Nursing Home Alerts

The Waterton Healthcare & Rehabilitation

2875 Shiloh Road, Tyler, TX 75703

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The Waterton Healthcare & Rehabilitation is a nursing home in Tyler, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  2. Health inspection on August 20, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on August 21, 2026.

    See this home on CMS Care Compare

  3. CMS update of July 29, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  4. Health inspection on May 6, 2026

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 7, 2026.

    • Citation F0694. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

      CMS lists it as corrected on May 7, 2026.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on May 7, 2026.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on May 7, 2026.

    See this home on CMS Care Compare

  5. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  6. Health inspection on April 23, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    95 of 1,177 Texas homes (8%) got a citation at the actual harm level in 2026.

    CMS fine of $14,380 on April 23, 2026.

    Show the 1 citation
    • Citation F0684. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on April 27, 2026.

    See this home on CMS Care Compare

  7. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  8. CMS update of November 20, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  9. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  10. Health inspection on March 26, 2025

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation F0641. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on April 10, 2025.

    • Citation F0692. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on April 10, 2025.

    See this home on CMS Care Compare

  11. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  12. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

    • Fine

      CMS changed the fine from January 8, 2024 from $8,827 to $9,009.

  13. CMS update of March 28, 2024

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 5 of 5 to 3 of 5.

  14. Health inspection on January 31, 2024

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation F0576. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure residents have reasonable access to and privacy in their use of communication methods.

      CMS lists it as corrected on March 1, 2024.

    • Citation F0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on March 1, 2024.

    See this home on CMS Care Compare

  15. Health inspection on January 8, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $9,009 on January 8, 2024.

    Show the 1 citation
    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on January 9, 2024.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(903) 561-1300
Last standard health inspection
May 6, 2026 (6 months ago)
Certified beds
92
Residents per day, on average
70.4
Ownership type
Government - Hospital district
Legal business name
Fannin County Hospital Authority
Chain
The Ensign Group
Takes part in
Medicare and Medicaid

Fewer health citations than the Texas average (11 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was The Waterton Healthcare & Rehabilitation last inspected?

CMS lists May 6, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does The Waterton Healthcare & Rehabilitation have?

CMS lists 11 health citations since January 8, 2024. CMS also calls these deficiencies.

Has The Waterton Healthcare & Rehabilitation been fined?

CMS lists 2 fines in the past three years, $23,389 in total.

What is the CMS star rating of The Waterton Healthcare & Rehabilitation?

Its CMS overall star rating is 3 of 5.

Is The Waterton Healthcare & Rehabilitation a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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