Reunion Plaza Healthcare & Rehabilitation
1401 Rice Rd, Tyler, TX 75703 · Smith County · (903) 561-6060
99 certified beds, about 79 residents a day · Government - Hospital district · Medicare and Medicaid since 2001
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675888 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 7, 2025, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 5 health citations since May 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 3.20 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
66.3% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Southwest LTC, an affiliated group of 10 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.
005/23
007/24
508/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 5 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
2E
0F
Potential for minimal harm
0A
0B
0C
August 7, 2025Standard inspection · 5 citations
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on interviews and record review, the facility failed to complete a discharge summary that included but was not limited to, (i) A recapitulation of the resident's stay that includes, but was not limited to, diagnoses, course of illness/treatment or therapy, and pertinent lab, radiology, and consultation results; (ii) A final summary of the resident's status; (iii) Reconciliation of all pre-discharge medications with the resident's post-discharge medications (both prescribed and over-the-counter) for one (Resident #58) of four residents reviewed for discharge planning. 1. The facility failed to complete a discharge summary and a reconciliation of medications for Resident #58 for her unplanned discharge to the hospital on [DATE]. [...]
- E Provide and implement an infection prevention and control program.
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 two (Resident #35 and Resident #25) of five residents, reviewed for infection control.1. The facility failed to ensure CNA A performed hand hygiene while bathing Resident #35. 2. The facility failed to ensure CNA B performed hand hygiene during incontinence care for Resident #25. These failures placed residents at risk for healthcare associated cross contamination and infections.
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to notify residents or their representatives on how to file a grievance in an anonymous manner, and the information of who the facility named as the Grievance Official for 2 residents (Resident #27 and Resident #43) out of 7 residents interviewed for grievances.1. The facility failed to notify Residents or their representatives either individually or through prominent postings throughout the facility on how to file a grievance or complaint in an anonymous manner. 2. The facility failed to follow their grievance policy by providing the correct information as to who the facility identified as the Grievance Official for Resident #27 and Resident #43. [...]
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for one (Resident #35) of four residents reviewed for ADL care. 1. The facility failed to ensure CNA A thoroughly cleaned the vaginal area and feet of Resident #35 when he provided the resident with a bath on 08/05/25. This failure could place residents at risk for a skin breakdown and infection.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to maintain medical records on each resident that are complete and accurately documented for 1 (Resident #7) of 5 residents reviewed for medical records. The facility failed to ensure Resident #7's medical records contained the results of the preadmission PASRR Level 1 screening and subsequent evaluations and determinations in accordance with accepted professional standards and practices. This failure could place the residents at risk of not achieving their person-centered plan of care objectives and goals.
July 17, 2024Standard inspection · 0 citations
May 17, 2023Standard inspection · 0 citations
Fire safety inspections
14 fire safety citations on file: 9 on August 7, 2025, 4 on July 17, 2024, 1 on May 17, 2023.
Every fire safety citation14 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Have proper medical gas storage and administration areas.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Install proper backup exit lighting.
- D Provide properly protected cooking facilities.
- F Have properly installed electrical wiring and gas equipment.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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) | 3.20 | 3.39 | 3.86 |
| Registered nurses | 0.34 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.92 | 2.98 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 66.3% | 55.3% | 45.8% |
| Registered nurse turnover | 40.0% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.75 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 3.32 on weekdays and 2.92 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.20 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 | 3.20 | 0.34 | 3.32 | 2.92 | 0.3% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.30 | 0.36 | 3.39 | 3.09 | 0.6% | 0 of 92 | 74 |
| Jul to Sep 2025 | 3.52 | 0.35 | 3.66 | 3.16 | 13.0% | 0 of 92 | 73 |
| Apr to Jun 2025 | 3.51 | 0.33 | 3.66 | 3.13 | 20.5% | 0 of 91 | 75 |
| 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 | 20.6 | 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 | 2.6 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.5 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.8 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.4 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.3 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: STEPHENS MEMORIAL HOSPITAL DISTRICT. CMS links this home to Southwest LTC, a group of 10 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Stephens Memorial Hospital District | 5% or greater direct ownership interest | Organization | 100% | 04/01/2022 |
| Speer, Gena | Corporate officer | Individual | 01/01/2025 | |
| Pmg Opco-Tyler LLC | Operational/managerial control | Organization | 10/01/2025 | |
| Davis, Kent | Operational/managerial control | Individual | 10/01/2025 | |
| Koehler, Keith | Operational/managerial control | Individual | 10/01/2025 | |
| Boulware, Douglas | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/24/2026 | |
| Boulware, Sandra | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/24/2026 | |
| Bauder Family Investments, LLC | Adp of the SNF | Organization | 10/01/2025 | |
| Boulware St. James LLC | Adp of the SNF | Organization | 10/01/2025 | |
| Pmg Realco-Tyler LLC | Adp of the SNF | Organization | 10/01/2025 | |
| Steven Boulware Family Investments LLC | Adp of the SNF | Organization | 10/01/2025 | |
| Bauder, Kelly | Adp of the SNF | Individual | 10/01/2025 | |
| Bauder, Madison | Adp of the SNF | Individual | 10/01/2025 | |
| Bauder, Parker | Adp of the SNF | Individual | 10/01/2025 | |
| Bauder, William | Adp of the SNF | Individual | 10/01/2025 | |
| Boulware, Steven | Adp of the SNF | Individual | 10/01/2025 | |
| Boulware, Thomas | Adp of the SNF | Individual | 10/01/2025 | |
| Davis, Kent | Adp of the SNF | Individual | 10/01/2025 | |
| Koehler, Keith | Adp of the SNF | Individual | 10/01/2025 | |
| Walker, Katie | Adp of the SNF | Individual | 10/01/2025 |
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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 7, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.92 hours per resident per day, below the Texas average of 2.98.
Other nursing homes nearby
- Avir at Azalea Heights Tyler, 1.3 mi · 2 of 5 stars · 25 citations
- Meadow Lake Health Center Tyler, 1.3 mi · 5 of 5 stars · 4 citations
- Briarcliff Health Center Tyler, 1.4 mi · 2 of 5 stars · 14 citations
- The Heights of Tyler Tyler, 1.5 mi · 3 of 5 stars · 21 citations
- Providence Park Rehabilitation and Skilled Nursing Tyler, 1.8 mi · 2 of 5 stars · 23 citations
- The Waterton Healthcare & Rehabilitation Tyler, 3.3 mi · 4 of 5 stars · 10 citations
- Avir at Rose Trail Tyler, 3.8 mi · 1 of 5 stars · 60 citations
- Avir at Petal Hill Tyler, 3.8 mi · 2 of 5 stars · 27 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 Reunion Plaza Healthcare & Rehabilitation's Medicare star rating?
- CMS rates Reunion Plaza Healthcare & Rehabilitation 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Reunion Plaza Healthcare & Rehabilitation get at its last inspection?
- 5 health deficiencies at the standard inspection on August 7, 2025. The Texas average is 9.4.
- Has Reunion Plaza Healthcare & Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Reunion Plaza Healthcare & Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Reunion Plaza Healthcare & Rehabilitation?
- CMS lists 20 owners and managers, and links the home to Southwest LTC. Legal business name: STEPHENS MEMORIAL HOSPITAL DISTRICT.
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.