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Nursing homesTexas › The Waterton Healthcare & Rehabilitation

The Waterton Healthcare & Rehabilitation

2875 Shiloh Road, Tyler, TX 75703 · 9035611300 · 92 certified beds

Overall★★★★☆ 4/5
Health inspections★★★★☆ 4/5
Staffing★★☆☆☆ 2/5
Quality measures★★★★☆ 4/5

Ownership group

Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates above its group average (3.2/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.38 (Texas median: 3.27). RN hours: 0.51. Weekend total: 3.00. Nursing staff turnover: 51%.

Inspection deficiencies

All-time on record: 10 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-06Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. DHealthcorrected 2026-05-07
2026-05-06Provide for the safe, appropriate administration of IV fluids for a resident when needed. DHealthcorrected 2026-05-07
2026-05-06Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. DHealthcorrected 2026-05-07
2026-05-06Provide and implement an infection prevention and control program. DHealthcorrected 2026-05-07
2026-04-23Provide appropriate treatment and care according to orders, resident’s preferences and goals. Gcomplaintcorrected 2026-04-27
2025-03-26Ensure each resident receives an accurate assessment. EHealthcorrected 2025-04-10
2025-03-26Provide enough food/fluids to maintain a resident's health. EHealthcorrected 2025-04-10
2024-01-31Ensure residents have reasonable access to and privacy in their use of communication methods. DHealthcorrected 2024-03-01
2024-01-31Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. DHealthcorrected 2024-03-01
2024-01-08Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2024-01-09

Federal penalties

DateTypeAmount
2026-04-23Fine$14,380
2024-01-08Fine$9,009

Ownership & control records (CMS filings)

NameRoleType%Since
FANNIN COUNTY HOSPITAL AUTHORITY5% Or Greater Direct Ownership InterestOrganization100%since 03/01/2022
COSTA, CHARLIEManaging Control - Governing BodyIndividualNOT APPLICABLEsince 03/01/2022
WILSON, JENNIFERManaging Control - Governing BodyIndividualNOT APPLICABLEsince 03/01/2022
BURNAM, SOONCorporate OfficerIndividualNOT APPLICABLEsince 03/01/2022
SANDERSON, CLARKCorporate OfficerIndividualNOT APPLICABLEsince 10/29/2012
CHICKADEE HEALTHCARE LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 03/01/2022
COSTA, CHARLIEOperational/Managerial ControlIndividualNOT APPLICABLEsince 03/01/2022

Compare nearby (Smith County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676193. Corrections: data@carerecords.org.