Every one of the 17 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
2 of these hold the top CMS rating of five. 5 sit at one. Registered nurse cover averages 0.41 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| MEADOW LAKE HEALTH CENTER | Tyler | 5 | 5 | 3 | 0.83 | 20 | $0 |
| THE CENTER AT GRANDE | Tyler | 5 | 5 | 1 | 0.36 | 96 | $0 |
| The Waterton Healthcare & Rehabilitation | Tyler | 4 | 4 | 2 | 0.51 | 92 | $23,389 |
| OAK BROOK HEALTH CARE CENTER | Whitehouse | 4 | 5 | 1 | 0.38 | 120 | $0 |
| REUNION PLAZA HEALTHCARE & REHABILITATION | Tyler | 4 | 5 | 1 | 0.34 | 99 | $0 |
| WATKINS-LOGAN-GARRISON TEXAS STATE VETERAN'S HOME | Tyler | 3 | 3 | 4 | 0.54 | 100 | $214,759 |
| The Heights of Tyler | Tyler | 3 | 4 | 1 | 0.26 | 120 | $14,276 |
| Providence Park Rehabilitation and Skilled Nursing | Tyler | 2 | 2 | 2 | 0.49 | 125 | $188,361 |
| BRIARCLIFF HEALTH CENTER | Tyler | 2 | 3 | 3 | 0.47 | 230 | $51,034 |
| Avir at Petal Hill ⚑ | Tyler | 2 | 2 | 2 | 0.36 | 120 | $31,256 |
| Avir at Azalea Heights | Tyler | 2 | 3 | 1 | 0.33 | 120 | $27,550 |
| GREENBRIER NURSING & REHABILITATION CENTER OF TYLE | Tyler | 2 | 3 | 1 | 0.21 | 120 | $0 |
| AVIR AT LINDALE | Lindale | 1 | 1 | 2 | 0.45 | 122 | $754,374 |
| Avir at Rose Trail | Tyler | 1 | 1 | 1 | 0.39 | 172 | $442,321 |
| BLUEBONNET POINT WELLNESS | Bullard | 1 | 2 | 1 | 0.39 | 119 | $181,947 |
| Park Place Nursing & Rehabilitation Center ⚑ | Tyler | 1 | 1 | 1 | 0.32 | 120 | $287,159 |
| Colonial Nursing & Rehabilitation Center | Lindale | 1 | 2 | 1 | 0.30 | 90 | $247,572 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Corporation | 7 |
| Government - Hospital district | 5 |
| For profit - Limited Liability company | 2 |
| For profit - Individual | 1 |
| For profit - Partnership | 1 |
| Non profit - Corporation | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.