The Waterton Healthcare And Rehabilitation
Nursing home · 2875 SHILOH RD, Tyler, TX 75703 · Smith County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 92
- State license
- 103323
- Medicare CCN
- 676193
- Licensed entity
- FANNIN COUNTY HOSPITAL AUTHORITY
- Chain
- THE ENSIGN GROUP
- Ownership
- Government - Hospital district
- Phone
- (903) 561-1300
- Nurse staffing
- 3.38 hours per resident per day; 50.7% nursing staff turnover
- Medicare ratings
- Inspections 4★ · Staffing 2★ · Quality 4★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Apr 23, 2026 — Fine ($14,380)
- Jan 8, 2024 — Fine ($9,009)
Inspection findings
-
May 6, 2026 Health · 4 findings
-
Not serious
Scope/severity D
F0584 Resident Rights Deficiencies
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.
Corrected May 7, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0694 Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected May 7, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 7, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 7, 2026 · CMS health inspection
-
Not serious
Scope/severity D
-
Apr 23, 2026 Health · 1 finding
-
Serious
Scope/severity G
Complaint
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Apr 27, 2026 · CMS health inspection
-
Serious
Scope/severity G
Complaint
-
Mar 26, 2025 Health · 2 findings
-
Not serious
Scope/severity E
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Apr 10, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0692 Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Corrected Apr 10, 2025 · CMS health inspection
-
Not serious
Scope/severity E
-
Jan 31, 2024 Health · 2 findings
-
Not serious
Scope/severity D
F0576 Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Mar 1, 2024 · CMS health inspection
-
Not serious
Scope/severity D
-
Jan 8, 2024 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 9, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
Owners and managers (as published by CMS)
- BURNAM, SOON — corporate officer, NOT APPLICABLE, since 03/01/2022
- COSTA, CHARLIE — managing control - governing body, NOT APPLICABLE, since 03/01/2022
- COSTA, CHARLIE — adp of the snf, NOT APPLICABLE, since 05/14/2025
- COSTA, CHARLIE — operational/managerial control, NOT APPLICABLE, since 03/01/2022
- SANDERSON, CLARK — corporate officer, NOT APPLICABLE, since 10/29/2012
- WILSON, JENNIFER — adp of the snf, NOT APPLICABLE, since 04/27/2025
- WILSON, JENNIFER — managing control - governing body, NOT APPLICABLE, since 03/01/2022
- CHICKADEE HEALTHCARE LLC — adp of the snf, NOT APPLICABLE, since 05/14/2025
- CHICKADEE HEALTHCARE LLC — operational/managerial control, NOT APPLICABLE, since 03/01/2022
- ENSIGN SERVICES INC — adp of the snf, NOT APPLICABLE, since 03/01/2022
- FANNIN COUNTY HOSPITAL AUTHORITY — 5% or greater direct ownership interest, 100%, since 03/01/2022
- ROSE HEALTH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 03/01/2022
- STANDARD BEARER HEALTHCARE OP, LP — adp of the snf, NOT APPLICABLE, since 03/01/2022
- THE ENSIGN GROUP INC — adp of the snf, NOT APPLICABLE, since 03/01/2022
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.