The Heights of Tyler: Staffing, Turnover, and Inspection Record
The Heights of Tyler is a 120-bed for-profit nursing home in Tyler, Texas, part of Touchstone Communities. In the CMS August 2026 release it reported 2.06 nurse aide hours per resident per day, 3% above the Texas average of 2.00, and 56.1% nursing staff turnover (Texas average 55.3%).
The Heights of Tyler
2650 Elkton TrailTyler, TX 75703
Smith County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Heights of Tyler, nurse aides logged 2.06 hours per resident per day, 3% above the Texas average. With about 112 residents a day, that works out to roughly 231 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.06 | 2.00 | 2.32 |
| Licensed practical nurses | 0.80 | 0.95 | 0.86 |
| Registered nurses | 0.26 | 0.43 | 0.69 |
| All nursing staff | 3.13 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.75 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
56.1% of nursing staff at The Heights of Tyler left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 54.5%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 25, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $14,276 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 1, 2023 | Fine | $14,276 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Heights of Tyler holds 3 of 5 overall; the Texas average is 2.6.
About The Heights of Tyler
- Ownership: For profit - Partnership
- Chain: Touchstone Communities, 25 homes
- Legal name: Liberty County Hospital District No 1
- Medicare and Medicaid certified since: Dec 7, 2010
- Area: urban
Nursing homes near The Heights of Tyler
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Reunion Plaza Healthcare & Rehabilitation Tyler | 1.5 | 99 | 1.89 | 3.20 | 66.3% | 4 | None |
| Meadow Lake Health Center Tyler | 2.0 | 20 | 2.62 | 4.01 | 56.3% | 5 | None |
| Avir at Azalea Heights Tyler | 2.6 | 120 | 1.76 | 2.60 | 43.8% | 2 | $27,550 |
| Briarcliff Health Center Tyler | 2.7 | 230 | 2.37 | 3.67 | 41.0% | 2 | $51,034 |
| Providence Park Rehabilitation and Skilled Nursing Tyler | 3.0 | 125 | 1.82 | 3.24 | 40.9% | 2 | $188,361 |
| The Waterton Healthcare & Rehabilitation Tyler | 4.6 | 92 | 2.09 | 3.38 | 50.7% | 4 | $23,389 |
| The Center at Grande Tyler | 4.8 | 96 | 2.21 | 4.19 | 54.2% | 5 | None |
| Greenbrier Nursing & Rehabilitation Center of Tyle Tyler | 5.2 | 120 | 1.81 | 3.06 | 96.6% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.