Greenbrier Nursing & Rehabilitation Center Of Tyler
3526 WEST ERWIN STREET, Tyler, TX, 75702
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 54 residents/day
- Total nursing staff turnover
- 60.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308543
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 36 Medicare-only · 84 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- January 26, 1976
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Tyler Ii Enterprises, Llc
- Administrator
- Laurie S Stepps
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (13 on record)
- Khoren Hekimian
Adp of The Snf · since 2025
- Laurie s Stepps
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Margaret Gardzina
Managing Control - Governing Body · since 2024
- Shannon Gardner
Managing Control - Governing Body · since 2022
- Milton Fregia
Managing Control - Governing Body · since 2022
+ 7 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 13)
- D0880·Aug 13, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0677·Aug 13, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0585·Aug 13, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D0921·Dec 18, 2024
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0755·Dec 18, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0693·Dec 18, 2024
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- E0641·Dec 18, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0656·Oct 6, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Dec 18, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Greenbrier Nursing & Rehabilitation Center of Tyler is a 120-bed nursing home in Tyler, Texas, accepting Medicare and Medicaid residents. CMS rates it 4 stars overall and 4 stars on health inspections. Staffing is rated 2 stars — residents receive about 193 minutes of nursing care per day, roughly 48 minutes below the Texas 4-star threshold. The facility is currently operating at about 45% of licensed capacity, with 53 of 120 beds occupied on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — about 193 minutes of nursing care per resident per day, compared to 241 minutes at a 4-star-staffing facility in Texas. That gap of roughly 48 minutes per day is meaningful for residents who need help with bathing, dressing, or repositioning. About 32% of Texas nursing homes share this staffing rating.
The facility is running at roughly 45% of its 120 licensed beds — an average of about 54 residents on any given day. Low occupancy can indicate beds held for a specific payer type or a specific rehab program, or it can reflect difficulty attracting residents; the record does not distinguish between these.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Why occupancy sits at 45%
With only about 54 of 120 beds filled on an average day, ask what's driving the low census — whether it reflects a deliberate program focus or something else.
Staffing on nights and weekends
Reported weekend nursing hours are 2.72 per resident per day, lower than the 3.21 weekday average — ask how staffing levels change after hours and on weekends.
RN presence on the floor
Reported RN hours are 0.29 per resident per day — about 17 minutes — ask how many hours a registered nurse is physically present each day and how call-outs are covered.
Short-stay outcomes and rehab program
CMS rates short-stay quality measures 2 stars while long-stay rates 4 stars — ask what the rehab program looks like and what the typical discharge timeline is for short-stay residents.
Management company's role day-to-day
The facility is licensed to a hospital district but managed by Tyler II Enterprises, LLC — ask which entity makes staffing and budget decisions and who to contact when concerns arise.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.