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Nursing homeFAID #14628

The Heights of Tyler

2650 ELKTON TRAIL, TYLER, TX, 75703

(903) 266-7200

www.theheightstyler.com

120 licensed beds

CMS rates The Heights of Tyler 3 out of 5 overall. Federal inspectors issued 23 citations across 11 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

2650 Elkton Trail

Tyler, TX 75703

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Public record summary

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Bed capacity

120

CMS facility ID

676262

Care type

Nursing home

County

Smith

Facility name

The Heights of Tyler

Street address

2650 ELKTON TRAIL

City / state / ZIP

Tyler, TX 75703

Phone

(903) 266-7200

Website

www.theheightstyler.com

About this facility — The Heights of Tyler

The Heights of Tyler is a Medicare/Medicaid-certified skilled nursing facility in Tyler, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 45 senior care facilities in Tyler and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Touchstone Communities, a group of 25 facilities on this site.

Federal inspectors have cited The Heights of Tyler 23 times across 11 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Touchstone Communities

Ownership type

For profit - Partnership

Registered owners & officers

Liberty County Hospital District No 1

Direct owner — 100% stake — since 2017

Aegis Therapies, Inc.

Additional disclosable party — since 2017

Boening, Christopher

Operational control · Additional disclosable party — since 2020

Campbell, Leslie

Operational control · Additional disclosable party — since 2020

Capital Funding Group, Inc.

Mortgage holder — since 2014

Carvajal Pharmacy Ltc

Additional disclosable party — since 2017

Castillo, Lynnea

Operational control · Additional disclosable party — since 2017

Fellbaum, Ernest

Additional disclosable party — since 2017

Mcguire, Richard

Operational control · Additional disclosable party — since 2024

Nutritious Lifestyles, Inc.

Additional disclosable party — since 2017

Plante & Moran Pllc

Additional disclosable party — since 2017

Sehlke, Bryon

Operational control · Additional disclosable party — since 2017

Stratton, Charles

Officer — since 2005

Studer, Stanley

Additional disclosable party — since 2017

Sweat, Stacy

Operational control · Additional disclosable party — since 2025

Touchstone Communities Inc

Additional disclosable party — since 2017

Touchstone Realty - Sc Llc

Additional disclosable party — since 2017

Touchstone Strategies-tyler Llc

Operational control · Additional disclosable party — since 2017

Trident Health Services Inc

Additional disclosable party — since 2017

Zurovec, Darrell

Operational control · Additional disclosable party — since 2017

Regulatory standing

Licensed / certified since

2010-12-07

CMS overall rating

3 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-02-25

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$309 per day (≈ $9,390/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

56% Medicaid · 12% Medicare · 32% private/other

Occupancy

88% (fiscal year 2023)

Vs. state median

12% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-24Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-03-26

2026-02-25Health inspection6 citations

F-0584

E · No harm found

Honor 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.

Corrected 2026-03-03

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-03-03

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-03-03

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-03-03

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-03-03

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-03-03

7 earlier / fire-safety inspections (16 citations)

2024-10-30Health inspectionComplaint-triggered3 citations

F-0576

D · No harm foundFrom a complaint

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-10-30

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-30

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-10-30

2024-10-04Health inspectionComplaint-triggered2 citations

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-23

F-0842

E · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-10-23

2024-09-18Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-09-27

2024-08-28Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-08-29

2023-09-20Health inspection4 citations

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-10-01

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-10-01

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-10-01

F-0868

C · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-10-01

2024-10-30Fire-safety inspection1 citation

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-11-01

2023-09-20Fire-safety inspection4 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-11-01

K-0352

F · No harm found

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2023-11-01

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-04

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-11-01

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676262.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 22% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 58% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

51%

Higher than 53% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 12 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	7.5%	15.8%	13.5%	Better than state
Lose too much weight	1.2%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.8%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	5.3%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	87.2%	96.4%	93.7%	Near state average
Ability to walk independently worsened	7.9%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	18.8%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	96.4%	97.0%	95.3%	Near state average
With pressure ulcers	1.4%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	7.6%	12.5%	18.3%	Better than state
Received an antipsychotic medication	4.7%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.25	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.36	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	69.7%	88.7%	82.3%	Worse than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	47.1%	85.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	23.6%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	13.6%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0880 2 inspections. Provide and implement an infection prevention and control program.
K-0918 2 inspections. Have generator or other power source capable of supplying service within 10 seconds.

What its owners also hold

Liberty County Hospital District No 1 has an ownership stake on file at 35 nursing homes, averaging 2.9 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Baylor Scott & White Texas Spine & Joint Hospital, about 4.3 miles. CMS rating 5 of 5.
Ut Health East Texas Tyler Regional Hospital, about 5.1 miles. CMS rating 2 of 5.
Christus Mother Frances Hospital, about 5.2 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Reunion Plaza Healthcare & Rehabilitation, Tyler, about 1.5 miles. CMS rating 5 of 5.
Meadow Lake Health Center, Tyler, about 2.0 miles. CMS rating 5 of 5.
Avir At Azalea Heights, Tyler, about 2.6 miles. CMS rating 3 of 5.
Briarcliff Personal Care, Tyler, about 2.7 miles. CMS rating 3 of 5.
Providence Park Rehabilitation and Skilled Nursing, Tyler, about 3.0 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

3.9103 ratings on Google

★★★★★Shaheed Rahmaan Sr. · 2026-05-06 · via Google
“The trip was great! The Heights of Tyler is shinning, literally. Rooms are being painted, area's are clean, staff is on deck with patient care. My word to the staff and management to the Heights of Tyler is continue moving forward with your business model.”

★★★★★Mel Lanier · 2026-06-26 · via Google
“Everyone here tries really hard in tough situations. The nurses, Ginger, Melissa and Staci are awesome. They took great care of our family member who is a pistol and complained for months to come get her. Today she is now begging to go back bc she misses them. Thanks guys. I know it was tough, but you are all rockstars.”

★★★★★Merrilynn Jones · 2025-12-10 · via Google
“The staff always knows who we are and greets us each time we come to see my in-laws. They quickly address any issue we have with my in-laws. They are methodical in checking them and administering meds. The nurses caught an issue with my father-in-law’s heart. Without their attention, we feel he would have died. They caught the issue and 4 hours later, he had a pace maker in his heart. The re…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 23 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered