A

MEADOW LAKE HEALTH CENTER

16044 COUNTY ROAD 165, TYLER, TX 75703
Score: 93 / 100

Meadow Lake Health Center is one of the top-rated nursing facilities in Tyler, Texas, earning an A grade based on CMS data. With a score of 93/100, it ranks in the top 2% of facilities statewide — a strong indicator of quality care.

Staffing at Meadow Lake Health Center is near the national average, with 4.12 total nursing hours per resident per day (national average: 3.8 hours).

The facility has a clean inspection history with only 4 minor deficiencies recorded in recent inspections — well below the national average.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.12 3.8 Average
Registered Nurses (RN) 1.19 0.7 Above Average
Licensed Practical Nurses (LPN) 0.39 0.7 Below Average
Certified Nursing Assistants (CNA) 2.53 2.4 Average
Weekend Total Nursing 3.43 3.8 Average
Weekend RN Hours 0.83 0.7 Above Average

🔍 Inspection & Deficiency History

4
Total Deficiencies
May 18, 2025
Most Recent Inspection
🟠 4 Moderate
View recent deficiencies (4 shown)
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    May 18, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Aug 20, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0609 Severity E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jul 18, 2023 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity E
    Respond appropriately to all alleged violations.
    Jul 18, 2023 · Freedom from Abuse, Neglect, and Exploitation 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 5.8% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 11.1% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 8.6% 14.0% Better
Excessive weight loss 6.1% 7.5% Better
New/worsened incontinence 19.3% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 93 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 5★ → 25 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)

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

Facility Details

Ownership
Non profit - Corporation
Certified Beds
20
Provider Type
Medicare
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 23, 2025
Deficiencies (Cycle 1)
1