The Waterton Healthcare & Rehabilitation

2875 Shiloh Road
Tyler, TX 75703
(903) 561-1300

CCN

676193

Certified beds

Ownership

For profit - Limited Liability company

Chain

THE Ensign Group

Nurse staffing

3.61

Total nurse staffing hours per resident per day, case-mix adjusted

Registered nurses: 0.52 hours per resident per day

Nursing staff turnover: 48% a year

Derived by CMS from the Payroll-Based Journal and refreshed quarterly.

1 citation · from a complaint investigation · Health

F0684 Actual harm · Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Deficient, Provider has date of correction · corrected April 27, 2026

2 citations · Health

F0641 No actual harm with potential for more than minimal harm · Pattern

Ensure each resident receives an accurate assessment.

Deficient, Provider has date of correction · corrected April 10, 2025

F0692 No actual harm with potential for more than minimal harm · Pattern

Provide enough food/fluids to maintain a resident's health.

Deficient, Provider has date of correction · corrected April 10, 2025

2 citations · Health

F0576 No actual harm with potential for more than minimal harm · Isolated

Ensure residents have reasonable access to and privacy in their use of communication methods.

Deficient, Provider has date of correction · corrected March 1, 2024

F0921 No actual harm with potential for more than minimal harm · Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Deficient, Provider has date of correction · corrected March 1, 2024

1 citation · from a complaint investigation · Health

F0689 Immediate jeopardy to resident health or safety · Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficient, Provider has date of correction · corrected January 9, 2024

Date	Type	Amount
April 23, 2026	Fine	$14,380
January 8, 2024	Fine	$9,009

Effective	Seller	Buyer
03/01/2022	Southwest LTC - Waterton LLC	Fannin County Hospital Authority

From the CMS Skilled Nursing Facility Change of Ownership dataset. A sale does not by itself say anything about care quality.