Nursing home report
Tyler, TX · Medicare-certified · 92 beds
The Waterton Healthcare & Rehabilitation in Tyler, TX has an overall 4 out of 5 stars, with solid health inspection and quality ratings but a weak 2-star staffing rating. Reported nurse staffing is 3.38 hours per resident per day versus the 4.1-hour federal benchmark, and the facility had $14,380 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.3777 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3777.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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 keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2026 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited March 2025 — limited pattern, potential for harm.
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2025 — limited pattern, potential for harm.
F-Tag 692 — 42 CFR §483.25(g) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2026 — isolated incident, potential for harm.
F-Tag 584 — 42 CFR §483.10 — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 4 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $14,380 was recorded.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 2 fines · $23,389 in total fines.
Federal fine
Apr 23, 2026
Federal fine
Jan 8, 2024
Now operated by The Waterton Healthcare and Rehabilitation, previously The Waterton Healthcare & Rehabilitation.
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.
