THE WATERTON HEALTHCARE & REHABILITATION in Tyler, TX has an overall rating of 4 out of 5 stars, with 4-star health inspection and quality measures ratings and a 3-star staffing rating. It reports 3.49 nurse staffing hours per resident per day, below the federal benchmark of 4.1, with $0 in fines in the last 24 months; recent inspection citations included accident hazards/supervision, accurate assessment, and enough food/fluids.
Last inspection: March 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.489.
Staffing detail
Registered nurses
0.51
Licensed practical nurses
0.79
Nurse aides
2.20
Weekend nursing
3.25
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 60%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.5%Worsening
Residents with a fall causing major injury
6%Worsening
Residents with pressure ulcers (bedsores)
1.8%Worsening
Residents with a urinary tract infection
0.5%Improving
Residents who lost too much weight
1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.8%Worsening
Residents whose ability to walk got worse
8.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
13.9%Improving
Short-stay residents newly given an antipsychotic
0.4%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12.9%Worsening
Residents with depressive symptoms
8.5%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
95%Steady
Short-stay residents given the pneumonia vaccine
97.5%Improving
What the inspectors found
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.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
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.
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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.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: E
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited January 2024 — isolated incident, potential for harm.
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F-Tag 576 — 42 CFR §483.10 — S/S: D
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Penalties & enforcement
On record with Medicare: 1 fine · $9,009 in total fines.
Federal fine
Jan 8, 2024
$9,009
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
67 residents on an average day (73% of 92 beds)
Resident voice
Resident council
Medicare history
Certified for 17 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.