5505 New Copeland Rd, Tyler, TX 75703 · Smith County · (903) 939-2443
125 certified beds, about 104 residents a day · For profit - Corporation · Medicare and Medicaid since 2008
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676184 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 18, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 23 health citations since April 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $188,361 in the last three years; the largest was $143,582, and the latest is dated November 24, 2025.
Nurses and nurse aides worked 3.24 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
40.9% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Stonegate Senior Living, an affiliated group of 24 nursing homes.
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.
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 23 health citations on file.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free of any significant medication errors for 1of 6 residents (Resident #1) reviewed for significant medication errors. The facility did not provide Resident #1's physician ordered Trulicity Subcutaneous Solution Pen-injector (for diabetes) weekly, and this resulted in Resident #1 missing two dosages on Thursday 1/15/26 and Thursday 1/22/26. This failure could place residents at risk of not receiving the intended therapeutic benefit of the medications.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents who need respiratory care are provided with such care, consistent with professional standards of practices for 1 of 9 residents (Resident #1) reviewed for respiratory care. The facility failed to ensure Resident #1, whom had a history of respiratory distress, received continuous oxygen as ordered by his physician. These failures resulted in the identification of an Immediate Jeopardy (IJ) on [DATE] at 12:08 PM. While the IJ was removed on [DATE] at 12:37 PM, the facility remained out of compliance at a scope of isolated and a severity level of potential for more than minimal harm that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 7 residents (Residents #19 and #45) reviewed for infection control practices. 1. The facility failed to ensure MA-B performed hand hygiene prior to, between, and after contact with Resident #19 and Resident #45 during the medication administration process. 2. ADON -D and CNA-C failed to ensure followed isolation protocols and used appropriate PPE for COVID-positive residents. These failures could place residents under her care at risk for the transmission of communicable diseases and infections.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments and permitted only authorized personnel to have access to medications for 2 of 7 residents (Resident #19 and #45) reviewed for storage of medications and other biological chemicals. MA-B left 5 blister-pack cards of medications belonging to Resident #19 and 4 blister-pack cards of medications belonging to Resident #45 lying, unsecured and unattended, on top of the medication cart. This failure could place residents at risk for misuse of medication and overdose, drug diversions, and adverse reactions to medications.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 2 residents reviewed for accident (Resident #1) The facility failed to put interventions in place to prevent Resident #1 from sliding out of the wheelchair during transport on 8/24/24, and ensure that he was secured by the shoulder harness. The facility failed to ensure the transport staff were aware of emergency precautions during a fall such as, not lifting the resident and calling 911. The transport aide picked Resident #1 up and placed him back in the wheelchair. Evidence indicated Resident #1 had a bruise and bump to his forehead, bruises and scratches on his R foot, puncture wounds to his foot, redness to his knee, and pain. The facility did not have a policy for transportation. [...]
Inspectors wroteBased on observations, record reviews, and interviews the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior and clean bed linens that were in good conditions for 4 of 8 residents (Residents #5, #42, #44, and #58) reviewed for a safe environment. The facility failed to provide clean and adequate linens for Residents #5, #42, #44, and #58. This failure could place residents at risk for a diminished quality of life and a decreased feeling of self-worth.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident who is unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene for 1 of 21 residents reviewed for ADL care. (Resident #62) The facility failed to ensure Resident #62 received scheduled showers/baths and did not accurately document bed baths. Resident #62 did not receive 9 showers since her admission and inaccurately documented bed baths for Resident #62 when she was not a resident in the facility. This failure could cause residents to feel socially isolated and have a loss of dignity and self-worth.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide at least three meals daily, at regular times comparable to normal meal times in the community or in accordance with resident needs for 2 of 3 residents reviewed for meals. (Residents #7 and #97). Residents #7 did not receive a sack lunch on 05/06/24 when she left for hemodialysis at 10:50a.m. Residents #97 did not receive a sack lunch on 05/07/24 when he left for hemodialysis at 5:30a.m. This failure could place dialysis residents, at risk of not receiving adequate therapeutic nutritional status to maintain the highest practicable level of well-being, and not having their nutritional needs met.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that residents requiring respiratory care were provided such care, consistent with professional standards of practice for 1 of 3 resident (Resident #73) reviewed for respiratory care. The facility failed to ensure Resident #73 had physician orders for oxygen therapy. This failure could place residents who receive respiratory care at risk for developing respiratory complications and a decreased quality of care.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medication error rate was not 5 percent or greater for 2 of 2 residents reviewed for medication administration. (Resident #53 and #104) MA A failed to administer one scheduled medication, Vitamin B12 1000 mcg SL tablet (to treat vitamin deficiency) to Resident #104 as ordered by the physician and; MA A failed to administer a physician ordered multivitamin with minerals (to treat vitamin deficiency) to Resident #53, resulting in a 7 percent medication error with 2 errors out of 26 opportunities. These failures could place residents at risk of inadequate therapeutic outcomes.
Inspectors wroteBased on observation, interview, and record review, the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a centralized staff work area, for 1 of 21 residents (Resident #09) reviewed. Resident #09's call light was inoperative and failed to light and sound at the centralized call light panel, located at the only nurse station near hall 400. This failure could place residents who rely on the call light system to have delayed response to meet their needs.
Inspectors wroteBased on observation, interview, and record review the facility failed to post Nursing Staffing Data information daily as required on a daily basis for 3 of 3 days (05/06/24, 05/07/24 and 05/08/24) for May 2024 and maintain the posted daily nurse staffing data for a minimum of 18 months, or as required by State law, whichever is greater for 4 of 4 months (February 2024, March 2024, April 2024, and May 2024) reviewed for nursing staffing. The facility failed to post the required staffing information for 05/06/24, 05/07/24 and 05/08/24. The facility failed to retain the nursing staffing data for February 2024, March 2024, April 2024, and May 2024 These failure could cause residents, families, and visitors to be unaware of the facility daily staffing requirements.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were secured on 1 of 2 treatment medication carts (500/600 Hall Treatment Medication Cart) reviewed for pharmacy services in that: On 3/11/24 at 7:54 p.m., the treatment medication cart for 500/600 Hall was left unlocked, unsecured, and unattended near the nurse station. This failure could affect the residents, by placing them at risk of drug diversions or misuse of medications.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation and safety. -The facility failed to ensure food items in the refrigerator, and freezer were dated, labeled, and sealed appropriately. -Dietary aide J failed to use a beard restraint. Also, DA J grabbed the slice ham without washing hands or wearing gloves. -NA C failed to use a hairnet. -The facility failed to maintain proper dishwasher sanitation. -The facility failed to serve food at a proper serving temp. -The facility failed to ensure spoon was not left inside the jelly jar. -The facility failed to cover the turkey sausage stored on top of the oven. - The facility failed to store bottle of detergent away from food prep area. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to provide pharmaceutical services including procedures to ensure the accurate acquiring, receiving, dispensing, and administering of all drugs to meet the needs of each resident for 1 of 4 Residents reviewed for medications. (Resident #1) The facility failed to ensure Resident #1's medications were administered as ordered, this resulted in Resident #1 missing dosages of the following: Pantoprazole Tablet (for heartburn, acid reflux); Triamcinolone Topical cream (for Rash and other nonspecific skin eruption); Insulin Lispro (for Diabetes mellitus due to underlying condition without complications); Aspirin Tablet (for Chronic atrial fibrillation); Apixaban/Eliquis Tablet (for Chronic atrial fibrillation); and Levothyroxine tablets (for Hypothyroidism). [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the menu was followed for 1 of 1 meal reviewed for menus and nutritional adequacy. (Noon meal 10/22/23). Residents on a pureed and mechanical soft diet were served Turkey Sausages at the noon meal instead of Baked Ham as indicated on the menu. The facility did not prepare and serve pureed bread at the noon meal on 10/22/23. The facility did not prepare and serve a dessert at the noon meal on 10/22/23. The facility did not serve green beans to five residents at the noon meal on 10/22/23. The facility did not prepare and serve the alternate meal: Salisbury steak and gravy, rice pilaf, and parsley carrots as indicated on the menu. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that each resident received at least three meals daily, at regular times comparable to normal mealtimes in the community or in accordance with resident needs, preferences, requests, and plan of care for 7 of 7 resident reviewed for quality of life. (Resident #s 1, 2, 3,4, 5, 6 and 7) Facility failed to ensure Resident #s 1, 2, 3,4, 5, 6 and 7 received their meals timely. This failure could place residents at risk of not maintaining their highest practicable physical, mental, and psychosocial well-being and a decreased quality of life.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure care and services are provided within professional scopes of practice for 8 of 14 residents reviewed for medication administration, infection control, intravenous catheter and gastrostomy tube use, and use of orthopedic devices. Medication Aide J administered medications to 3 (three) residents (Residents #3, #5, #27) without verifying the accuracy of the drugs she administered. LVN A, LVN B, and RN C failed to follow the physician's orders to apply braces to the legs/ankles of Resident # 42. LVN A failed to use appropriate hand sanitation practices to prevent and/or control the spread of infection during medication administration to Residents #'s 6, 41, 42, 43, and 61. LVN A did not follow the physician's orders for administration of a cardiac drug and a vitamin for Resident # 42. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 (one) resident (Resident # 42) of 1 resident reviewed for positioning and mobility received treatment to prevent further reduction of range of motion (ROM). LVN A, LVN B, and RN C failed to follow the physician's orders for daily placement of braces on Resident #42. This failure could place the resident at risk for increased contractures and complications associated with contractures such as skin breakdown.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 (Resident #42) of 14 residents reviewed for medication administration was free of significant medication errors. The nurse failed to follow the physician's instructions for administration of a cardiac medication. This failure could place the resident at risk for a lower than desired blood pressure and/or pulse.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the use of appropriate infection prevention and control practices for 5 of 14 residents observed during medication administration LVN A failed to demonstrate appropriate hand hygiene practices when administering medications to Residents #'s 6, 41, 42, 43, and 61. This failure could increase the risk for and spread of infection among residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 resident (Resident #42) of 3 residents reviewed for gastrostomy tubes received proper tube care during administration of medications. LVN A failed to check for obstruction and position of the gastrostomy tube prior to administering medications via the gastrostomy tube route. This failure could place the resident at risk for aspiration and infection.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure its medication error rate was less than 5%. 1 of 14 residents (Resident #42) reviewed for medication administration. LVNA administered the wrong type of vitamin D and administered instead of withholding a cardiac medication that did not comply with the parameters specified by the physician. This failure could place the resident at risk for not receiving the intended therapeutic response and increasing the risk of adverse effects.
1 fire safety citation on file: 1 on April 5, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| November 24, 2025 | Fine | $143,582 |
| August 29, 2024 | Fine | $44,779 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.24 | 3.39 | 3.86 |
| Registered nurses | 0.49 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.82 | 2.98 | 3.42 |
| Nurse aides | 1.82 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 40.9% | 55.3% | 45.8% |
| Registered nurse turnover | 38.5% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.04 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.42 on weekdays and 2.82 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.24 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 | 3.24 | 0.49 | 3.42 | 2.82 | 0.0% | 0 of 90 | 104 |
| Oct to Dec 2025 | 3.49 | 0.45 | 3.66 | 3.07 | 0.0% | 0 of 92 | 96 |
| Jul to Sep 2025 | 3.45 | 0.48 | 3.61 | 3.04 | 1.2% | 1 of 92 | 97 |
| Apr to Jun 2025 | 3.53 | 0.57 | 3.71 | 3.08 | 6.8% | 0 of 91 | 92 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 6.0 | 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 | 0.3 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.2 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.2 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.6 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.7 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.7 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Providence Park Rehabilitation and Skilled Nursing's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.6% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 127 eligible stays.
12.8% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 146 eligible stays.
7.1% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 89 eligible stays.
59.5% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 42 residents counted.
0.0% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 103 residents counted.
0.8% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 103 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SOUTH LIMESTONE HOSPITAL DISTRICT. CMS links this home to Stonegate Senior Living, a group of 24 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| South Limestone Hospital District | 5% or greater direct ownership interest | Organization | 100% | 04/01/2020 |
| Umb Bank National Association | 5% or greater mortgage interest | Organization | 09/23/2021 | |
| Price, Larry | Corporate officer | Individual | 06/01/1982 | |
| Pf Broadmore SNF Ops, LLC | Operational/managerial control | Organization | 09/23/2021 | |
| Stonegate Senior Living, LP | Operational/managerial control | Organization | 06/22/2022 | |
| McKeehan, John | Operational/managerial control | Individual | 09/18/2023 | |
| Campbell, Scott | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/03/2025 | |
| Chance, James | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/03/2025 | |
| Fisher, James | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/04/2025 | |
| Langdon, Thomas | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/03/2025 | |
| McGehee, William | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/03/2025 | |
| Taylor, John | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/03/2025 | |
| Lifetime Wellness, Ltd. | Adp of the SNF | Organization | 09/23/2021 | |
| Martus Financial Services, Inc. | Adp of the SNF | Organization | 12/31/2023 | |
| Pf Broadmore SNF Ops, LLC | Adp of the SNF | Organization | 12/03/2025 | |
| Pharmerica Drug Systems LLC | Adp of the SNF | Organization | 08/27/2017 | |
| Preservation Freehold Company | Adp of the SNF | Organization | 09/23/2021 | |
| Rehab Pro LP | Adp of the SNF | Organization | 09/23/2021 | |
| Sanctuary LTC, LLC | Adp of the SNF | Organization | 09/23/2021 | |
| Stonegate Senior Living, LP | Adp of the SNF | Organization | 12/03/2025 | |
| Dillon, Shannon | Adp of the SNF | Individual | 04/12/2023 | |
| Larsen, David | Adp of the SNF | Individual | 11/20/2024 | |
| McKeehan, John | Adp of the SNF | Individual | 09/18/2023 |
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.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.