Government - Hospital district · 92 certified beds · CMS number 676193
The Waterton Healthcare & Rehabilitation, Tyler, TX
CMS records 10 health deficiencies at The Waterton Healthcare & Rehabilitation in Tyler, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 6, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 2 fines totaling $23,389 in the last three years.
- 10deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $23,389fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Waterton Healthcare & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Waterton Healthcare & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection May 6, 2026. CMS counts 5 health deficiencies and 0 fire safety deficiencies in this cycle.
May 6, 2026 · Standard inspection
4 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 7, 2026
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 7, 2026
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 7, 2026
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 7, 2026
Apr 23, 2026 · Complaint inspection
1 deficiency, highest G
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 27, 2026
Previous cycle: 2 deficiencies (standard inspection Mar 26, 2025)
Standard inspection Mar 26, 2025. CMS counts 2 health deficiencies and 0 fire safety deficiencies in this cycle.
Mar 26, 2025 · Standard inspection
2 deficiencies, highest E
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 10, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 10, 2025
Earlier cycle: 3 deficiencies (standard inspection Jan 31, 2024)
Standard inspection Jan 31, 2024. CMS counts 3 health deficiencies and 0 fire safety deficiencies in this cycle.
Jan 31, 2024 · Standard inspection
2 deficiencies, highest D
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
F576 · Phone, mail, and internet access
Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
Jan 8, 2024 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 9, 2024
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 23, 2026 | Fine | $14,380 |
| Jan 8, 2024 | Fine | $9,009 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.38 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.51 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.00 h
- Nursing staff turnover
- 50.7% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for The Waterton Healthcare & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 2875 Shiloh Road, Tyler, TX 75703
- Phone
- (903) 561-1300
- County
- Smith
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- The Ensign Group
- Certified beds
- 92
- Average residents per day
- 66.5
- In Medicare/Medicaid since
- Sep 3, 2008
- Inside a hospital
- No
- Continuing care retirement community
- No
- 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.
- Where can residents make private phone calls, and is Wi-Fi available to them? (F576, cited 1 time)
- How often are rooms cleaned and bed linens changed? (F584, cited 1 time)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 1 time)
- How does the home make sure doctor's orders are followed consistently across shifts? (F684, 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 - The Eden of Las Colinas
Irving · 65 deficiencies - Northeast Rehabilitation and Healthcare Center
San Antonio · 57 deficiencies - Westpark Rehabilitation and Living
Euless · 54 deficiencies - Park Village Healthcare and Rehabilitation
DeSoto · 52 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.