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Nursing homeFAID #14567

The Waterton Healthcare & Rehabilitation

2875 SHILOH ROAD, TYLER, TX, 75703
(903) 561-1300
ensignservices.net
92 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
92
CMS facility ID
676193
Care type
Nursing home
County
Smith
Facility name
The Waterton Healthcare & Rehabilitation
Street address
2875 SHILOH ROAD
City / state / ZIP
Tyler, TX 75703
Phone
(903) 561-1300
Website
ensignservices.net

About this facility — The Waterton Healthcare & Rehabilitation

The Waterton Healthcare & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Tyler, Texas. It is licensed for 92 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 45 senior care facilities in Tyler and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Waterton Healthcare & Rehabilitation 10 times across 8 inspections in the last three years, and CMS has imposed $23,389 in fines. 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 August 31, 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
The Ensign Group
Ownership type
Government - Hospital district

Registered owners & officers

Fannin County Hospital Authority
Direct owner — 100% stake — since 2022
Burnam, Soon
Officer — since 2022
Chickadee Healthcare Llc
Operational control · Additional disclosable party — since 2022
Costa, Charlie
Governing body · Operational control · Additional disclosable party — since 2022
Ensign Services Inc
Additional disclosable party — since 2022
Rose Health Holdings Llc
Additional disclosable party — since 2022
Sanderson, Clark
Officer — since 2012
Standard Bearer Healthcare Op, Lp
Additional disclosable party — since 2022
The Ensign Group Inc
Additional disclosable party — since 2022
Wilson, Jennifer
Governing body · Additional disclosable party — since 2022

Regulatory standing

Federal court records
11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2008-09-03
CMS overall rating
4 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$23,389 total
Last standard inspection
2026-05-06
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$613 per day (≈ $18,640/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
63% Medicaid · 12% Medicare · 25% private/other
Occupancy
82% (fiscal year 2023)
Vs. state median
121% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
92
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-05-06Health inspection4 citations
F-0584
D · 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 2026-05-07
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2026-05-07
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-05-07
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-07
2026-04-23Health inspectionComplaint-triggered1 citation
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-04-27
3 earlier / fire-safety inspections (5 citations)
2025-03-26Health inspection2 citations
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-04-10
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-04-10
2024-01-31Health inspection2 citations
F-0576
D · No harm found
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2024-03-01
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-03-01
2024-01-08Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-09

Federal penalties

2026-04-23Fine$14,380
2024-01-08Fine$9,009
Total fines$23,389
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 676193.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 10 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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Citations, owner history, lawsuits — decoded into one PDF.
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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 2026-08-31
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