Meadow Lake Health Center
16044 Cr 165, Tyler, TX 75703 · Smith County · (903) 526-5599
20 certified beds, about 28 residents a day · Non profit - Corporation · Medicare since 2011
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676286 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 24, 2025, inspectors cited 0 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 4 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.01 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.
56.3% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Lifespace Communities, an affiliated group of 15 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 4 health citations on file.
September 24, 2025Standard inspection · 0 citations
May 19, 2025Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interviews and record review, the facility failed to immediately notify the resident's physician, and notify, consistent with his or her authority, the resident's representative when there was an accident involving the resident for 1 of 7 residents (Resident #1) reviewed for resident rights. The facility failed to ensure Resident #1's physician and representative were notified after Resident #1 had a fall. This failure could result in the family or guardian not being aware of conditions that may require them to make medical decisions.
August 21, 2024Standard inspection · 1 citation
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs for 1 of 4 residents (Resident #15) reviewed for care plans. The facility failed to ensure Resident #15's care plan reflected diagnoses of infections and the physician's orders for antibiotic therapy. This failure could place residents at risk of not receiving care and services to meet medical and nursing needs.
July 19, 2023Standard inspection · 2 citations
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency) in accordance with State law through established procedures for 2 of 16 Residents (Residents #7 and #10) reviewed for abuse and neglect. 1. The facility failed to report an unwitnessed fall to the state agency when Resident #10 was found on the floor with a laceration to the top of her head by a staff member and was sent to the hospital where she received 2 staples. Resident #10 could not state how she fell. 2. [...]
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on interview and record review the facility failed to ensure that all alleged violations involving abuse and neglect are thoroughly investigated and report the results of all investigations to the State Survey Agency, within 5 working days of the incident for 2 of 16 Residents (Residents #7 and #10) reviewed for investigating abuse and neglect. 1. The facility failed to investigate or report the results to the State Survey Agency when Resident #10 was found on the floor with a laceration to the top of her head and was sent to the hospital where she received 2 staples. Resident #10 could not state how she fell. 2. The facility failed to investigate or report the results to the State Survey Agency when Resident #7 had pain to her right leg and was found to have a fracture. Resident #7 could not state how the fracture occurred. [...]
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.01 | 3.39 | 3.86 |
| Registered nurses | 0.83 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.39 | 2.98 | 3.42 |
| Nurse aides | 2.62 | ||
| Licensed practical nurses | 0.57 | ||
| Nursing staff turnover (share who left in a year) | 56.3% | 55.3% | 45.8% |
| Registered nurse turnover | 62.5% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.74 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.27 on weekdays and 3.39 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 4.01 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.01 | 0.83 | 4.27 | 3.39 | 0.5% | 0 of 90 | 28 |
| Oct to Dec 2025 | 4.24 | 1.03 | 4.45 | 3.70 | 0.7% | 0 of 92 | 27 |
| Jul to Sep 2025 | 4.12 | 1.19 | 4.39 | 3.43 | 0.2% | 0 of 92 | 27 |
| Apr to Jun 2025 | 3.99 | 0.85 | 4.22 | 3.43 | 0.7% | 0 of 91 | 28 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.6 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.5 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.5 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.2 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.1 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 15.0 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.5 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.0 | 2.1 | 1.8 |
Owners and operators
Legal business name: MEADOW LAKE, LLC. CMS links this home to Lifespace Communities, a group of 15 nursing homes averaging 4.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bell, Robbin | W-2 managing employee | Individual | 07/19/2022 | |
| Jantzen, Jesse | Corporate director | Individual | 07/19/2022 | |
| Gorman, Joseph | Corporate officer | Individual | 07/19/2022 | |
| Harshfield, Nicholas | Corporate officer | Individual | 07/19/2022 | |
| Jantzen, Jesse | Corporate officer | Individual | 07/19/2022 | |
| Pope, Erin | Corporate officer | Individual | 07/25/2022 | |
| Lifespace Communities Inc | Operational/managerial control | Organization | 07/19/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 19, 2023: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 19, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 21, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
Other nursing homes nearby
- Providence Park Rehabilitation and Skilled Nursing Tyler, 1.1 mi · 2 of 5 stars · 23 citations
- Reunion Plaza Healthcare & Rehabilitation Tyler, 1.3 mi · 4 of 5 stars · 5 citations
- The Heights of Tyler Tyler, 2 mi · 3 of 5 stars · 21 citations
- Avir at Azalea Heights Tyler, 2.4 mi · 2 of 5 stars · 25 citations
- Briarcliff Health Center Tyler, 2.5 mi · 2 of 5 stars · 14 citations
- The Waterton Healthcare & Rehabilitation Tyler, 2.6 mi · 4 of 5 stars · 10 citations
- The Center at Grande Tyler, 2.8 mi · 5 of 5 stars · 9 citations
- Park Place Nursing & Rehabilitation Center Tyler, 4.2 mi · 1 of 5 stars · 40 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Meadow Lake Health Center's Medicare star rating?
- CMS rates Meadow Lake Health Center 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Meadow Lake Health Center get at its last inspection?
- 0 health deficiencies at the standard inspection on September 24, 2025. The Texas average is 9.4.
- Has Meadow Lake Health Center been fined?
- CMS lists no fines in the last three years.
- Does Meadow Lake Health Center accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns Meadow Lake Health Center?
- CMS lists 7 owners and managers, and links the home to Lifespace Communities. Legal business name: MEADOW LAKE, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.