Reunion Plaza Healthcare & Rehabilitation
1401 Rice Rd, Tyler, TX 75703 · Smith County · 99 certified beds · avg 79 residents/day · certified since Sep 25, 2001
Part of chain: SOUTHWEST LTC (10 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
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 (5)
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 |
|---|---|---|
| Aug 7, 2025 | E · Potential for harm, repeated | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Aug 7, 2025 | E · Potential for harm, repeated | 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. |
| Aug 7, 2025 | D · Potential for harm, one-off | 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. |
| Aug 7, 2025 | D · Potential for harm, one-off | 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. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 5 | 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)
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) | 3.28 | 3.46 | 3.95 | bottom 47% in Texas; bottom 25% in the U.S. |
| Registered Nurse hours | 0.35 | 0.44 | 0.69 | bottom 41% in Texas; bottom 15% in the U.S. |
| Weekend total nurse staffing | 2.98 | 3.04 | 3.50 | top 42% in Texas; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.34 | 0.48 | bottom 10% in Texas; bottom 6% in the U.S. |
| Total nursing staff turnover (%) | 66.3 | 55.3 | 45.8 | bottom 23% in Texas; bottom 9% in the U.S. |
| RN turnover (%) | 40.0 | 54.6 | 42.9 | top 30% in Texas; top 46% 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 3.20, RN 0.34, weekend 2.92. Staffing rating: 1/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Stephens Memorial Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2022 |
| Bauder Family Investments, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Bauder, Kelly | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Bauder, Madison | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Bauder, Parker | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Bauder, William | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Boulware St James LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Boulware, Douglas | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/24/2026 |
| Boulware, Sandra | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/24/2026 |
| Boulware, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Boulware, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Davis, Kent | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Davis, Kent | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Koehler, Keith | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Koehler, Keith | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| PMG Opco-Tyler LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| PMG Realco-Tyler LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Speer, Gena | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2025 |
| Steven Boulware Family Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Walker, Katie | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Avir at Azalea Heights | 1.3 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Meadow Lake Health Center | 1.3 mi | Tyler, TX | ★★★★★ | 5/5 | |
| Briarcliff Health Center | 1.4 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| The Heights of Tyler | 1.4 mi | Tyler, TX | ★★★☆☆ | 4/5 | |
| Providence Park Rehabilitation and Skilled Nursing | 1.8 mi | Tyler, TX | ★★☆☆☆ | 2/5 | |
| The Waterton Healthcare & Rehabilitation | 3.3 mi | Tyler, TX | ★★★★☆ | 4/5 | |
| Avir at Rose Trail | 3.8 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | SFF |
| Avir at Petal Hill | 3.8 mi | Tyler, TX | ★★☆☆☆ | 2/5 | abuse |
| The Center at Grande | 3.9 mi | Tyler, TX | ★★★★★ | 5/5 | |
| Park Place Nursing & Rehabilitation Center | 4.1 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | abuse |
| Greenbrier Nursing & Rehabilitation Center of Tyle | 4.3 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Oak Brook Health Care Center | 7.8 mi | Whitehouse, TX | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675888.