Nursing home / skilled nursing
The Waterton Healthcare & Rehabilitation
Nursing home / skilled nursing in Tyler, Texas
| Provider details | |
|---|---|
| Address | 2875 Shiloh Road |
| City | Tyler |
| State | Texas |
| ZIP code | 75703 |
| County | Smith |
| Phone | 903-561-1300 |
| Website | https://watertonhealthcare.com/ |
| CMS certification number (CCN) | 676193 |
| Ownership | Government - Hospital district |
| Certified beds | 92 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | September 3, 2008 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services |
The Waterton Healthcare & Rehabilitation is in 2875 Shiloh Road, Tyler, TX 75703. Phone: 903-561-1300. Ownership: Government - Hospital district. CMS rates it 3 out of 5 stars overall (health inspection 3, staffing 3, quality measures 4). CMS inspection and staffing detail: total weighted health survey score 52.750; 2 federal fines totaling $23389.00; total nursing staff turnover 45.5%.
More about this provider
| The site presents Waterton Healthcare & Rehabilitation in Tyler, TX as offering 24-hour nursing care, an in-house therapy team providing short and long-term rehabilitation tailored to each guest, and skilled nursing focused on a comfortable, safe and therapeutic stay, with family involvement, a Total Care Plan, discharge planning and an outpatient care plan. | |
| Services and programs | 24-hour round-the-clock nursing care under the direction of in-house physicians; in-house therapy employing state-of-the-art and hands-on therapeutic approaches, offering both short and long-term rehabilitation tailored to the individual, with therapists who are dedicated full-time employees; skilled nursing with admission meeting, Total Care Plan, Discharge Plan, and Outpatient Care Plan for patients returning home who still need periodic therapy or other outpatient care; a wide variety of activities with a monthly activity calendar packed from morning to night |
| Who it serves | Guests/residents needing 24-hour nursing care, short or long-term rehabilitation, or skilled nursing, including patients able to return home who still need periodic therapy or outpatient care |
| Visiting and contact details | Call (903) 561-1300 today to schedule a tour (homepage) |
| Website | https://watertonhealthcare.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 3 of 5 |
| Health inspection rating | 3 of 5 |
| Staffing rating | 3 of 5 |
| Quality measure rating | 4 of 5 |
| Long-stay quality rating | 4 of 5 |
| Short-stay quality rating | 4 of 5 |
| RN staffing hours per resident per day | 0.53 |
| Total nurse staffing hours per resident per day | 3.48 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 40 |
| Total Weighted Health Survey Score | 52.750 |
| Rating Cycle 2/3 Total Health Score | 91 |
| Rating Cycle 1 Health Deficiency Score | 40 |
| Rating Cycle 2/3 Health Deficiency Score | 91 |
| Rating Cycle 1 Standard Survey Health Date | 2026-05-06 |
| Rating Cycle 1 Total Number of Health Deficiencies | 6 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 3 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 4 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 2 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.35132 |
| Registered Nurse turnover | 33.3 |
| Nursing Case-Mix Index Ratio | 0.95821 |
| Total nursing staff turnover | 45.5 |
| Reported LPN Staffing Hours per Resident per Day | 0.74731 |
| Reported Licensed Staffing Hours per Resident per Day | 1.27424 |
| Number of administrators who have left the nursing home | 0 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.20970 |
| Registered Nurse hours per resident per day on the weekend | 0.40841 |
| Total number of nurse staff hours per resident per day on the weekend | 3.09382 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 2 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Total Amount of Fines in Dollars | 23389.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 507 |
| Chain Name | THE ENSIGN GROUP |
| Legal Business Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Chain Average QM Rating | 4.4 |
| Chain Average Staffing Rating | 2.8 |
| Number of Facilities in Chain | 347 |
| Chain Average Overall 5-star Rating | 3.3 |
| Chain Average Health Inspection Rating | 2.8 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 70.4 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Smith County
- Avir At Azalea Heights — Tyler
- Avir At Petal Hill — Tyler
- Avir At Rose Trail — Tyler
Common questions about The Waterton Healthcare & Rehabilitation
Where is The Waterton Healthcare & Rehabilitation located?
The Waterton Healthcare & Rehabilitation is at 2875 Shiloh Road, Tyler, Texas 75703.
What care and services does The Waterton Healthcare & Rehabilitation offer?
The Waterton Healthcare & Rehabilitation offers skilled nursing, rehab services, skilled nursing care, rehabilitation services.
Is The Waterton Healthcare & Rehabilitation Medicare-certified?
Yes. The Waterton Healthcare & Rehabilitation is certified for both Medicare and Medicaid.
What is The Waterton Healthcare & Rehabilitation's quality rating?
CMS gives The Waterton Healthcare & Rehabilitation an overall star rating of 3 out of 5.
How do I contact The Waterton Healthcare & Rehabilitation?
Call The Waterton Healthcare & Rehabilitation at 903-561-1300.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.