The Heights Of Tyler
2650 ELKTON TRAIL, Tyler, TX, 75703
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: Touchstone Communities
- Certified beds
- 120 · avg 109 residents/day
- Total nursing staff turnover
- 63.9% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 36.4% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $39,574 total
State licensing & capacity
- License number
- 147602
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 4 Medicare-only · 116 Medicaid/Medicare
- Current license effective
- April 1, 2023
- Current license expires
- April 1, 2026
- Initial license date
- December 7, 2010
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Liberty County Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Touchstone Strategies Tyler Llc
- Administrator
- Victoria Johnson Clark
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Touchstone Communities chain — 28 facilities. Chain-wide average overall rating 2.8 / 5.
Disclosed owners (22 on record)
- Stacy Sweat
Operational/managerial Control · since 2025
- Touchstone Strategies-tyler Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Richard Mcguire
Operational/managerial Control · since 2024
- (unnamed Owner)
Adp of The Snf · since 2023
- Leslie d Campbell
Adp of The Snf · since 2020
+ 16 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
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 21)
- D0576·Oct 30, 2024Complaint
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D0880·Oct 30, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Oct 30, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0842·Oct 4, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0755·Oct 4, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0600·Sep 18, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0880·Aug 28, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- C0868·Sep 20, 2023
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Federal penalties
By year
- 20233 fines · $40K
Most recent events
- Sep 1, 2023Fine · $14K
- May 24, 2023Fine · $13K
- May 24, 2023Fine · $13K
Largest single fine on record: $14K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Oct 30, 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
The Heights of Tyler is a 120-bed Medicare- and Medicaid-certified nursing home in Tyler, Smith County, operated by Touchstone Strategies under a hospital district license. CMS rates it 3 stars overall, with a 2-star staffing rating and a 1-star short-stay quality rating. Three fines totaling $39,574 have been assessed. The license is active through April 2026.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — a level shared by about 32% of Texas nursing homes. Each resident receives roughly 195 minutes of nursing care per day, about 46 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — on average more dependent or medically complex — so those 195 minutes stretch thinner than the number alone suggests.
About 6 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover see roughly 60% annual staff departures; this facility sits above that mark at 63.9%. A long-stay resident is likely to cycle through multiple primary caregivers over the course of a year.
One administrator has turned over in the past year. This is flagged as elevated — not as disruptive as multiple changes, but continuity of facility leadership affects how care policies are carried out day to day.
CMS has recorded 3 fines totaling $39,574 since the facility's data window. The state median fine total among fined Texas nursing homes is about $20,699; this facility's total is roughly 90% above that median. About 30% of Texas nursing homes have no fines at all in the same period.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Reported weekend nursing hours are 2.84 per resident per day versus 3.24 on weekdays — ask how many nurses and aides are on the floor during overnight and weekend shifts specifically.
What the three fines covered
Three CMS fines totaling $39,574 have been assessed — ask what deficiencies triggered each fine and what corrective steps were completed.
Short-stay rehab outcomes
CMS rates short-stay quality measures 1 star — ask what the facility's average length of stay is for rehab patients and what percentage return home versus transition to long-term care.
Current administrator tenure
One administrator left in the past year — ask how long the current administrator has been in this role and who oversees day-to-day operations when they are absent.
Nurse staffing agency use
With roughly 6 in 10 nursing staff turning over annually, ask what share of shifts are currently covered by agency or temporary nurses rather than permanent staff.
Resident Council access and activity
A Resident Council is listed but no Family Council — ask how often the Resident Council meets, who the liaison is, and how family members can raise concerns formally.
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.