Nursing home
The Waterton Healthcare & Rehabilitation
2875 Shiloh Road, Tyler, TX 75703 · Map
For profit - Limited Liability company · Part of The Ensign Group (329 facilities) · 92 certified beds
The Waterton Healthcare & Rehabilitation is a Medicare-certified nursing home in Tyler, Texas. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.42 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Mar 26, 2025 cited 2 deficiencies.
- 1 fine totaling $9,009In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Waterton Healthcare & Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.42 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.54 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.21 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 52.5% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 2.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $9,009, 1 total penalty.
What inspectors found at The Waterton Healthcare & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Mar 26, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jan 31, 2024 · Full report (PDF) - Potential for harm
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Jan 31, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 8, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2875 Shiloh Road
Tyler, TX 75703 - CMS certification #
- 676193
- Ownership
- For profit - Limited Liability company
- Certified beds
- 92
- Avg residents/day
- 68.8
- Provider type
- Medicare and Medicaid
- First certified
- 2008-09-03
- Chain
- The Ensign Group (329 facilities)
- Setting
- Urban
Part of The Ensign Group
The Ensign Group operates 329 nursing facilities across the United States. View all The Ensign Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Waterton Healthcare & Rehabilitation using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What The Waterton Healthcare & Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our Nursing staff provides 24-hour round the clock care for our residents under the direction of our in-house physicians.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Baylor Scott & White Texas Spine & Joint Hospital, Tyler. 3.1 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- The Center at Grande, Tyler. 1.3 miles away, straight line.
- Nearest home health agency office
- Traditions Health, Tyler. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75703 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Renal Center Of Waterton, Tyler, 0.0 miles away, straight line (CMS rating 3 of 5 stars)
Renal Care Group-Southeast Tyler, Tyler, 1.0 mile away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Tyler Home Dialysis, Tyler, 1.0 mile away, straight line (CMS rating 5 of 5 stars) - Hospice
- 28 Medicare hospices tell CMS they serve ZIP code 75703.
Traditions Health, office in Tyler, 1.0 mile away, straight line
Hospice Of East Texas, office in Tyler, 2.7 miles away, straight line (CMS family survey rating 5 of 5 stars)
Enhabit Hospice, office in Tyler, 2.7 miles away, straight line - Nearest geriatric medicine practice
- Healthtexas Provider Network, Waxahachie. 90.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane relatively low, inland flooding very low, tornado very low, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: no FEMA wildfire rating of moderate or higher here |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is The Waterton Healthcare & Rehabilitation a good nursing home?
CMS gives The Waterton Healthcare & Rehabilitation an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Waterton Healthcare & Rehabilitation staffed?
The Waterton Healthcare & Rehabilitation reports 3.42 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Waterton Healthcare & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does The Waterton Healthcare & Rehabilitation have?
The Waterton Healthcare & Rehabilitation is certified for 92 beds.