Skilled nursing · Tyler, TX

The Waterton Healthcare & Rehabilitation

2875 SHILOH ROAD, Tyler, TX 75703

4 / 5CMS 92 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Mixed

The Palmelle read

Mixed. The Waterton Healthcare & Rehabilitation carries a Palmelle Clarity Score of 63 out of 100, derived from federal CMS Care Compare data plus Texas state records. Health inspection rating sits at 4-star, staffing at 3-star, quality measures at 4-star. Long-stay antipsychotic prescribing is at 8.1 percent versus a 14 percent national median. RN coverage is 0.51 hours per resident per day. Nurse turnover 48 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Texas DPH

In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

0.51

National

0.78

Annual nurse turnover

This

48%

National

53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This

8.1%

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Texas state data

The full record.

Federal CMS ratings

Overall★★★★★4 / 5

Health inspection★★★★★4 / 5

Staffing★★★★★3 / 5

Quality measures★★★★★4 / 5

Staffing

RN hours per resident, daily

This

0.51

Nat

0.78

Total nurse hours / resident, daily

This

3.49

Nat

3.62

Annual nurse turnover

This

48%

Nat

53%

Annual RN turnover

This

60%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

8.1%

Nat

14%

Sedative / sleep med

This

16.6%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

5.3%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection current$9,009 in fines (1)

Identity & licensing

CMS ID676193

OwnershipFor profit - Limited Liability company

ChainIndependent

Beds92

Avg residents67

Citations · last 36 months

Flagged by CMS data
This facility has received 1 federal fine(s) but still shows a 4.0-star overall rating. Federal penalties are serious — they indicate violations found during inspections. A high rating alongside recent penalties warrants extra scrutiny.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, Texas DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for The Waterton Healthcare & Rehabilitation?

The Waterton Healthcare & Rehabilitation has an overall CMS Care Compare rating of 4 out of 5 stars. It scores 4 of 5 on health inspection, 3 of 5 on staffing, and 4 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has The Waterton Healthcare & Rehabilitation been cited for resident harm?

It has $9,009 in federal fines across 1 penalty on record in the last 36 months. CMS data flagged 1 concern on the latest reconcile. The full record for The Waterton Healthcare & Rehabilitation appears in the record section above.

Does The Waterton Healthcare & Rehabilitation use antipsychotic medications?

8.1 percent of long-stay residents at The Waterton Healthcare & Rehabilitation are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at 16.6 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is The Waterton Healthcare & Rehabilitation's Palmelle Clarity Score?

The Waterton Healthcare & Rehabilitation has a Palmelle Clarity Score of 63 out of 100, putting it near the national median. The score is a composite of federal CMS and Texas state inspection data. Higher is better.

How can I tour or contact The Waterton Healthcare & Rehabilitation?

The Waterton Healthcare & Rehabilitation is located at 2875 SHILOH ROAD, Tyler, TX 75703. Phone: (903) 561-1300. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is The Waterton Healthcare & Rehabilitation a special focus facility?

The Waterton Healthcare & Rehabilitation is not on the federal Special Focus Facility list, but it does have $9,009 in federal fines on record. See the penalties and status section above.

What does F-689 mean on The Waterton Healthcare & Rehabilitation's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If The Waterton Healthcare & Rehabilitation has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does The Waterton Healthcare & Rehabilitation compare to other Tyler skilled nursing facilities?

The Waterton Healthcare & Rehabilitation holds a Palmelle Clarity Score of 63. The full Tyler directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Tyler directory to compare more facilities by score, staffing, and inspection record.

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