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Nursing HomeMedicaid Investigative

Greenbrier Nursing & Rehabilitation Center of Tyler

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3526 West Erwin Street, Tyler, TX 75702120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 33 Google reviews

5
4
3
2
1
Greenbrier Nursing & Rehabilitation Center of Tyler Nursing Home in Tyler, TX — Street View
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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)
  • High staff turnover (60%)

Top 25% in Texas · Critically understaffed (RN) · Chain outperformer · No penalties on record

Source: Medicare data

What this means for your family

This facility has a long history of excellent care and wonderful dining, but recent reviews suggest a significant decline in quality. If you choose this facility, you must closely monitor hygiene standards and be very proactive in communicating with nursing staff regarding responsiveness and safety.

Google Reviews

Google Reviews

33 reviews analyzed
Families seeking long-term care may find comfort in the facility's historically high praise for its friendly, attentive staff and high-quality food. However, recent reviews from 2025 highlight serious concerns regarding staff responsiveness, hygiene, and resident safety, including reports of falls and poor room maintenance.

Quality Themes

Tap a score for details
Food9.0Staff5.0Clean2.0Activities8.0MedsN/AMemory1.0Comms3.0ValueN/A

Strengths

  • Friendly and compassionate nursing staff
  • High-quality, home-cooked style meals
  • Engaging activities and programs
  • Effective rehabilitation therapy

Concerns

  • Unresponsive or rude nursing staff (mentioned by 3 reviewers)
  • Issues with hygiene and cleanliness (mentioned by 3 reviewers)
  • Resident safety and frequent falls (mentioned by 2 reviewers)
  • Lack of family seating/amenities

Rating Trends

Tap a year to see what changed

234'17(2)'19(1)'21(7)'23(2)'26(1)

Distribution

5
25
4
0
3
1
2
1
1
6

How They Respond to Reviews

17%response rate
Generic

The owner uses highly repetitive, templated responses that follow a predictable script. While they acknowledge the reviewer by name, they rarely address the specific details of the complaints, instead relying on a standard apology and a redirection to a corporate hotline.

Questions for Your Tour

  • 1We've heard wonderful things about the home-cooked style meals here; could you tell us more about the daily menu and how much variety there is?
  • 2What kind of engaging activities or social programs do you have planned to keep residents active and connected?
  • 3How does the nursing team ensure consistent communication with families regarding changes in a resident's condition?
  • 4What specific protocols are in place to ensure resident safety and prevent falls within the facility?
  • 5Could you describe your current processes for maintaining high standards of cleanliness and hygiene in the resident rooms?
  • 6How does the facility handle medical emergencies or urgent care needs during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

The staff took great care of my mom for almost a year. They worked well with other agencies assisting with her care which eased our minds.

Long-term resident's family · 2025★★★★★

The food is wonderful. Reminds me of my mom's home cooked meals. The staff is very friendly and attentive.

Rehab patient · 2023★★★★★

The care and attitudes of the staff at Greenbrier is evident as soon as you walk in the building. The leadership such as the Director of Nursing, Scherie, treats her staff with such respect which has proven to increase and maintain the quality of care in the building.

Community member · 2021★★★★★
Source: 33 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.24hrs
32%
Registered nurses for medical care
Total Nursing
3.32hrs
81%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.0%
Better than Avg
Here
16.0%
US
19.5%
TX
18.4%
Smith
25.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.0%
Mixed vs Avgs
Here
3.0%
US
12.1%
TX
2.5%
Smith
3.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Smith
95.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.2%
Mixed vs Avgs
Here
10.2%
US
15.4%
TX
9.4%
Smith
12.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Smith
96.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
5.3%
TX
3.2%
Smith
3.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Smith
73.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
81.8%
TX
89.2%
Smith
82.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.9%
Worse than Avg
Here
2.9%
US
1.6%
TX
1.5%
Smith
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
Well above state avg (9.1)
8 complaint-triggered

Families have filed multiple reports triggering investigations at this facility, with recurring issues in care planning, medication management, and resident protection from abuse and neglect. The facility shows a pattern of deficiencies across recent surveys, though all violations appear to have correction dates, suggesting management is addressing problems when identified.

Mar 25, 2026Routine
19
0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0684ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0580MinorCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0638MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0802MinorCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0812MinorCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0924MinorCorrected

Environmental Deficiencies

Put firmly secured handrails on each side of hallways.

0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Aug 13, 2025Complaint
3
0585MinorCorrected

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.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 18, 2024Routine
12
0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0693MinorCorrected

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.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0693MinorCorrected

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.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Oct 6, 2024Complaint
3
0600MinorCorrected

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.

0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0656MinorCorrected

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.

May 21, 2024Complaint
1
0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jan 8, 2024Complaint
1
0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kirbyville I Enterprises, LLC

Organization Type

for profit

Management Company

TYLER II ENTERPRISES, LLC

Administrator

LAURIE S STEPPS

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 43 of 148

Ownership & Management

Owners

Liberty County Hospital District no. 1

Owner · Organization

100%

Key personnel

Fregia, MiltonManaging Control - Governing BodyGardner, ShannonManaging Control - Governing BodyGardzina, MargaretManaging Control - Governing BodyHenry, PaulManaging Control - Governing BodyStratton, CharlesManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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