The Waterton Healthcare & Rehabilitation
Nursing Home · 2875 Shiloh Road, Tyler, TX 75703 · 9035611300
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 4.0 / 5 | high |
| Staffing | 2.6 / 5 | high |
| Clinical outcomes | 3.7 / 5 | high |
| Enforcement | 4.6 / 5 | high |
| Financial stability | 3.3 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 92 |
| Ownership | For Profit - Limited Liability Company |
| Operator | Fannin County Hospital Authority |
| Chain size | 338 facilities |
| Certified since | 2008-09-03 |
| CMS overall star | 4 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$$ of 5 · ~$654/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 1 immediate jeopardy · 0 actual harm · 4 potential for harm · 0 minor
- Federal fines: $9,009 · payment denials: 0 · penalty actions: 1
Recent inspection findings
The 5 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 |
|---|---|---|---|
| 2025-03-26 | Ensure each resident receives an accurate assessment. (Resident Assessment and Care Planning Deficiencies, tag 0641) | E | corrected 2025-04-10 |
| 2025-03-26 | Provide enough food/fluids to maintain a resident's health. (Quality of Life and Care Deficiencies, tag 0692) | E | corrected 2025-04-10 |
| 2024-01-31 | Ensure residents have reasonable access to and privacy in their use of communication methods. (Resident Rights Deficiencies, tag 0576) | D | corrected 2024-03-01 |
| 2024-01-31 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Environmental Deficiencies, tag 0921) | D | corrected 2024-03-01 |
| 2024-01-08 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | J · immediate jeopardy | corrected 2024-01-09 |
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: 3.49 hrs/resident/day (expected 3.71 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.51 hrs/resident/day (expected 0.65 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 2.20 · LPN 0.79 hrs/resident/day
- Weekend total staffing: 3.25 hrs/resident/day (expected 3.29 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 48.4% · RN turnover 60.0% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.33 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 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 long-stay residents experiencing one or more falls with major injury (long stay) | 6% | 3.8 → 5.6 → 5.8 → 8.8 | worse than 88% of US homes · TX median 3% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 14.8% | 14.9 → 15.2 → 11.4 → 17.4 | worse than 57% of US homes · TX median 14.8% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.5% | 2 → 0 → 0 → 0 | better than 65% of US homes · TX median 0.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0.4% | 2 → 0 → 0 → 0 | better than 67% of US homes · TX median 0.7% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 8.9% | 5.3 → 17.5 → 0 → 11 | better than 71% of US homes · TX median 13% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 5.5% | 2.8 → 5.7 → 5.6 → 7.9 | better than 85% of US homes · TX median 8.1% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 1.8% | 2.3 → 1.7 → 0 → 3.2 | better than 86% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
What this costs
- This facility's reported avg daily charge: $654/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): 62% Medicaid · 10% Medicare · 28% other/private · 86% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- 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 Meadow Lake Health Center · Tyler
- A- The Center At Grande · Tyler
- A- Oak Brook Health Care Center · Whitehouse
- B+ Reunion Plaza 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.