The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
Nursing home report
GREENBRIER NURSING & REHABILITATION CENTER OF TYLE
TYLER, TX · Medicare-certified · 120 beds
In good standing
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
2 of 5 stars overall. Staffing is especially weak at 1 of 5 stars, with reported nurse staffing of 3.06 hours per resident per day below the federal benchmark of 4.1; health inspection and quality measures are 3 of 5 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0579 hrs/resident/day
Quality measures
Last inspection: March 25, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0579.
Staffing detail
- Registered nurses
- 0.21
- Licensed practical nurses
- 1.03
- Nurse aides
- 1.81
- Weekend nursing
- 2.64
Hours per resident per day.
Total staff turnover: 97%
Registered nurse turnover: 100%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
17.2%6.2%Improving
Residents with a fall causing major injury
7.8%11.1%Worsening
Residents with pressure ulcers (bedsores)
1.6%2.1%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%13.5%Worsening
Residents whose ability to walk got worse
5%9.5%Worsening
Long-stay residents on antianxiety or sleep medication
12.2%15.4%Worsening
Short-stay residents newly given an antipsychotic
3.3%3.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.1%7.9%Improving
Residents with depressive symptoms
2.6%2.6%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%77.4%Worsening
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 755 — 42 CFR §483.45 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
- Occupancy
- 54.3 residents on an average day (45% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.