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Greenbrier Nursing & Rehabilitation Center Of Tyle

3526 W Erwin St, Tyler, TX 75702 · Smith County

For-profit · 120 certified beds · 45% occupancy · (903) 593-6441

The U.S. government (CMS) rates Greenbrier Nursing & Rehabilitation Center Of Tyle 2 out of 5 stars overall — below average. Its nurse staffing is 6% below the Texas median.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.06 nurse hours per resident per day. 6% below the Texas median of 3.27.

Total nurse
3.06 hrs
RN
0.21 hrs
LPN
1.03 hrs
Aide
1.81 hrs

Nursing staff turnover: 96.6% · RN turnover: 100%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

28
total findings
0
immediate jeopardy
0
caused actual harm
8
from complaints
  • Potential for harmTag F0684 · Mar 25, 2026Corrected Mar 26, 2026

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0725 · Mar 25, 2026Corrected Apr 2, 2026

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Nursing and Physician Services Deficiencies

  • Potential for harmTag F0755 · Mar 25, 2026Corrected Mar 26, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0580 · Mar 25, 2026Corrected Apr 17, 2026

    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

  • Potential for harmTag F0638 · Mar 25, 2026Corrected Mar 26, 2026

    Assure that each resident’s assessment is updated at least once every 3 months.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0657 · Mar 25, 2026Corrected Apr 16, 2026

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0677 · Mar 25, 2026Corrected Mar 26, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0759 · Mar 25, 2026Corrected Mar 26, 2026

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0760 · Mar 25, 2026Corrected Mar 26, 2026

    Ensure that residents are free from significant medication errors.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0761 · Mar 25, 2026Corrected Mar 26, 2026

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pharmacy Service Deficiencies

Showing the 10 most recent and serious of 28 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

9.2%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is below the national median but above the Texas median, roughly middle of the pack for the state.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

No federal fines are on record for this home in roughly the last three years, a good sign.

Ownership

This home is for-profit (for profit - corporation). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.2 stars.