The Waterton Healthcare & Rehabilitation

CCN 676193 · FANNIN COUNTY HOSPITAL AUTHORITY · Government - Hospital district · THE ENSIGN GROUP chain · 92 certified beds · Smith · TX


The Waterton Healthcare & Rehabilitation is a 92-bed nursing home in Tyler, Texas. CMS has certified it for Medicare and Medicaid since 2008-09-03. It averages 66.5 residents a day.

What harm was found in the violations cited at The Waterton Healthcare & Rehabilitation?

CMS lists 10 health-inspection deficiencies for The Waterton Healthcare & Rehabilitation, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-06.

Survey dateTagDeficiencySeverity
2026-05-06F0584, F0694, F0842, F0880Honor 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. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2026-04-23F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2025-03-26F0641, F0692Ensure each resident receives an accurate assessment. / Provide enough food/fluids to maintain a resident's health.E
2024-01-31F0576, F0921Ensure residents have reasonable access to and privacy in their use of communication methods. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D
2024-01-08F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J

Why was The Waterton Healthcare & Rehabilitation fined 2 times?

DateTypeAmount
2026-04-23Fine$14,380
2024-01-08Fine$9,009

How is The Waterton Healthcare & Rehabilitation staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.377743.38539
Total nursing staff turnover (%)50.755.3
Average number of residents per day66.575.8

Who owns The Waterton Healthcare & Rehabilitation, and what chain is it in?

The Waterton Healthcare & Rehabilitation is registered with CMS as Government - Hospital district, operates under the legal business name FANNIN COUNTY HOSPITAL AUTHORITY and belongs to the THE ENSIGN GROUP chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTFANNIN COUNTY HOSPITAL AUTHORITYsince 03/01/2022
MANAGING CONTROL - GOVERNING BODYCOSTA, CHARLIE, WILSON, JENNIFERsince 03/01/2022
CORPORATE OFFICERBURNAM, SOON, SANDERSON, CLARKsince 03/01/2022
OPERATIONAL/MANAGERIAL CONTROLCHICKADEE HEALTHCARE LLC, COSTA, CHARLIEsince 03/01/2022
ADP OF THE SNFCHICKADEE HEALTHCARE LLC, ENSIGN SERVICES INC, ROSE HEALTH HOLDINGS LLC, STANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP INC, COSTA, CHARLIE, WILSON, JENNIFERsince 03/01/2022

Were you or a family member harmed at The Waterton Healthcare & Rehabilitation?