The Waterton Healthcare & Rehabilitation: Staffing, Turnover, and Inspection Record
The Waterton Healthcare & Rehabilitation is a 92-bed government-run nursing home in Tyler, Texas, part of The Ensign Group. In the CMS August 2026 release it reported 2.09 nurse aide hours per resident per day, 5% above the Texas average of 2.00, and 50.7% nursing staff turnover (Texas average 55.3%).
The Waterton Healthcare & Rehabilitation
2875 Shiloh RoadTyler, 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 Waterton Healthcare & Rehabilitation, nurse aides logged 2.09 hours per resident per day, 5% above the Texas average. With about 67 residents a day, that works out to roughly 139 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.09 | 2.00 | 2.32 |
| Licensed practical nurses | 0.78 | 0.95 | 0.86 |
| Registered nurses | 0.51 | 0.43 | 0.69 |
| All nursing staff | 3.38 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.00 | 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
50.7% of nursing staff at The Waterton Healthcare & Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 44.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 6, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $23,389 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 23, 2026 | Fine | $14,380 |
| Jan 8, 2024 | Fine | $9,009 |
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 Waterton Healthcare & Rehabilitation holds 4 of 5 overall; the Texas average is 2.6.
About The Waterton Healthcare & Rehabilitation
- Ownership: Government - Hospital district
- Chain: The Ensign Group, 342 homes
- Legal name: Fannin County Hospital Authority
- Medicare and Medicaid certified since: Sep 3, 2008
- Councils: resident council
- Area: urban
Nursing homes near The Waterton Healthcare & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Center at Grande Tyler | 1.3 | 96 | 2.21 | 4.19 | 54.2% | 5 | None |
| Providence Park Rehabilitation and Skilled Nursing Tyler | 1.6 | 125 | 1.82 | 3.24 | 40.9% | 2 | $188,361 |
| Park Place Nursing & Rehabilitation Center Tyler · abuse citation | 2.6 | 120 | 2.12 | 3.41 | 63.8% | 1 | $287,159 |
| Meadow Lake Health Center Tyler | 2.6 | 20 | 2.62 | 4.01 | 56.3% | 5 | None |
| Avir at Rose Trail Tyler · SFF candidate | 3.2 | 172 | 2.00 | 3.04 | 69.6% | 1 | $392,851 |
| Avir at Petal Hill Tyler · abuse citation | 3.3 | 120 | 2.05 | 3.50 | 43.9% | 2 | $31,256 |
| Reunion Plaza Healthcare & Rehabilitation Tyler | 3.3 | 99 | 1.89 | 3.20 | 66.3% | 4 | None |
| Avir at Azalea Heights Tyler | 3.4 | 120 | 1.76 | 2.60 | 43.8% | 2 | $27,550 |
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.
Explore next
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.