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Nursing HomeMedicaid

The Waterton Healthcare and Rehabilitation

Strong Medicare quality ratings; families often praise top-notch physical and occupational therapy. Still worth an in-person visit.

2875 Shiloh Rd, Tyler, TX 7570392 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 46 Google reviews

5
4
3
2
1
The Waterton Healthcare and Rehabilitation Nursing Home in Tyler, TX — Street View
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What this means for your family

This facility is an excellent choice for short-term rehabilitation due to its highly-rated therapy team and recent modern renovations. However, if you are considering long-term care, you should specifically investigate the adequacy of weekend staffing and verify the facility's responsiveness to maintenance requests.

Google Reviews

Google Reviews

46 reviews analyzed
Families seeking rehabilitation services will find highly-rated therapy and nursing staff, with many praising the recent facility remodel and the kindness of the clinical team. However, there are serious allegations regarding medical neglect and theft, alongside concerns about weekend staffing shortages and a lack of maintenance in long-term resident rooms.

Quality Themes

Tap a score for details
Food7.0Staff8.0Clean9.0Activities3.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Top-notch physical and occupational therapy
  • Recently remodeled and clean facilities
  • Kind and professional nursing and CNA staff
  • Welcoming and attentive admissions process

Concerns

  • Weekend staffing shortages (mentioned by 2 reviewers)
  • Allegations of medical neglect and incompetence
  • Lack of maintenance for long-term resident rooms
  • Issues with staff communication and professionalism (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.82024(16)3.92025(11)4.02026(13)

Distribution

5
22
4
2
3
2
2
1
1
3

How They Respond to Reviews

48%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback from the community; how does the administration use resident and family input to make improvements to the facility?
  • 2With a 4-star health inspection rating, what specific protocols do you have in place to ensure clinical excellence and resident safety?
  • 3Since the staffing rating is a 3/5, what steps is the facility currently taking to ensure there is always enough hands-on support for the 92 residents?
  • 4Could you tell me more about what a typical day looks like for residents, especially regarding social activities and communal dining?
  • 5How does the nursing team manage medical emergencies or sudden changes in health status during the overnight hours?
  • 6What is the process for families to stay involved and communicate with the care team regarding daily updates?

Personalized based on this facility's data


Key Review Excerpts

Kirby was very professional and helped me work at my capacity. Bethany is helping me to get my voice back and lets me work at my own pace- which I appreciate.

Rehab patient · 2026★★★★★

The facility has undergone a remodel and it looks amazing! They did a great job and it looks like little houses!

Visitor · 2026★★★★★

My grandfather is currently a resident at the facility on Friday I went to visit him after work and my wallet was stolen out of my purse by his nurse Dionna.

Long-term resident's family · 2025☆☆☆☆
Source: 46 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
67%
Registered nurses for medical care
Total Nursing
3.49hrs
85%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

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
4/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.9%
Better than Avg
Here
13.9%
US
19.5%
TX
18.4%
Smith
25.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
15.4%
TX
9.4%
Smith
12.7%
💉

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 whose bladder or bowel control got worse

↓ Lower is better
This Facility12.9%
Better than Avg
Here
12.9%
US
19.4%
TX
14.2%
Smith
16.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
15.3%
TX
14.9%
Smith
15.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.5%
Mixed vs Avgs
Here
8.5%
US
12.1%
TX
2.5%
Smith
3.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.0%
Better than Avg
Here
95.0%
US
79.7%
TX
88.0%
Smith
73.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.5%
Better than Avg
Here
97.5%
US
81.8%
TX
89.2%
Smith
82.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
TX
1.5%
Smith
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
1penalties
Well below state avg (9.1)
1 complaint-triggered
$9,009 in fines

The Waterton has a moderate inspection record with 6 deficiencies over 4 surveys, including one complaint-triggered safety issue that families reported. Main problem areas include safety hazards, nutrition/hydration, and facility environment cleanliness. All deficiencies have been corrected by the facility, suggesting responsiveness to identified issues, though the complaint indicates families had concerns serious enough to file reports with regulators.

Mar 26, 2025Routine
2
0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0692ModerateCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Jan 31, 2024Routine
2
0576MinorCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0921MinorCorrected

Environmental Deficiencies

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

Jan 8, 2024Complaint
1
0689SevereCorrected

Quality of Life and Care Deficiencies

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

Nov 8, 2022Routine
1
0344ModerateCorrected

Smoke Deficiencies

Have an alternate power supply for its alarm system.

Federal Penalties

Fine

Jan 8, 2024

$9,009

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

CHICKADEE HEALTHCARE LLC

Administrator

WILLIAM STORMY ROBERSON

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 18 of 84

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Key personnel

Costa, CharlieManaging Control - Governing BodyWilson, JenniferManaging Control - Governing BodyBurnam, SoonOfficer / DirectorSanderson, ClarkOfficer / DirectorChickadee Healthcare LLCManager
Source: Medicare provider data

Contact

Get in Touch

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

References & Resources

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