2650 Elkton Trail, Tyler, TX 75703 (opens Google Maps) · Smith County · (903) 266-7200· 120 certified beds · avg 112 residents/day · certified since Dec 7, 2010 · 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: TOUCHSTONE COMMUNITIES (25 facilities, chain avg rating 2.9★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · 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.
▲ Immediate jeopardy, pattern · Sep 1, 2023 · F-0760 · triggered by a complaint
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.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 17, 2023 (Past Non-Compliance)
Showing the latest 3 of 21 inspection findings. Open the full record below to read every finding.
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
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. F-0695
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 24, 2026 | 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 |
| Feb 25, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Feb 25, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Feb 25, 2026 | E · Potential for more than minimal harm, pattern | 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 |
| Feb 25, 2026 | D · Potential for more than minimal harm, isolated | 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 |
| Feb 25, 2026 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Feb 25, 2026 | 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 |
| Oct 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint · F-0576 |
| Oct 30, 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 |
| Oct 30, 2024 | 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 |
| Oct 4, 2024 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Oct 4, 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. · from a complaint · F-0755 |
| Sep 18, 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 |
| Aug 28, 2024 | 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 |
| Sep 20, 2023 | F · Potential for more than minimal harm, widespread | 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 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Sep 20, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Sep 20, 2023 | C · Potential for minimal harm, widespread | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868 |
| Sep 1, 2023 | ▲ K · Immediate jeopardy, pattern | 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. · from a complaint · F-0760 |
| Sep 1, 2023 | E · Potential for more than minimal harm, pattern | 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. · from a complaint · F-0761 |
| Sep 1, 2023 | E · Potential for more than minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
Citations from standard inspections increased between the last two inspection cycles (3 → 6).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 1 | K ▲ |
| 2024 | 7 | 0 | E |
| 2026 | 7 | 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.
How to file a complaint about care →
1 fine totaling $14,276.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Sep 1, 2023 | Fine | $14,276 |
What these staffing numbers mean →
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) | 3.24 | 3.46 | 3.95 | bottom 44% in Texas; bottom 24% in the U.S. |
| Registered Nurse hours | 0.27 | 0.44 | 0.69 | bottom 22% in Texas; bottom 7% in the U.S. |
| Weekend total nurse staffing | 2.85 | 3.04 | 3.50 | bottom 44% in Texas; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.34 | 0.48 | bottom 44% in Texas; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 56.1 | 55.3 | 45.8 | bottom 41% in Texas; bottom 23% in the U.S. |
| RN turnover (%) | 54.5 | 54.6 | 42.9 | bottom 49% in Texas; bottom 29% 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 3.13, RN 0.26, weekend 2.75.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.13 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
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: 5/5 · short-stay residents: 2/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Heights of Tyler. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2017 |
| Aegis Therapies, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| Boening, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/13/2020 |
| Boening, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 01/13/2020 |
| Campbell, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2020 |
| Campbell, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2020 |
| Capital Funding Group, INC. | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/01/2014 |
| Carvajal Pharmacy LTC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| Castillo, Lynnea | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2017 |
| Castillo, Lynnea | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| Fellbaum, Ernest | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| McGuire, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/08/2024 |
| McGuire, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 07/08/2024 |
| Nutritious Lifestyles, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| Plante & Moran PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| Sehlke, Bryon | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2017 |
| Sehlke, Bryon | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| Stratton, Charles | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2005 |
| Studer, Stanley | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2017 |
| Sweat, Stacy | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/02/2025 |
Showing 20 of 28 parties CMS has on file for this facility; 8 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Touchstone Communities — 25 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.
Listed by state, then facility name — not a ranking. Showing 8 of the 24 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Reunion Plaza Healthcare & Rehabilitation | 1.4 mi | Tyler, TX | ★★★★☆ | 5/5 | |
| Meadow Lake Health Center | 2.0 mi | Tyler, TX | ★★★★★ | 5/5 | |
| Avir at Azalea Heights | 2.6 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Briarcliff Health Center | 2.7 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Providence Park Rehabilitation and Skilled Nursing | 3.0 mi | Tyler, TX | ★★☆☆☆ | 2/5 | |
| The Waterton Healthcare & Rehabilitation | 4.5 mi | Tyler, TX | ★★★★☆ | 4/5 | |
| The Center at Grande | 4.8 mi | Tyler, TX | ★★★★★ | 5/5 | |
| Greenbrier Nursing & Rehabilitation Center of Tyle | 5.2 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Avir at Rose Trail | 5.2 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | SFF |
| Avir at Petal Hill | 5.3 mi | Tyler, TX | ★★☆☆☆ | 2/5 | abuse |
| Park Place Nursing & Rehabilitation Center | 5.5 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | abuse |
| Oak Brook Health Care Center | 8.1 mi | Whitehouse, TX | ★★★☆☆ | 4/5 |
Compare this facility with the 3 closest →
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.
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 676262.
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