Nursing Care Index

Providence Park Rehabilitation And Skilled Nursing

Tyler, Smith County, Texas · CCN 676184 · For-profit (Corporation) · part of Stonegate Senior Living (24 facilities, chain average 2.4 stars)

CMS rates Providence Park Rehabilitation And Skilled Nursing 2 of 5 overall as of August 2026. 125 certified beds, 104 residents a day on average. 24 citations on record from the current inspection cycles, 2 at immediate jeopardy; 2 fines totalling $188,361.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 3 of 5

Staffing

Total nurse staffing3.24448 hours per resident per day
Registered nurses0.49407 hours per resident per day
Weekend total2.82174 hours per resident per day
Nursing staff turnover40.9% (registered nurses 38.5%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-06-15
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-06-19
2025-11-24
complaint survey
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2025-11-25
2025-06-18 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-06-19
2025-06-18 Ensure 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-19
2024-08-29
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-08-31
2024-05-08 Honor 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-09
2024-05-08 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-09
2024-05-08 Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies · tag F0809
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-09
2024-05-08 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-13
2024-05-08 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-20
2024-05-08 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-09
2024-05-08 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-05-09
2024-03-29
complaint survey
Ensure 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-05
2023-10-24
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-11-17
2023-10-24
complaint survey
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-17
2023-10-24
complaint survey
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-17
2023-10-24
complaint survey
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies · tag F0809
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-17
2023-08-18
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-08-19
2023-04-05 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-28
2023-04-05 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · tag F0688
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-28
2023-04-05 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-28
2023-04-05 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-04-28
2023-04-05 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-28
2023-04-05 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-28

Fines and payment denials

DatePenaltyAmount
2025-11-24Fine$143,582
2024-08-29Fine$44,779

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
South Limestone Hospital District
Organization
5% or greater direct ownership interest100%2020-04-01
Umb Bank National Association
Organization
5% or greater mortgage interest2021-09-23
Lifetime Wellness, Ltd.
Organization
adp of the snf2021-09-23
Martus Financial Services, Inc.
Organization
adp of the snf2023-12-31
Pf Broadmore Snf Ops, LLC
Organization
adp of the snf2025-12-03
Pharmerica Drug Systems LLC
Organization
adp of the snf2017-08-27
Preservation Freehold Company
Organization
adp of the snf2021-09-23
Rehab Pro Lp
Organization
adp of the snf2021-09-23
Sanctuary Ltc, LLC
Organization
adp of the snf2021-09-23
Stonegate Senior Living, Lp
Organization
adp of the snf2025-12-03
Pf Broadmore Snf Ops, LLC
Organization
operational/managerial control2021-09-23
Stonegate Senior Living, Lp
Organization
operational/managerial control2022-06-22
Dillon, Shannon
Individual
adp of the snf2023-04-12
Larsen, David
Individual
adp of the snf2024-11-20
Mckeehan, John
Individual
adp of the snf2023-09-18
Price, Larry
Individual
corporate officer1982-06-01
Campbell, Scott
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-03
Chance, James
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-03
Fisher, James
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-04
Langdon, Thomas
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-03
Mcgehee, William
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-03
Taylor, John
Individual
individual is an owner, partner or trustee of any adp of the snf2025-12-03
Mckeehan, John
Individual
operational/managerial control2023-09-18

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Smith County.