Greenbrier Nursing & Rehabilitation Center of Tyler
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 33 Google reviews

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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“The food is wonderful. Reminds me of my mom's home cooked meals. The staff is very friendly and attentive.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
3
measures
4
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents vaccinated for the flu
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Routine19
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
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.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Environmental Deficiencies
Have policies on smoking.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Aug 13, 2025Complaint3
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 18, 2024Routine12
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Oct 6, 2024Complaint3
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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, 2024Complaint1
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, 2024Complaint1
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
Kirbyville I Enterprises, LLC
for profit
TYLER II ENTERPRISES, LLC
LAURIE S STEPPS
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 43 of 148
Ownership & Management
Owners
Liberty County Hospital District no. 1
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
33 reviews from families & visitors
Official Website
Visit greenbrieroftyler.com
Medicare data downloads
Original nursing home datasets
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