Nursing homeActive
The Heights of Tyler
2650 Elkton Trail, Tyler, TX 757039032667200120 certified beds · 112 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
21
● 1● 19● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-03-24
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 4
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-02-25 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2024-10-30 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-10-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-09-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-28 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-20 | Standard | 130 | CMS-2567 (Care Compare) | — |
| 2023-09-01 | Complaint | 021 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-26Record 676262-20260324-F656
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 676262-20260225-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 676262-20260225-F641
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 676262-20260225-F658
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 676262-20260225-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 676262-20260225-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-03Record 676262-20260225-F812
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 676262-20241030-F576
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 676262-20241030-F755
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-30Record 676262-20241030-F880
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 676262-20241004-F755
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-23Record 676262-20241004-F842
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-27Record 676262-20240918-F600
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-29Record 676262-20240828-F880
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-01Record 676262-20230920-F645
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-01Record 676262-20230920-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-01Record 676262-20230920-F812
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-10-01Record 676262-20230920-F868
F760Ensure that residents are free from significant medication errors.Scope/severity KHarm
Medication
Pattern; immediate jeopardy to resident health or safety.Corrected 2023-08-17Record 676262-20230901-F760
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 676262-20230901-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-15Record 676262-20230901-F842
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-09-01 | Civil money penalty | $14,276 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.26
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.13
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.75
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover56%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover55%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.6% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.8% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 5.0% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.9% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.9% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 19.6% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Liberty County Hospital District No 1 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Boening, Christopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell, Leslie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mcguire, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sweat, Stacy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Touchstone Strategies-Tyler LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aegis Therapies, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boening, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell, Leslie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Capital Funding Group, Inc. Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Carvajal Pharmacy Ltc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Castillo, Lynnea Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fellbaum, Ernest Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mcguire, Richard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nutritious Lifestyles, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Plante & Moran Pllc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sehlke, Bryon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stratton, Charles Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Studer, Stanley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sweat, Stacy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Communities Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Realty - Sc LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Touchstone Strategies-Tyler LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Trident Health Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zurovec, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Touchstone Communities — 25 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Smith.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Reunion Plaza Healthcare & Rehabilitation Tyler | 1.5 mi | 2025-08-07 | 050 |
| Meadow Lake Health Center Tyler | 2.0 mi | 2025-09-24 | 020 |
| Avir at Azalea Heights Tyler | 2.6 mi | 2026-04-30 | 1173 |
| Briarcliff Health Center Tyler | 2.7 mi | 2025-05-21 | 075 |
| Providence Park Rehabilitation and Skilled Nursing Tyler | 3.0 mi | 2026-06-15 | 1142 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |