The Waterton Healthcare And Rehabilitation
2875 SHILOH RD, 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 - Limited Liability company · Chain: The Ensign Group
- Certified beds
- 92 · avg 69 residents/day
- Total nursing staff turnover
- 52.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $9,009 total
State licensing & capacity
- License number
- 308512
- Service type
- Medicare/medicaid
- Licensed capacity
- 92 beds
- Bed type breakdown
- 41 Medicare-only · 51 Medicaid/Medicare
- Current license effective
- March 1, 2025
- Current license expires
- March 1, 2028
- Initial license date
- September 3, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Chickadee Healthcare Llc
- Administrator
- William Stormy Roberson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (10 on record)
- Charlie Costa
Adp of The Snf · since 2025
- Chickadee Healthcare Llc
Adp of The Snf · since 2025
- Jennifer m Wilson
Adp of The Snf · since 2025
- Ensign Services Inc
Adp of The Snf · since 2022
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2022
- Rose Health Holdings Llc
Adp of The Snf · since 2022
+ 4 additional owners on the federal record.
Recent change of ownership
March 2022 (4 years ago) · acquired from The Waterton Healthcare & Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 5 of 5)
- E0692·Mar 26, 2025
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- E0641·Mar 26, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0921·Jan 31, 2024
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0576·Jan 31, 2024
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
- J0689·Jan 8, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20241 fine · $9,009
Most recent events
- Jan 8, 2024Fine · $9,009
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Nov 8, 2022. 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 Waterton Healthcare And Rehabilitation is a 92-bed nursing home in Tyler, Texas, operated by Chickadee Healthcare LLC under the Ensign Group chain and licensed to Fannin County Hospital Authority. CMS rates it 4 stars overall, with a 4-star health inspection score and a 4-star long-stay quality rating — but a 2-star staffing score. Occupancy runs at about 75% of licensed beds. The license is active through March 2028.
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 205 minutes of nursing care per day, about 36 minutes less than at a 4-star-staffing facility in Texas. Residents here also tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — so those staffing hours stretch thinner than the raw number suggests.
One CMS fine has been issued, totaling $9,009. The state median for fines among Texas nursing homes that receive any is $20,699, so this fine sits well below the typical penalty amount.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 3.1 per resident per day, below the already-low weekday figure — ask how many nurses and aides are scheduled on overnight and weekend shifts.
RN coverage per shift
Reported RN hours come to about 32 minutes per resident per day; ask which shifts have a registered nurse physically present in the building.
How Chickadee Healthcare manages staffing
Day-to-day operations run through Chickadee Healthcare LLC — ask how staffing decisions and care oversight are divided between the management company and the Ensign Group.
Resident Council meeting frequency
The facility has a Resident Council but no Family Council; ask how often the council meets and how family members can raise concerns without a formal family body.
Details on the 2023–2025 CMS fine
One fine of $9,009 appears in the CMS record — ask what deficiency it was tied to and what changes were made in response.
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.