The Waterton Healthcare & Rehabilitation
2875 Shiloh Road, Tyler, TX 75703
Phone: 9035611300
CMS ratings and facility information
The Waterton Healthcare & Rehabilitation is a Medicare-certified nursing facility in Tyler, Smith County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 4 of 5 stars |
|---|---|
| Health inspection rating | 4 of 5 |
| Staffing rating | 2 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 92 |
| Ownership | Government - Hospital district |
| CMS certification number | 676193 |
Staffing
| Total nurse hours per resident day | 3.38 |
|---|---|
| RN hours per resident day | 0.51 |
| Nurse aide hours per resident day | 2.09 |
| Total nursing staff turnover percent | 50.7 |
| RN turnover percent | 44.4 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 2.29 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 3.23 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 6.85 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 2.66 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 0.47 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 6.76 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-05-06 | 0584 | Honor 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. | D |
| 2026-05-06 | 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2026-05-06 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-05-06 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2025-03-26 | 0641 | Ensure each resident receives an accurate assessment. | E |
| 2025-03-26 | 0692 | Provide enough food/fluids to maintain a resident's health. | E |
| 2024-01-31 | 0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D |
| 2024-01-31 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
Penalties
| Date | Type | Amount |
|---|---|---|
| 2026-04-23 | Fine | ,380 |
| 2024-01-08 | Fine | ,009 |
Ownership records
| Name | Type | Role |
|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| COSTA, CHARLIE | Individual | MANAGING CONTROL - GOVERNING BODY |
| WILSON, JENNIFER | Individual | MANAGING CONTROL - GOVERNING BODY |
| BURNAM, SOON | Individual | CORPORATE OFFICER |
| SANDERSON, CLARK | Individual | CORPORATE OFFICER |
| CHICKADEE HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| COSTA, CHARLIE | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| CHICKADEE HEALTHCARE LLC | Organization | ADP OF THE SNF |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF |
| ROSE HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | ADP OF THE SNF |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF |
| COSTA, CHARLIE | Individual | ADP OF THE SNF |
| WILSON, JENNIFER | Individual | ADP OF THE SNF |
Compare nursing homes in Smith County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.