The Waterton Healthcare & RehabilitationCMS ratings, inspections and fines
- Address
- 2875 Shiloh Road, Tyler, TX 75703
- CCN
- 676193
- Ownership type
- Government, hospital district
- Certified beds
- 92
- Chain
- The Ensign Group
- Residents per day
- 67
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives The Waterton Healthcare & Rehabilitation an overall rating of 4 of 5 stars. The last standard survey was on 6 May 2026. The latest survey cycle has 5 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $23,389 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Smith County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 17 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 6 May 2026 | 5 | 8 |
| Cycle 2 | 26 Mar 2025 | 2 | 8 |
| Cycle 3 | No date | 3 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 May 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. | D | Standard survey | 7 May 2026 |
| 6 May 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 7 May 2026 |
| 6 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 7 May 2026 |
| 6 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 May 2026 |
| 23 Apr 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 27 Apr 2026 |
Survey cycle 2: 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 10 Apr 2025 |
| 26 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 10 Apr 2025 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Jan 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 1 Mar 2024 |
| 31 Jan 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 1 Mar 2024 |
| 8 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 9 Jan 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 23 Apr 2026 | Fine | $14,380 | |
| 8 Jan 2024 | Fine | $9,009 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.38 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.51 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.78 | 0.95 | |
| Nurse aides | 2.09 | 2.00 | |
| All nurse staff, weekends | 3.00 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 50.7%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 44.4%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.4% | 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 | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 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 | 11.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.8% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, hospital district
- Legal business name
- Fannin County Hospital Authority
- Chain
- The Ensign Group (342 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 1 Mar 2022 |
| Chickadee Healthcare LLC | Operational/managerial control | 1 Mar 2022 | |
| Chickadee Healthcare LLC | Adp of the snf | 14 May 2025 | |
| Ensign Services Inc | Adp of the snf | 1 Mar 2022 | |
| Rose Health Holdings LLC | Adp of the snf | 1 Mar 2022 | |
| Standard Bearer Healthcare Op, LP | Adp of the snf | 1 Mar 2022 | |
| The Ensign Group Inc | Adp of the snf | 1 Mar 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in Smith County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Center at Grande | Tyler | 5 of 5 | 2 | $0 | 20 May 2026 | |
| Providence Park Rehabilitation and Skilled Nursing | Tyler | 2 of 5 | 4 | $188,361 | 18 Jun 2025 | |
| Park Place Nursing & Rehabilitation Center | Tyler | 1 of 5 | 17 | $287,159 | 5 May 2025 | |
| Meadow Lake Health Center | Tyler | 5 of 5 | 0 | $0 | 24 Sep 2025 | |
| Avir at Rose TrailSpecial Focus candidate | Tyler | 1 of 5 | 24 | $392,851 | 4 Dec 2025 | |
| Avir at Petal Hill | Tyler | 2 of 5 | 8 | $31,256 | 5 Mar 2026 | |
| Reunion Plaza Healthcare & Rehabilitation | Tyler | 4 of 5 | 5 | $0 | 7 Aug 2025 | |
| Avir at Azalea Heights | Tyler | 2 of 5 | 11 | $27,550 | 10 Dec 2025 | |
| Briarcliff Health Center | Tyler | 2 of 5 | 1 | $51,034 | 21 May 2025 | |
| The Heights of Tyler | Tyler | 3 of 5 | 7 | $14,276 | 25 Feb 2026 | |
| Greenbrier Nursing & Rehabilitation Center of Tyle | Tyler | 2 of 5 | 18 | $0 | 25 Mar 2026 | |
| Oak Brook Health Care Center | Whitehouse | 3 of 5 | 9 | $0 | 17 Jun 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of The Waterton Healthcare & Rehabilitation (CCN 676193). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/the-waterton-healthcare-rehabilitation-tyler-tx-676193/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was The Waterton Healthcare & Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 6 May 2026. It was a standard survey. It gave 4 citations. The standard survey before the last one was on 26 Mar 2025.
- Who operates The Waterton Healthcare & Rehabilitation?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain The Ensign Group. The CMS ownership file names Chickadee Healthcare LLC for operational or managerial control. This site does not show the names of persons.
- Is The Waterton Healthcare & Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.