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ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

The Waterton Healthcare & Rehabilitation

2875 Shiloh Road · Tyler, TX 75703 · 92 certified beds

9035611300

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1679225296. Look this up in the CMS NPPES registry (opens in a new tab)

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About The Waterton Healthcare & Rehabilitation

The Waterton Healthcare & Rehabilitation is a nursing home in Tyler, Texas, in Smith County. Its reported capacity is 92 beds. Federal records list it as Medicare certified. It is recorded as a nonprofit operator, part of The Ensign Group. Our copy of the inspection record holds 10 citations, the newest dated 6 May 2026. Federal enforcement records add 2 fine or payment denial actions. Staffing reports put it at 3.38 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

4.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

3.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

6

4.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

2.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

8

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

4.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

2.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

8

Inspection history (10)

Records from January 2024 to May 2026.

  • May 6, 2026 · D

    Citation F0584

    Federal surveyors cited this nursing home on 2026-05-06 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-06.GOV

  • May 6, 2026 · D

    Citation F0842

    Federal surveyors cited this nursing home on 2026-05-06 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2026-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-06.GOV

  • May 6, 2026 · D

    Citation F0694

    Federal surveyors cited this nursing home on 2026-05-06 under CMS tag F0694 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2026-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-06.GOV

  • May 6, 2026 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2026-05-06 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-05-07. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-06.GOV

  • April 23, 2026 · G

    Citation F0684

    Federal surveyors cited this nursing home on 2026-04-23 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2026-04-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-23.GOV

  • March 26, 2025 · E

    Citation F0641

    Federal surveyors cited this nursing home on 2025-03-26 under CMS tag F0641 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2025-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-26.GOV

  • March 26, 2025 · E

    Citation F0692

    Federal surveyors cited this nursing home on 2025-03-26 under CMS tag F0692 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2025-04-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-26.GOV

  • January 31, 2024 · D

    Citation F0921

    Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0921 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2024-03-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOV

  • January 31, 2024 · D

    Citation F0576

    Federal surveyors cited this nursing home on 2024-01-31 under CMS tag F0576 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure residents have reasonable access to and privacy in their use of communication methods. The deficiency was recorded as corrected on 2024-03-01. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-31.GOV

  • January 8, 2024 · J

    Citation F0689

    Federal surveyors cited this nursing home on 2024-01-08 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-01-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-08.GOV

Penalties (2)

Total fines on file: $23,389

  • April 23, 2026 · Fine

    Citation FINE-139005

    CMS recorded a civil money penalty of $14,380 against this nursing home on 2026-04-23 (Fine ID: 139005). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-04-23.GOV

  • January 8, 2024 · Fine

    Citation FINE-112117

    CMS recorded a civil money penalty of $9,009 against this nursing home on 2024-01-08 (Fine ID: 112117). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-01-08.GOV

Staffing

Latest: 3.38 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.49 hrs/resident/day
  2. 2026-06-013.49 hrs/resident/day
  3. 2026-07-013.38 hrs/resident/day
  4. 2026-08-013.38 hrs/resident/day
  5. 2026Q13.38 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.11 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

Non profit

CMS Care Compare chain: The Ensign Group

Chain ID 507 · 342 facilities in chain (CMS)

  • Chain average overall rating: 3.2
  • Chain average health inspection rating: 2.8
  • Chain average staffing rating: 2.7
  • Chain average quality measure rating: 4.4

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "Non profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "Government - Hospital district".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "Non profit".

    Reported by CMS nursing homes (ownership)

  4. Aug 5, 2026Ownership changed

    The source now records ownership as "Government - Hospital district".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Limited Liability company".

    Reported by CMS nursing homes (provider info)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · TX$5,627/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Tyler, with their own public records.

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.