The Waterton Healthcare & Rehabilitation
2875 Shiloh Road · Tyler, TX · 75703 · 9035611300
92 certified beds For profit - Limited Liability company Chain: The Ensign Group
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 2 · $23,389 |
Inspection citations (6 in the current record)
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Actual harm · G April 23, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · E March 26, 2025
Ensure each resident receives an accurate assessment.
Corrected April 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 26, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D January 31, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected March 1, 2024 · Resident Rights
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Potential for harm · D January 31, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 1, 2024 · Environmental
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Immediate jeopardy · J January 8, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 9, 2024 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 23, 2026 | Fine | $14,380 |
| January 8, 2024 | Fine | $9,009 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676193 · certified since September 3, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.