Meadow Lake Health Center
Nursing Home · 16044 County Road 165, Tyler, TX 75703 · 9035265599
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 5.0 / 5 | high |
| Staffing | 3.3 / 5 | high |
| Clinical outcomes | 3.7 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 4.6 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 20 |
| Ownership | Non Profit - Corporation |
| Operator | Meadow Lake, Llc |
| Chain size | 16 facilities |
| Certified since | 2011-05-31 |
| CMS overall star | 5 / 5 |
| Accepts Medicaid | No |
| Price tier | $$$$$ of 5 · ~$1,229/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 4 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 4 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-05-19 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Resident Rights Deficiencies, tag 0580) | D | corrected 2025-05-20 |
| 2024-08-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2024-08-22 |
| 2023-07-19 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0609) | E | corrected 2023-07-20 |
| 2023-07-19 | Respond appropriately to all alleged violations. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0610) | E | corrected 2023-07-20 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 4.24 hrs/resident/day (expected 3.74 for this facility's resident acuity — at or above expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 1.03 hrs/resident/day (expected 0.66 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 2.77 · LPN 0.44 hrs/resident/day
- Weekend total staffing: 3.70 hrs/resident/day (expected 3.32 for this facility's resident acuity — at or above expected)
- Annual nursing-staff turnover: 53.1% · RN turnover 55.6% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.35 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 7 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 2.1% | 0 → 0 → 3.6 → 3.9 | worse than 75% of US homes · TX median 0.7% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 6.4% | 3.9 → · → · → · | worse than 75% of US homes · TX median 3.4% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 11.8% | not reported | better than 56% of US homes · TX median 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 9.1% | not reported | better than 70% of US homes · TX median 8.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | not reported | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → · → · → · | better than 100% of US homes · TX median 0.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0% | 0 → · → · → · | better than 100% of US homes · TX median 3% |
What this costs
- This facility's reported avg daily charge: $1,229/day · $$$$$ (price tier 5 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 0% Medicaid · 19% Medicare · 81% other/private · 84% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: no — Medicare-only certification
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Smith County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Baylor Scott & White Texas Spine & Joint Hospital | Tyler | Yes | 5★ | Acute care |
| Christus Mother Frances Hospital | Tyler | Yes | 4★ | Acute care |
| The University of Texas Health Science Center at Tyler | Tyler | Yes | 4★ | Acute care |
| Ut Health East Texas Tyler Regional Hospital | Tyler | Yes | 2★ | Acute care |
Compare nearby
- A- The Center At Grande · Tyler
- A- Oak Brook Health Care Center · Whitehouse
- B+ Reunion Plaza Healthcare & Rehabilitation · Tyler
- B The Waterton Healthcare & Rehabilitation · Tyler
- B- Greenbrier Nursing & Rehabilitation Center Of Tyle · Tyler
- B- Watkins-Logan-Garrison Texas State Veteran'S Home · Tyler
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Smith County nursing homes coverage. Spot an error? Tell us.