The Waterton Healthcare & Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2008-09-03. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (903) 561-1300 or your local Medicaid office to verify current eligibility.

The Waterton Healthcare & Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (2★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 69.4/100, placing it #8571 of 14703 facilities nationally and #621 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at The Waterton Healthcare & Rehabilitation receives a reported average of 3 hours 25 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 32 minutes; Licensed Practical Nurse (LPN) — 40 minutes; Nurse Aide — 2 hours 12 minutes. On weekends, total nurse staffing is 3 hours 6 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 52.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $9,009. 12 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $9,009, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 32.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, The Waterton Healthcare & Rehabilitation ranks 8571st out of 14,703 facilities (composite score: 69.4/100), placing it in the below average nationwide. Within TX, it ranks 621st out of 1,177 nursing homes. In Tyler, it ranks 6th out of 13 facilities. Among facilities sharing its ZIP code, it ranks 4th of 5. For 2026 staffing: total nurse hours rank #9,904 nationally and RN hours rank #7,868 nationally (#224 in TX). Our composite quality score of 69.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Tyler, visit: https://nursinghomesnearme.org/texas/tyler/