Inc. | Adp of the snf | NOT APPLICABLE | 04/01/2017 |
| Carvajal Pharmacy LTC | Adp of the snf | NOT APPLICABLE | 04/01/2017 |
| Nutritious Lifestyles, Inc. | Adp of the snf | NOT APPLICABLE | 04/01/2017 |
| Touchstone Communities Inc | Adp of the snf | NOT APPLICABLE | 04/01/2017 |
| Touchstone Realty - Sc LLC | Adp of the snf | NOT APPLICABLE | 04/01/2017 |
| Touchstone Strategies-Tyler LLC | Adp of the snf | NOT APPLICABLE | 07/24/2025 |
| Trident Health Services Inc | Adp of the snf | NOT APPLICABLE | 04/01/2017 |
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
| 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 |
| 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 |
All 17 facilities in Smith County
Questions and answers
How many deficiencies has The Heights of Tyler been cited for?
21 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Heights of Tyler been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at The Heights of Tyler compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Heights of Tyler?
It is part of the Touchstone Communities chain. Ownership type is for-profit, partnership. Organisations in the CMS ownership record include Liberty County Hospital District No 1 and Touchstone Strategies-Tyler LLC. Individual owners and managers are not listed on this site.
When was The Heights of Tyler last inspected?
The most recent survey or investigation in the CMS record is dated 24 Mar 2026; the most recent standard health survey was 25 Feb 2026.
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.