Nursing homeActive

Meadow Lake Health Center

16044 County Road 165, Tyler, TX 75703903526559920 certified beds · 28 residentsNon profit - CorporationMedicare
Surveys on file
4
since 2023
Deficiencies
4
040
Penalties · 3 yrs
none on file
Last survey
2025-09-24
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 5
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
DateKindDeficienciesOfficial recordArchived PDF
2025-09-24Standard000CMS-2567 (Care Compare)
2025-05-19Complaint010CMS-2567 (Care Compare)
2024-08-21Standard010CMS-2567 (Care Compare)
2023-07-19Standard020CMS-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.

2025-05-19Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-20Record 676286-20250519-F580
2024-08-21Standard survey · 1 deficiencyOfficial report
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 2024-08-22Record 676286-20240821-F656
2023-07-19Standard survey · 2 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-20Record 676286-20230719-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-20Record 676286-20230719-F610

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.83
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day4.01
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.39
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover56%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover63%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.2%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.5%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
7.1%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.0%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
15.6%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
9.7%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
56.3%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)
EntityRoleInterestSinceRegistry
Lifespace Communities Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Bell, Robbin
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Gorman, Joseph
Individual
CORPORATE OFFICERNOT APPLICABLE
Harshfield, Nicholas
Individual
CORPORATE OFFICERNOT APPLICABLE
Jantzen, Jesse
Individual
CORPORATE DIRECTORNOT APPLICABLE
Jantzen, Jesse
Individual
CORPORATE OFFICERNOT APPLICABLE
Pope, Erin
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Lifespace Communities15 facilities
View chain record

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

FacilityDistanceLast surveyDeficiencies · 3 yrs
Providence Park Rehabilitation and Skilled Nursing
Tyler
1.1 mi2026-06-151142
Reunion Plaza Healthcare & Rehabilitation
Tyler
1.3 mi2025-08-07050
The Heights of Tyler
Tyler
2.0 mi2026-03-241170
Avir at Azalea Heights
Tyler
2.4 mi2026-04-301173
Briarcliff Health Center
Tyler
2.5 mi2025-05-21075
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01