East Texas Alf Waterton Inn
State licensed2885 Shiloh Road, Tyler, TX 75703
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
The Waterton Healthcare & Rehabilitation
Tyler, Texas4 of 5 Medicare stars
About The Waterton Healthcare & Rehabilitation
The Waterton Healthcare & Rehabilitation provides skilled nursing and rehabilitation services to Tyler, Texas residents who need short-term recovery care or ongoing medical support. Our 4-star rated team combines clinical expertise with compassionate attention, helping patients regain independence through personalized treatment plans and therapeutic services.
Community at a glance
Capacity
92 residents
Medicare rating
4 of 5 stars
Location
Tyler, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
2875 Shiloh Road, Tyler, Texas 75703
Medicare inspection and quality record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
Medicare rates The Waterton Healthcare & Rehabilitation 4 out of 5 stars overall, which it describes as above average. The average across Texas's nursing homes is 2.7 stars.
At its most recent standard inspection, on May 6, 2026, state inspectors cited 5 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 23 minutes with each resident a day, about the same as the Texas average.
Medicare fined The Waterton Healthcare & Rehabilitation 2 times in the last three years, $23,389 in total.
Overall
4 of 5
above average
Combines the three ratings below
Health inspections
4 of 5
above average
Results of state inspections over three years
Staffing
2 of 5
below average
Nurse hours per resident and staff turnover
Quality of resident care
4 of 5
above average
Outcomes like falls, pressure ulcers and rehospitalization
Texas average: 2.7 stars across 1,177 nursing homes. National average: 3.0 stars.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 23 minutes |
| Registered nurse time per resident, per day | 30 minutesAbove the Texas average |
| Nursing staff who left in the past year | 51%Below the Texas average |
Inspections
10 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 6, 2026 · Standard inspection · 4 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 7, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 7, 2026Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 7, 2026Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 7, 2026
April 23, 2026 · Complaint investigation · 1 citation
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Apr 27, 2026
March 26, 2025 · Standard inspection · 2 citations+
Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 10, 2025Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 10, 2025
January 31, 2024 · Standard inspection · 2 citations+
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Mar 1, 2024Ensure residents have reasonable access to and privacy in their use of communication methods.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 1, 2024
January 8, 2024 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 9, 2024
Fines and payment denials
2 fines totaling $23,389 in the last three years.
- April 23, 2026Fine: $14,380
- January 8, 2024Fine: $9,009
About the home, per Medicare
- Ownership
- Government - Hospital district
- Legal business name
- Fannin County Hospital Authority
- Medicare-certified beds
- 92
- Average residents per day
- 67
- Accepts
- Medicare and Medicaid
- First certified
- September 3, 2008
- Part of a chain
- The Ensign Group, 344 homes (chain average 3.2 stars)
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676193
Location
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2875 Shiloh RoadTyler, TX 75703
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Questions about The Waterton Healthcare & Rehabilitation
What is The Waterton Healthcare & Rehabilitation's Medicare star rating?+
Medicare rates The Waterton Healthcare & Rehabilitation 4 out of 5 stars overall (above average). Health inspections: 4 stars. Staffing: 2 stars. Quality of resident care: 4 stars. Source: CMS Care Compare, data as of September 1, 2026.
How did The Waterton Healthcare & Rehabilitation do on its last inspection?+
State inspectors visited on May 6, 2026 and cited 5 health deficiencies, 1 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at The Waterton Healthcare & Rehabilitation?+
Nurses and aides spend 3 hours 23 minutes with each resident per day, including 30 minutes from registered nurses. 51% of nursing staff left over the past year.
Has The Waterton Healthcare & Rehabilitation been fined by Medicare?+
Yes. Medicare fined The Waterton Healthcare & Rehabilitation 2 times in the last three years, totaling $23,389.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.