Greenbrier Nursing & Rehabilitation Center of Tyle

Nursing Home · Tyler, TX

CMS overall rating 2/5 For profit - Corporation

CMS certification number675267

Contact & location

3526 West Erwin Street
Tyler, TX 75702
Smith County
Phone
(903) 593-6441
ZIP code
75702 – all care providers

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Facility details

Certified beds
120
Residents per day
54.3 (45% occupied)
Ownership
For profit - Corporation
Legal name
Liberty County Hospital District No 1
Chain
Creative Solutions in Healthcare (149 facilities, avg 2.1★)
Medicare certified since
February 14, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.06 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.21 (state 0.43 · U.S. 0.69)
Licensed practical nurses
1.03 (state 0.95 · U.S. 0.86)
Nurse aides
1.81 (state 2.00 · U.S. 2.32)
Weekend total
2.64 (state 2.98 · U.S. 3.42)
Nursing staff turnover
96.6 (state 55.3 · U.S. 45.8)%
RN turnover
100.0 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
March 25, 2026
Health deficiencies (last cycle)
18.0 (state 9.3 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
28 health · 9 fire safety
DateCitationSeverityStatus
2026-03-25 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-02
2026-03-25 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-17
2026-03-25 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-16
2026-03-25 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Put firmly secured handrails on each side of hallways.
F0924 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-25 Have policies on smoking.
F0926 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2025-08-13 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-14
2025-08-13 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-14
2025-08-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-14
2024-12-18 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-08
2024-12-18 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-08
2024-12-18 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-08
2024-12-18 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-08
2024-10-06 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-10-06 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-10-06 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-05-21 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-05-22
2024-01-08 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-01-30
2023-11-15 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-11-16

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Liberty County Hospital District No 1 (organization)5%+ Direct Ownership Interest · 100%
Blake, Gary (individual)Administrator · NOT APPLICABLE
Hekimian, Khoren (individual)Administrator · NOT APPLICABLE
Stepps, Laurie (individual)Administrator · NOT APPLICABLE
Tyler II Enterprises, LLC (organization)Administrator · NOT APPLICABLE
Huggins, Linda (individual)Corporate Director · NOT APPLICABLE
Willig, Zachary (individual)Corporate Director · NOT APPLICABLE
Stratton, Charles (individual)Corporate Officer · NOT APPLICABLE
Fregia, Milton (individual)Managing Control - Governing Body · NOT APPLICABLE
Gardner, Shannon (individual)Managing Control - Governing Body · NOT APPLICABLE
Gardzina, Margaret (individual)Managing Control - Governing Body · NOT APPLICABLE
Henry, Paul (individual)Managing Control - Governing Body · NOT APPLICABLE
Stratton, Charles (individual)Managing Control - Governing Body · NOT APPLICABLE
Blake, Gary (individual)Operational/managerial Control · NOT APPLICABLE
Blake, Malisa (individual)Operational/managerial Control · NOT APPLICABLE
Tyler II Enterprises, LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Greenbrier Nursing & Rehabilitation Center of Tyle?

Greenbrier Nursing & Rehabilitation Center of Tyle has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Greenbrier Nursing & Rehabilitation Center of Tyle have?

It has 120 certified beds and cares for about 54 residents per day.

Has Greenbrier Nursing & Rehabilitation Center of Tyle been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Greenbrier Nursing & Rehabilitation Center of Tyle?

It is part of Creative Solutions in Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Greenbrier Nursing & Rehabilitation Center of Tyle?

(903) 593-6441. The facility is located at 3526 West Erwin Street, Tyler, TX 75702.

Other nursing homes in Tyler

Compare all nursing homes in Tyler, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.