The Waterton Healthcare & Rehabilitation
2875 Shiloh Road, Tyler, TX, 75703
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: The Ensign Group
- Certified beds
- 92 · avg 67 residents/day
- Total nursing staff turnover
- 48.4% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $23,389 total
Medicare certification
- CMS Certification Number
- 676193
- Certified beds
- 92 beds · avg 67 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Fannin County Hospital Authority
- Chain affiliation
- The Ensign Group
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 338 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 May 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 6 of 6)
- G0684·Apr 23, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E0641·Mar 26, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- E0692·Mar 26, 2025
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- 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
- 20261 fine · $14K
- 20241 fine · $9,009
Most recent events
- Apr 23, 2026Fine · $14K
- Jan 8, 2024Fine · $9,009
Largest single fine on record: $14K.
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The Waterton Healthcare & Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.