The Heights of Tyler

Nursing home in Tyler, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (903) 266-7200 Send a message Map ↗

Public-record details

Address: 2650 Elkton Trail, Tyler, TX 75703
Phone: (903) 266-7200
Listed under: For-profit
Medicare CCN: 676262
Overall star rating: 3 of 5 ★★★☆☆
Health inspection rating: 4 of 5
Staffing rating: 1 of 5
Quality measures rating: 3 of 5
Certified beds: 120
Average residents per day: 112
Ownership: For-profit, partnership
Legal business name: Liberty County Hospital District No 1
Chain: Touchstone Communities (25 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Dec 7, 2010
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Sprinklers in all required areas: Yes

CMS certification number 676262. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 25, 2026. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 1, 2023 to Mar 24, 2026): 9 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Mar 24, 2026	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Feb 25, 2026	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Feb 25, 2026	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Feb 25, 2026	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Feb 25, 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	E Potential for more than minimal harm, pattern
Feb 25, 2026	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care	E Potential for more than minimal harm, pattern
Feb 25, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Oct 30, 2024	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Oct 30, 2024	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service	D Potential for more than minimal harm, isolated
Oct 30, 2024	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Oct 4, 2024	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Oct 4, 2024	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 · complaint inspection	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

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 1 fine totalling $14,276 in the last three years.

Sep 1, 2023

Fine: $14,276

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: 3.13 hours
Registered nurse (RN) time per resident per day: 0.26 hours
Nurse aide time per resident per day: 2.06 hours
Total nurse staffing on weekends: 2.75 hours
Nursing staff turnover (yearly): 56%
RN turnover (yearly): 55%
Administrators who left in the past year: 2

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.

Other nursing homes in Tyler

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