All states › Texas › Tyler › The Waterton Healthcare & Rehabilitation
2875 Shiloh Road Tyler, TX 75703 · Smith County
All 13 nursing homes in Tyler, TX (11 take Medicaid)
CMS certification number 676193 · See this home on Medicare Care Compare
Is The Waterton Healthcare & Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Waterton Healthcare & Rehabilitation as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.48 hours per resident per day at The Waterton Healthcare & Rehabilitation, above the Texas median of 3.30 (US median: 3.72). About 0.53 of those hours are from registered nurses. On weekends it falls to 3.09 hours, 11% below its all-week average. 45.5% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at The Waterton Healthcare & Rehabilitation: Medicare and Medicaid
The Waterton Healthcare & Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 6, 2026 and found 4 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 11 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 11 citations at The Waterton Healthcare & Rehabilitation across 6 inspection dates, 3 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 8, 2024 (complaint inspection). The most common areas cited were quality of life and care (4) and resident assessment and care planning (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, January 8, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 20, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 6, 2026 · 4 citations
DHonor 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.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
April 23, 2026 · 1 citation, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
March 26, 2025 · 2 citations
EEnsure each resident receives an accurate assessment.
EProvide enough food/fluids to maintain a resident's health.
January 31, 2024 · 2 citations
DEnsure residents have reasonable access to and privacy in their use of communication methods.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
January 8, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of The Waterton Healthcare & Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on January 8, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 20, 2026. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $23,389 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 23, 2026 | Fine | $14,380 |
| Jan 8, 2024 | Fine | $9,009 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
| August 2026 | 4/5 | 4/5 | 2/5 | 4/5 |
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Location
Hospitals near The Waterton Healthcare & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.6 mi
-
3.1 mi
Texas Spine and Joint Hospital TylerEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 32m for patients treated and sent home
-
3.4 mi
East Texas Medical Center TylerEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 36m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Waterton Healthcare & Rehabilitation › All nursing homes in Tyler ›
Compare The Waterton Healthcare & Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Center at Grande · Tyler · 5 stars · 1.3 mi
- Meadow Lake Health Center · Tyler · 5 stars · 2.6 mi
- Reunion Plaza Healthcare & Rehabilitation · Tyler · 5 stars · 3.3 mi
- Watkins-Logan-Garrison Texas State Veteran's Home · Tyler · 4 stars · 9.9 mi
Other The Ensign Group nursing homes in Texas
- Grand Terrace Rehabilitation and Healthcare · McAllen · 5 stars
- River Pointe of Trinity Healthcare and Rehabilitation · Trinity · 5 stars
- Golden Palms Rehabilitation and Retirement · Harlingen · 5 stars
- Beacon Harbor Healthcare and Rehabilitation · Rockwall · 5 stars
- Crestwood Health and Rehabilitation Center · Wills Point · 5 stars
- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.