The Waterton Healthcare & Rehabilitation
2875 Shiloh Road, Tyler, TX 75703 · Smith County
Government · 92 certified beds · 72% occupancy · (903) 561-1300
The Waterton Healthcare & Rehabilitation reviews: what the government record shows
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.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 4 of 5 stars
- Nurse staffing
- 3.38 hrs/resident/day (+3% vs TX median)
- Antipsychotic drug use
- 6.8% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 6.8% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $23,389
- Inspection findings
- 10 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Earns 4 of 5 stars overall from CMS.
- ✓Nurse staffing of 3.38 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
- !Serious-fall rate of 6.8% is well above the Texas median of 3%.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about The Waterton Healthcare & Rehabilitation
Is The Waterton Healthcare & Rehabilitation a good nursing home?
The Waterton Healthcare & Rehabilitation in Tyler, Texas holds a 4 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is The Waterton Healthcare & Rehabilitation staffed?
The Waterton Healthcare & Rehabilitation reports 3.38 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has The Waterton Healthcare & Rehabilitation been fined or flagged for abuse?
The Waterton Healthcare & Rehabilitation has paid approximately $23,389 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore 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 2026-09-05. 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 342 facilities, with a chain-average CMS rating of 3.2 stars.