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Greenbrier Nursing & Rehabilitation Center of Tyle
3526 West Erwin Street, Tyler, TX 75702 (opens Google Maps) · Smith County · (903) 593-6441· 120 certified beds · avg 54 residents/day · certified since Feb 14, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
3/5
Health inspection rating (on-site)
inspected Mar 25, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.49
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 28 inspection findings. Open the full record below to read every finding.
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. F-0725
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. F-0755
View all 28 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 25, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Mar 25, 2026 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Mar 25, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · F-0638 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · F-0802 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have firmly secured handrails on both sides of its hallways. · F-0924 |
| Mar 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have policies on smoking. · F-0926 |
| Aug 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint · F-0585 |
| Aug 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Aug 13, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880 |
| Dec 18, 2024 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Dec 18, 2024 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Dec 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Dec 18, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Oct 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600 |
| Oct 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602 |
| Oct 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| May 21, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Jan 8, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Nov 15, 2023 | E · Potential for more than minimal harm, pattern | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 15).
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 9
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 15
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 9 | 0 | E |
| 2025 | 3 | 0 | D |
| 2026 | 15 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.49
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.24
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.02
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.49 | 3.46 | 3.95 | top 35% in Texas; bottom 36% in the U.S. |
| Registered Nurse hours | 0.24 | 0.44 | 0.69 | bottom 16% in Texas; bottom 5% in the U.S. |
| Weekend total nurse staffing | 3.02 | 3.04 | 3.50 | top 40% in Texas; bottom 32% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.34 | 0.48 | bottom 24% in Texas; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 96.6 | 55.3 | 45.8 | bottom 4% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 100.0 | 54.6 | 42.9 | bottom 8% in Texas; bottom 1% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.06, RN 0.21, weekend 2.64.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.06 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Greenbrier Nursing & Rehabilitation Center of Tyle. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2022 |
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2022 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Fregia, Milton | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/07/2022 |
| Gardner, Shannon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/22/2022 |
| Gardzina, Margaret | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/26/2024 |
| Hekimian, Khoren | Individual | ADP of the SNF | NOT APPLICABLE | 04/11/2025 |
| Henry, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/09/2009 |
| Huggins, Linda | Individual | Corporate Director | NOT APPLICABLE | 04/01/2022 |
| Stepps, Laurie | Individual | ADP of the SNF | NOT APPLICABLE | 04/11/2025 |
| Stratton, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2005 |
| Stratton, Charles | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2005 |
| Tyler II Enterprises, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2022 |
| Tyler II Enterprises, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2022 |
| Willig, Zachary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Creative Solutions in Healthcare — 149 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Greenhill Villas — Mount Pleasant, TX · overall 1/5
- Groveton Nursing Home — Groveton, TX · overall 3/5
- Heritage at Longview Healthcare Center — Longview, TX · overall 1/5
- Heritage at Turner Park Health & Rehab — Grand Prairie, TX · overall 2/5
- Heritage House Nursing and Rehabilitation — Rosebud, TX · overall 4/5
- Heritage Place of Decatur — Decatur, TX · overall 3/5
- Honey Grove Nursing Center — Honey Grove, TX · overall 2/5
- Huebner Creek Health & Rehabilitation Center — San Antonio, TX · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 148 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you track that every resident's quarterly assessment happens on time?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 97% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 17 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Briarcliff Health Center | 3.0 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Avir at Azalea Heights | 3.1 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Avir at Petal Hill | 3.3 mi | Tyler, TX | ★★☆☆☆ | 2/5 | abuse |
| Avir at Rose Trail | 3.3 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | SFF |
| Park Place Nursing & Rehabilitation Center | 4.3 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | abuse |
| Reunion Plaza Healthcare & Rehabilitation | 4.3 mi | Tyler, TX | ★★★★☆ | 5/5 | |
| The Heights of Tyler | 5.2 mi | Tyler, TX | ★★★☆☆ | 4/5 | |
| Providence Park Rehabilitation and Skilled Nursing | 5.2 mi | Tyler, TX | ★★☆☆☆ | 2/5 | |
| Meadow Lake Health Center | 5.5 mi | Tyler, TX | ★★★★★ | 5/5 | |
| The Waterton Healthcare & Rehabilitation | 5.9 mi | Tyler, TX | ★★★★☆ | 4/5 | |
| The Center at Grande | 7.1 mi | Tyler, TX | ★★★★★ | 5/5 | |
| Chandler Nursing Center | 8.8 mi | Chandler, TX | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Smith, TX — 17 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Oak Brook Health Care Center — Whitehouse, TX · overall 3/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 675267.
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