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HomeTexasThe Waterton Healthcare & Rehabilitation

The Waterton Healthcare & Rehabilitation

2875 Shiloh Road, Tyler, TX 757039035611300WebsiteGoogle Maps
4.5on Google(44 reviews)
4/5Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
4/5
Staffing
2/5
Quality
4/5
Beds
92
certified
2 fine(s) totaling $23,389

How The Waterton Healthcare & Rehabilitation Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
4/5
TX average
2.7/5
Above state average
Health inspection rating
4/5
TX average
2.8/5
Above state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.38 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.51 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
50.7%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 4/5 overall CMS rating is above the Texas average of 2.7/5.
Its 4/5 health inspection rating is above the Texas average of 2.8/5.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
3
deficiency citations
Inspected Mar 26, 2025
Most recent cycle
5
deficiency citations
Inspected May 6, 2026
The most recent cycle recorded 2 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Smith County 65+
39,803
17.0% of county
County Population
234,667
Smith County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

The Waterton Healthcare & Rehabilitation is a 4-star Medicare and Medicaid certified nursing home in Tyler, Texas with 92 certified beds. It has been operating since 2008. Its overall CMS rating is 4 out of 5.

Beds
92
Avg Residents/Day
66.5
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 3, 2008
Sprinklers
Yes
Council
Resident
County
Smith
Last Inspection
May 6, 2026
Deficiencies (Cycle 1)
5
Weighted Score
49.8
Infection Citations
0

Deficiency Citations (10)

F0584Potential for Harm

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.

Survey: May 6, 2026Corrected: NoCycle: 1
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: May 6, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: May 6, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 6, 2026Corrected: NoCycle: 1
F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 23, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 26, 2025Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Mar 26, 2025Corrected: NoCycle: 2
F0576Potential for Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey: Jan 31, 2024Corrected: NoCycle: 3
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Jan 31, 2024Corrected: NoCycle: 3
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 8, 2024Corrected: NoCycle: 3
Total Fines
$23,389
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJan 8, 2024
$9,009
FineApr 23, 2026
$14,380

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.09 hrs
National avg: 2.32 hrs
LPN0.78 hrs
National avg: 0.86 hrs
RN0.51 hrs
National avg: 0.69 hrs
Total Nursing3.38 hrs
National avg: 3.86 hrs
Weekend Total3.00 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
50.7%
RN Turnover
44.4%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Mar 1, 2022
COSTA, CHARLIEMANAGING CONTROL - GOVERNING BODYIndividualN/AMar 1, 2022
WILSON, JENNIFERMANAGING CONTROL - GOVERNING BODYIndividualN/AMar 1, 2022
BURNAM, SOONCORPORATE OFFICERIndividualN/AMar 1, 2022
SANDERSON, CLARKCORPORATE OFFICERIndividualN/AOct 29, 2012
CHICKADEE HEALTHCARE LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2022
COSTA, CHARLIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMar 1, 2022
CHICKADEE HEALTHCARE LLCADP OF THE SNFOrganizationN/AMay 14, 2025
ENSIGN SERVICES INCADP OF THE SNFOrganizationN/AMar 1, 2022
ROSE HEALTH HOLDINGS LLCADP OF THE SNFOrganizationN/AMar 1, 2022
STANDARD BEARER HEALTHCARE OP, LPADP OF THE SNFOrganizationN/AMar 1, 2022
THE ENSIGN GROUP INCADP OF THE SNFOrganizationN/AMar 1, 2022
COSTA, CHARLIEADP OF THE SNFIndividualN/AMay 14, 2025
WILSON, JENNIFERADP OF THE SNFIndividualN/AApr 27, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for The Waterton Healthcare & Rehabilitation and nearby alternatives.

All Texas facilities
The Waterton Healthcare & Rehabilitation
Tyler, TXCurrent facility
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $23,389
The Center at Grande
Tyler, TX1.3 mi
CMS
5/5
Health
5/5
Staffing
1/5
Recorded fines: None
Providence Park Rehabilitation and Skilled Nursing
Tyler, TX1.6 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $188,361
Park Place Nursing & Rehabilitation Center
Tyler, TX2.6 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $287,159
Meadow Lake Health Center
Tyler, TX2.6 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Avir at Rose Trail
Tyler, TX3.2 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $442,321
Avir at Petal Hill
Tyler, TX3.3 miAbuse flag
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $31,256
FacilityDistanceCMSHealthStaffingRecorded fines
The Waterton Healthcare & Rehabilitation
Tyler, TX · Current facility
—4/54/52/5$23,389
The Center at Grande
Tyler, TX
1.3 mi5/55/51/5None recorded
Providence Park Rehabilitation and Skilled Nursing
Tyler, TX
1.6 mi2/52/52/5$188,361
Park Place Nursing & Rehabilitation Center
Tyler, TX
2.6 mi1/51/51/5$287,159
Meadow Lake Health Center
Tyler, TX
2.6 mi5/55/53/5None recorded
Avir at Rose Trail
Tyler, TX
3.2 mi1/51/51/5$442,321
Avir at Petal Hill
Tyler, TX
3.3 mi2/52/52/5$31,256

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for The Waterton Healthcare & Rehabilitation?▾
The Waterton Healthcare & Rehabilitation has an overall CMS rating of 4 out of 5 stars, with a health inspection rating of 4/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated above average.
How much does The Waterton Healthcare & Rehabilitation cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). The Waterton Healthcare & Rehabilitation participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has The Waterton Healthcare & Rehabilitation had any health inspection violations?▾
The Waterton Healthcare & Rehabilitation had 5 deficiency citations in its most recent health inspection (May 6, 2026). The current CMS dataset records 2 fine(s) totaling $23,389.
What are the staffing levels at The Waterton Healthcare & Rehabilitation?▾
The Waterton Healthcare & Rehabilitation provides 3.38 total nursing staff hours per resident per day, including 0.51 RN hours, 0.78 LPN hours, and 2.09 nurse aide hours. The total staff turnover rate is 50.7%.
How many beds does The Waterton Healthcare & Rehabilitation have?▾
The Waterton Healthcare & Rehabilitation has 92 certified beds with an average of 66.5 residents per day, resulting in approximately 72% occupancy. The facility is Government - Hospital district owned and is part of the The Ensign Group chain.
Are there other nursing homes near The Waterton Healthcare & Rehabilitation?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 6 in Tyler. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about The Waterton Healthcare & Rehabilitation?▾
On Google Maps, The Waterton Healthcare & Rehabilitation has a rating of 4.5 out of 5 based on 44 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 4/5.

Part of The Ensign Group

This chain operates 346 facilities. View all →