Non profit - Corporation · 20 certified beds · CMS number 676286
Meadow Lake Health Center, Tyler, TX
CMS records 4 health deficiencies at Meadow Lake Health Center in Tyler, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 24, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 4deficiencies, 3 cycles (TX median 25)
- 0in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Meadow Lake Health Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Meadow Lake Health Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (0 deficiencies)
Standard inspection Sep 24, 2025. CMS counts 0 health deficiencies and 0 fire safety deficiencies in this cycle.
No health deficiencies in this cycle.
Previous cycle: 2 deficiencies (standard inspection Aug 21, 2024)
Standard inspection Aug 21, 2024. CMS counts 2 health deficiencies and 0 fire safety deficiencies in this cycle.
May 19, 2025 · Complaint inspection
1 deficiency, highest D
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 20, 2025
Aug 21, 2024 · Standard inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 22, 2024
Earlier cycle: 2 deficiencies (standard inspection Jul 19, 2023)
Standard inspection Jul 19, 2023. CMS counts 2 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 19, 2023 · Standard inspection
2 deficiencies, highest E
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 20, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 20, 2023
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 4.01 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.83 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.39 h
- Nursing staff turnover
- 56.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 5 of 5
CMS figures for Meadow Lake Health Center, copied as published; Texas medians are ours.
Facility details
- Address
- 16044 Cr 165, Tyler, TX 75703
- Phone
- (903) 526-5599
- County
- Smith
- Accepts
- Medicare
- Ownership
- Non profit - Corporation
- Chain (CMS)
- Lifespace Communities
- Certified beds
- 20
- Average residents per day
- 28.4
- In Medicare/Medicaid since
- May 31, 2011
- Inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 1 time)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 1 time)
- What steps are taken to keep residents protected while an incident is being investigated? (F610, cited 1 time)
- How are a resident's goals and preferences written into the care plan? (F656, cited 1 time)
Other nursing homes in Tyler and the same chain
- Avir at Rose Trail
Tyler · 60 deficiencies - Park Place Nursing & Rehabilitation Center
Tyler · 40 deficiencies - Greenbrier Nursing & Rehabilitation Center of Tyle
Tyler · 28 deficiencies - Avir at Petal Hill
Tyler · 27 deficiencies - Avir at Azalea Heights
Tyler · 25 deficiencies - Providence Park Rehabilitation and Skilled Nursing
Tyler · 23 deficiencies - Windflower Health Center
Amarillo · 29 deficiencies - Wesley Court Health Center
Abilene · 15 deficiencies - Querencia at Barton Creek
Austin · 8 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.