C
Providence Park Rehabilitation and Skilled Nursing
51/100 score
0.49 hrs RN staffing
4 deficiencies
The Waterton Healthcare & Rehabilitation
2875 Shiloh Road, Tyler, TX 75703
Operator
FANNIN COUNTY HOSPITAL AUTHORITY · 54 facilities
- Provider number (CCN)
- 676193
- Certification
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Certified beds
- 92
- Phone
- (903) 561-1300
- CMS data as of
- August 1, 2026
C
●
stable
Staffing 0% · Deficiencies 0% over tracking period
What the records show
CMS rates The Waterton Healthcare & Rehabilitation 4 out of 5 stars overall, with 4 of 5 for health inspections, 2 of 5 for staffing, 4 of 5 for quality measures. Federal inspectors cited 10 health deficiencies across the last three survey cycles, most recently surveyed in 2026, 2 at actual-harm level or higher. CMS enforcement records list 2 fines totalling $23,389.
Facility Assessment
Inspectors recorded 2 citations at the actual-harm level or worse in the last three survey cycles. This facility is operated by FANNIN COUNTY HOSPITAL AUTHORITY, which scores 18 points below the national average. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Reviews, Ratings and Official Records
This page reviews The Waterton Healthcare & Rehabilitation using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
Below the repealed 0.55 hr benchmark — review the inspection and enforcement records below for the safety history behind the grade.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.51 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
10
Outstanding
0
Actual harm or worse (G–L)
2
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★☆ (4/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★☆ (4/5)
Staffing: ★★☆☆☆ (2/5)
|
|
NursingHomeGrade Score
|
56/100 |
Loaded into NursingHomeGrade on September 5, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.51 hrs |
|---|---|
| TX median | 0.38 hrs |
| National average | 0.69 hrs |
Registered nurse turnover: 44.4% · Total nursing staff turnover: 50.7%
Staffing figures are the values CMS published in its file processed August 1, 2026, drawn from payroll-based journal reporting.
Audit and Inspection Reports
The Waterton Healthcare & Rehabilitation is a Government - Hospital district facility. The records on this page are the federal health-inspection and enforcement records CMS publishes. We do not hold, and have not reviewed, any separate financial or performance audit issued by a county, state or independent auditor — if one exists for this facility, it is not part of the data described below.
- Most recent standard health survey: May 6, 2026.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from January 8, 2024 to May 6, 2026.
Source records: CMS Care Compare profile for provider 676193 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
1 immediate jeopardy, 1 actual harm issues found among 10 total deficiencies. 10 corrected.
Most recent inspection (May 6, 2026)
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected May 7, 2026
D
Potential harm — isolated
F0694
Status: Corrected
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected May 7, 2026
G
Actual harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 27, 2026
D
Potential harm — isolated
F0842
Status: Corrected
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected May 7, 2026
D
Potential harm — isolated
F0584
Status: Corrected
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.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected May 7, 2026
Inspection cycle 2 (March 26, 2025)
E
Potential harm — pattern
F0692
Status: Corrected
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected April 10, 2025
E
Potential harm — pattern
F0641
Status: Corrected
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected April 10, 2025
Inspection cycle 3 (January 31, 2024)
D
Potential harm — isolated
F0921
Status: Corrected
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies — Deficient, Provider has date of correction, corrected March 1, 2024
J
Immediate jeopardy — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected January 9, 2024
D
Potential harm — isolated
F0576
Status: Corrected
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected March 1, 2024
Fines and Enforcement Actions
Penalties CMS has imposed on this facility. A fine is a civil money penalty; a payment denial suspends Medicare or Medicaid payment for new admissions.
| Date | Action | Amount or length |
|---|---|---|
| April 23, 2026 | Fine | $14,380 |
| January 8, 2024 | Fine | $9,009 |
2 fines totalling $23,389.
Source: CMS Penalties file (dataset g6vv-u9sr).
Ownership and Contact Information
- Facility name
- The Waterton Healthcare & Rehabilitation
- Legal business name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Address
- 2875 Shiloh Road, Tyler, TX 75703
- Phone
- (903) 561-1300
- Provider number (CCN)
- 676193
- Ownership type
- Government - Hospital district
- Operator
- FANNIN COUNTY HOSPITAL AUTHORITY · 54 facilities
- Medicare/Medicaid certified since
- September 3, 2008
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- August 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Tyler
Compare local nursing homes using the same CMS-backed grading method.
F
Park Place Nursing & Rehabilitation Center
12/100 score
0.32 hrs RN staffing
17 deficiencies
F
Avir at Petal Hill
22/100 score
0.36 hrs RN staffing
8 deficiencies
D
The Heights of Tyler
38/100 score
0.26 hrs RN staffing
7 deficiencies
Sources and Methodology
- CMS Provider Information (file processed August 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Penalties — fines and payment denials with the dates CMS recorded them. Dataset g6vv-u9sr ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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