C

THE WATERTON HEALTHCARE & REHABILITATION

2875 SHILOH ROAD, TYLER, TX 75703
Score: 64 / 100

The Waterton Healthcare & Rehabilitation is an average performer in CMS ratings, earning a C grade with a score of 64/100. Located in Tyler, Texas, the facility meets baseline standards across most quality metrics.

With 3.42 total nurse hours per resident per day, The Waterton Healthcare & Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 5 deficiencies at The Waterton Healthcare & Rehabilitation, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure each resident receives an accurate assessment..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.42 3.8 Below Average
Registered Nurses (RN) 0.54 0.7 Below Average
Licensed Practical Nurses (LPN) 0.67 0.7 Average
Certified Nursing Assistants (CNA) 2.21 2.4 Average
Weekend Total Nursing 3.11 3.8 Below Average
Weekend RN Hours 0.40 0.7 Below Average

🔍 Inspection & Deficiency History

5
Total Deficiencies
Mar 25, 2025
Most Recent Inspection
🟠 4 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0641 Severity E
    Ensure each resident receives an accurate assessment.
    Mar 25, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0692 Severity E
    Provide enough food/fluids to maintain a resident's health.
    Mar 25, 2025 · Quality of Life and Care Deficiencies
  • Tag 0576 Severity D
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    Jan 30, 2024 · Resident Rights Deficiencies
  • Tag 0921 Severity D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Jan 30, 2024 · Environmental Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 7, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.5% 4.5% Better
Falls with major injury 5.3% 3.0% Worse
On antipsychotic medication 8.1% 14.5% Better
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 15.9% 14.0% Worse
Excessive weight loss 1.0% 7.5% Better
New/worsened incontinence 13.1% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $9,009

How This Grade Was Calculated

This facility's grade of C is based on a score of 64 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
92
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 25, 2025
Deficiencies (Cycle 1)
2