The Waterton Healthcare & Rehabilitation
Tyler, TX · Medicare and Medicaid-certified nursing home (CCN 676193) · 92 certified beds
Health inspection: 4 · Quality measures: 4 · Staffing: 2
Federal fines: 2 totaling $23,389
Phone: (903) 561-1300 · Verify on Medicare Care Compare ↗
The Waterton Healthcare & Rehabilitation has an overall CMS star rating of 4, above the Texas state average of 2.65. Its health inspection rating is 4 and its staffing rating is 2.
The Waterton Healthcare & Rehabilitation reports total nurse staffing of about 3.38 hours per resident per day, with 0.51 RN hours per resident per day, and a staffing star rating of 2. Nursing staff turnover is reported at 50.7%.
CMS records show 2 federal fines totaling $23,389.00 for The Waterton Healthcare & Rehabilitation, with 0 payment denials on record. CMS does not list an abuse icon or a Special Focus Facility designation for this facility in the available data.
About this facility
The Waterton Healthcare & Rehabilitation is a government (hospital district)-owned nursing home in Tyler, Smith County, Texas, certified for both Medicare and Medicaid since September 2008. The facility is certified for 92 beds and has an average daily census of 66.5 residents.
According to CMS Care Compare, Waterton holds an overall star rating of 4 out of 5, above the Texas state average of 2.65. Its health inspection rating is 4, its quality measure (QM) rating is 4, and its staffing rating is 2. Total nurse staffing averages 3.37774 hours per resident per day, with registered nurse (RN) time at 0.50665 hours per resident per day. Nursing staff turnover is reported at 50.7%.
On penalties, CMS records show 2 federal fines totaling $23,389.00 for this facility. There are 0 payment denials on record. CMS does not list an abuse icon or a Special Focus Facility designation for Waterton in this data.
Waterton is part of The Ensign Group chain, which operates 342 facilities nationally with an average CMS rating of 3.2 across the chain. Ownership has not changed within the past 12 months, so current ratings reflect the present operator.
This profile is drawn from CMS Care Compare data. Families are encouraged to verify current details directly on Medicare Care Compare and by contacting the facility.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Waterton's overall CMS rating is 4 out of 5, above the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
It is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing averages 3.37774 hours per resident per day, with 0.50665 RN hours per resident per day, and nursing turnover is 50.7%; the staffing star rating is 2.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 2 fines totaling $23,389.00, with 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus Facility status for this facility.
How large is this facility and how many residents live there?
Waterton is certified for 92 beds and has an average daily census of 66.5 residents.
Who owns this facility — and is it part of a chain?
It is owned by a government hospital district and is part of The Ensign Group chain, which operates 342 facilities nationally with an average rating of 3.2.
How long has this facility been Medicare/Medicaid certified?
It was first approved for Medicare/Medicaid certification on September 3, 2008.
What do the four different CMS star ratings mean?
CMS rates facilities on overall, health inspection, staffing, and quality measures (QM); Waterton scores 4, 4, 2, and 4 respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
This detail is not specified in the available data; contact the facility at 9035611300 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour specifics; contact the facility at 9035611300 to arrange a visit and verify details on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the facility's full record at https://www.medicare.gov/care-compare/details/nursing-home/676193?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.