Meadow Lake Health Center

Name: Meadow Lake Health Center
Address: 16044 COUNTY ROAD 165, Tyler, TX, 75703, US
Telephone: 9035265599

16044 County Road 165, Tyler, TX 75703 · Smith County · 20 certified beds · avg 28 residents/day · certified since May 31, 2011

Part of chain: LIFESPACE COMMUNITIES (15 facilities, chain avg rating 4.4★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.11

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 self-reported quality measures.

All citations in the current public record (4)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 19, 2025	D · Potential for harm, one-off	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. · from a complaint
Aug 21, 2024	D · Potential for harm, one-off	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.
Jul 19, 2023	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jul 19, 2023	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Inspection trend by year

Year	Citations	Worst severity that year
2023	2	E
2024	1	D
2025	1	D

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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.11	3.46	3.95	top 13% in Texas; top 35% in the U.S.
Registered Nurse hours	0.85	0.44	0.69	top 5% in Texas; top 24% in the U.S.
Weekend total nurse staffing	3.47	3.04	3.50	top 17% in Texas; top 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.34	0.48	top 14% in Texas; top 34% in the U.S.
Total nursing staff turnover (%)	56.3	55.3	45.8	bottom 41% in Texas; bottom 22% in the U.S.
RN turnover (%)	62.5	54.6	42.9	bottom 38% in Texas; bottom 19% in the U.S.

Hours are per resident per day, 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 4.01, RN 0.83, weekend 3.39. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bell, Robbin	Individual	W-2 Managing Employee	NOT APPLICABLE	07/19/2022
Gorman, Joseph	Individual	Corporate Officer	NOT APPLICABLE	07/19/2022
Harshfield, Nicholas	Individual	Corporate Officer	NOT APPLICABLE	07/19/2022
Jantzen, Jesse	Individual	Corporate Director	NOT APPLICABLE	07/19/2022
Jantzen, Jesse	Individual	Corporate Officer	NOT APPLICABLE	07/19/2022
Lifespace Communities INC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/19/2022
Pope, Erin	Individual	Corporate Officer	NOT APPLICABLE	07/25/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Providence Park Rehabilitation and Skilled Nursing	1.1 mi	Tyler, TX	★★☆☆☆	2/5
Reunion Plaza Healthcare & Rehabilitation	1.3 mi	Tyler, TX	★★★★☆	5/5
The Heights of Tyler	2.0 mi	Tyler, TX	★★★☆☆	4/5
Avir at Azalea Heights	2.4 mi	Tyler, TX	★★☆☆☆	3/5
Briarcliff Health Center	2.5 mi	Tyler, TX	★★☆☆☆	3/5
The Waterton Healthcare & Rehabilitation	2.6 mi	Tyler, TX	★★★★☆	4/5
The Center at Grande	2.8 mi	Tyler, TX	★★★★★	5/5
Park Place Nursing & Rehabilitation Center	4.2 mi	Tyler, TX	★☆☆☆☆	1/5	abuse
Avir at Rose Trail	4.3 mi	Tyler, TX	★☆☆☆☆	1/5	SFF
Avir at Petal Hill	4.3 mi	Tyler, TX	★★☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

All facilities in Tyler →

Facility data as of CMS processing date 2026-08-01. CCN 676286.

The Care File

Visit checklist — Meadow Lake Health Center

16044 County Road 165, Tyler, TX 75703 · 9035265599

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676286 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)