The Waterton Healthcare & Rehabilitation

Nursing home in Tyler, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (903) 561-1300 Send a message Map ↗

Public-record details

Address: 2875 Shiloh Road, Tyler, TX 75703
Phone: (903) 561-1300
Listed under: Government-owned, 4–5 star overall rating
Medicare CCN: 676193
Overall star rating: 4 of 5 ★★★★☆
Health inspection rating: 4 of 5
Staffing rating: 2 of 5
Quality measures rating: 4 of 5
Certified beds: 92
Average residents per day: 67
Ownership: Government, hospital district
Legal business name: Fannin County Hospital Authority
Chain: The Ensign Group (342 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Sep 3, 2008
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 676193. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 6, 2026. CMS lists 10 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 8, 2024 to May 6, 2026): 2 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
May 6, 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	D Potential for more than minimal harm, isolated
May 6, 2026	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 6, 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	D Potential for more than minimal harm, isolated
May 6, 2026	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Apr 23, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Mar 26, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern
Mar 26, 2025	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care	E Potential for more than minimal harm, pattern
Jan 31, 2024	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights	D Potential for more than minimal harm, isolated
Jan 31, 2024	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental	D Potential for more than minimal harm, isolated
Jan 8, 2024	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	J Immediate jeopardy, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $23,389 in the last three years.

Apr 23, 2026	Fine: $14,380
Jan 8, 2024	Fine: $9,009

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.38 hours
Registered nurse (RN) time per resident per day: 0.51 hours
Nurse aide time per resident per day: 2.09 hours
Total nurse staffing on weekends: 3.00 hours
Nursing staff turnover (yearly): 51%
RN turnover (yearly): 44%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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