Watkins-Logan-Garrison Texas State Veteran's Home
11466 Honor Lane, Tyler, TX 75708 · Smith County · 100 certified beds · avg 95 residents/day · certified since Feb 27, 2012
Part of chain: TEXVET (9 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 8, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 12, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 31, 2023 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Sep 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 31, 2023 · F-0740 · triggered by a complaint
The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Sep 28, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Jun 11, 2026 | 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. · from a complaint |
| Jun 11, 2026 | D · Potential for harm, one-off | 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 |
| Jun 11, 2025 | D · Potential for harm, one-off | 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 |
| Jun 11, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 15, 2024 | E · Potential for harm, repeated | The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. |
| May 15, 2024 | E · Potential for harm, repeated | 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. |
| May 8, 2024 | ▲ J · Immediate jeopardy, one-off | 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 |
| May 8, 2024 | 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. · from a complaint |
| Jan 8, 2024 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint |
| Aug 31, 2023 | ▲ K · Immediate jeopardy, repeated | 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 |
| Aug 31, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Aug 31, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Aug 31, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
| Mar 22, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Mar 22, 2023 | 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. |
| Mar 22, 2023 | D · Potential for harm, one-off | 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. |
| Mar 22, 2023 | D · Potential for harm, one-off | 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. |
| Mar 22, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 22, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 2 | K ▲ |
| 2024 | 5 | 1 | J ▲ |
| 2025 | 2 | 0 | D |
| 2026 | 2 | 0 | 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)
2 fines totaling $214,759.
| Date | Type | Amount / length |
|---|---|---|
| May 8, 2024 | Fine | $190,793 |
| Aug 31, 2023 | Fine | $23,966 |
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) | 8.57 | 3.46 | 3.95 | top 1% in Texas; top 1% in the U.S. |
| Registered Nurse hours | 0.74 | 0.44 | 0.69 | top 8% in Texas; top 33% in the U.S. |
| Weekend total nurse staffing | 7.47 | 3.04 | 3.50 | top 1% in Texas; top 1% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.34 | 0.48 | top 27% in Texas; top 50% in the U.S. |
| Total nursing staff turnover (%) | 33.6 | 55.3 | 45.8 | top 10% in Texas; top 21% in the U.S. |
| RN turnover (%) | 58.8 | 54.6 | 42.9 | bottom 42% in Texas; bottom 23% 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 6.31, RN 0.54, weekend 5.51. Staffing rating: 4/5.
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: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Berkely, John | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/01/2016 |
| Biggs, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| Elledge, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2016 |
| McBride, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| McCrary, Janice | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
| Texas Vsi, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2016 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What mental health services do you provide on-site, and who delivers them?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can I get a written copy of resident rights, house rules, and a full list of services and charges today?"
- "How can my family member make private phone or video calls, and can we see where?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
- "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 |
|---|---|---|---|---|---|
| Park Place Nursing & Rehabilitation Center | 7.8 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | abuse |
| Avir at Petal Hill | 7.9 mi | Tyler, TX | ★★☆☆☆ | 2/5 | abuse |
| Avir at Rose Trail | 7.9 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | SFF |
| Greenbrier Nursing & Rehabilitation Center of Tyle | 9.5 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| The Waterton Healthcare & Rehabilitation | 9.9 mi | Tyler, TX | ★★★★☆ | 4/5 | |
| Briarcliff Health Center | 10.5 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Avir at Azalea Heights | 10.6 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Providence Park Rehabilitation and Skilled Nursing | 10.9 mi | Tyler, TX | ★★☆☆☆ | 2/5 | |
| The Center at Grande | 10.9 mi | Tyler, TX | ★★★★★ | 5/5 | |
| Reunion Plaza Healthcare & Rehabilitation | 11.7 mi | Tyler, TX | ★★★★☆ | 5/5 | |
| Meadow Lake Health Center | 11.9 mi | Tyler, TX | ★★★★★ | 5/5 | |
| Avir at Lindale | 12.7 mi | Lindale, TX | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676311.