The Waterton Healthcare & Rehabilitation
2875 Shiloh Road, Tyler, TX 75703 · Smith County
Government · 92 certified beds · 72% occupancy · (903) 561-1300
The U.S. government (CMS) rates The Waterton Healthcare & Rehabilitation 4 out of 5 stars overall — above average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
CMS quality ratings
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.
3.38 nurse hours per resident per day. 3% above the Texas median of 3.27.
Nursing staff turnover: 50.7% · RN turnover: 44.4%
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.
- Actual harmTag F0684 · Apr 23, 2026ComplaintCorrected Apr 27, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0584 · May 6, 2026Corrected May 7, 2026
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.
Resident Rights Deficiencies
- Potential for harmTag F0694 · May 6, 2026Corrected May 7, 2026
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0842 · May 6, 2026Corrected May 7, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0880 · May 6, 2026Corrected May 7, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0641 · Mar 26, 2025Corrected Apr 10, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0692 · Mar 26, 2025Corrected Apr 10, 2025
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0689 · Jan 8, 2024ComplaintCorrected Jan 9, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0576 · Jan 31, 2024Corrected Mar 1, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
- Potential for harmTag F0921 · Jan 31, 2024Corrected Mar 1, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Showing the 10 most recent and serious of 10 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.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
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.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the The Ensign Group chain, which operates 346 facilities, with a chain-average CMS rating of 3.2 stars.