The Waterton Healthcare & Rehabilitation

Nursing Home · Tyler, TX

CMS overall rating 4/5 Government - Hospital district

CMS certification number676193

Contact & location

2875 Shiloh Road
Tyler, TX 75703
Smith County
Phone
(903) 561-1300
ZIP code
75703 – all care providers

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Facility details

Certified beds
92
Residents per day
66.5 (72% occupied)
Ownership
Government - Hospital district
Legal name
Fannin County Hospital Authority
Chain
The Ensign Group (342 facilities, avg 3.2★)
Medicare certified since
September 3, 2008
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

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

Staffing

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

Total nurse staffing
3.38 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.51 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.78 (state 0.95 · U.S. 0.86)
Nurse aides
2.09 (state 2.00 · U.S. 2.32)
Weekend total
3.00 (state 2.98 · U.S. 3.42)
Nursing staff turnover
50.7 (state 55.3 · U.S. 45.8)%
RN turnover
44.4 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 6, 2026
Health deficiencies (last cycle)
5.0 (state 9.3 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
10 health · 0 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-06 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.
F0584 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-07
2026-05-06 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-07
2026-05-06 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-07
2026-05-06 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-05-07
2026-04-23 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-04-27
2025-03-26 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 2025-04-10
2025-03-26 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-10
2024-01-31 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-01
2024-01-31 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 2024-03-01
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		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-01-09

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

2 penalties in the last three years, including $23,389 in fines.

DateTypeAmount
2026-04-23Fine$14,380
2024-01-08Fine$9,009

Ownership & management

NameRoleSince
Fannin County Hospital Authority (organization)5%+ Direct Ownership Interest · 100%
Chickadee Healthcare LLC (organization)Administrator · NOT APPLICABLE
Costa, Charlie (individual)Administrator · NOT APPLICABLE
Ensign Services INC (organization)Administrator · NOT APPLICABLE
Rose Health Holdings LLC (organization)Administrator · NOT APPLICABLE
Standard Bearer Healthcare Op, LP (organization)Administrator · NOT APPLICABLE
The Ensign Group INC (organization)Administrator · NOT APPLICABLE
Wilson, Jennifer (individual)Administrator · NOT APPLICABLE
Burnam, Soon (individual)Corporate Officer · NOT APPLICABLE
Sanderson, Clark (individual)Corporate Officer · NOT APPLICABLE
Costa, Charlie (individual)Managing Control - Governing Body · NOT APPLICABLE
Wilson, Jennifer (individual)Managing Control - Governing Body · NOT APPLICABLE
Chickadee Healthcare LLC (organization)Operational/managerial Control · NOT APPLICABLE
Costa, Charlie (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The Waterton Healthcare & Rehabilitation?

The Waterton Healthcare & Rehabilitation has a 4-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 The Waterton Healthcare & Rehabilitation have?

It has 92 certified beds and cares for about 67 residents per day.

Has The Waterton Healthcare & Rehabilitation been fined?

Yes. CMS lists 2 penalties totaling $23,389 in the last three years.

Who owns The Waterton Healthcare & Rehabilitation?

It is part of The Ensign Group and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of The Waterton Healthcare & Rehabilitation?

(903) 561-1300. The facility is located at 2875 Shiloh Road, Tyler, TX 75703.

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.