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.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
Nursing home report
TYLER, TX · Medicare-certified · 120 beds
2 of 5 stars overall for Greenbrier Nursing & Rehabilitation Center of Tyle in Tyler, TX. The main concerns are a 1-star staffing rating with reported staffing below the federal benchmark (3.32 vs 4.1 hours per resident per day) and recent inspection citations related to care, staffing, and pharmaceutical services; it had no fines in the last 24 months.
Health inspections
Staffing
3.3169 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3169.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 684 — 42 CFR §483.25 — S/S: E
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.
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.
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.
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.
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 15 health deficiencies.
Health inspection found 3 health deficiencies.
Health inspection found 4 health deficiencies.
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.