The Heights Of Tyler
Tyler, Smith County, Texas · CCN 676262 · For-profit (Partnership) · part of Touchstone Communities (25 facilities, chain average 2.9 stars)
CMS rates The Heights Of Tyler 3 of 5 overall as of August 2026. 120 certified beds, 112 residents a day on average. 21 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $14,276.
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 | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 5 / 2 of 5 |
Staffing
| Total nurse staffing | 3.12662 hours per resident per day |
|---|---|
| Registered nurses | 0.26325 hours per resident per day |
| Weekend total | 2.75146 hours per resident per day |
| Nursing staff turnover | 56.1% (registered nurses 54.5%) |
| Administrators who left | 2 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-24 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-26 |
| 2026-02-25 | 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 2026-03-03 |
| 2026-02-25 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-03 |
| 2026-02-25 | 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-03 |
| 2026-02-25 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-03 |
| 2026-02-25 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-03 |
| 2026-02-25 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-03 |
| 2024-10-30 complaint survey |
Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · tag F0576 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-30 |
| 2024-10-30 | 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-30 |
| 2024-10-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-30 |
| 2024-10-04 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-10-23 |
| 2024-10-04 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-23 |
| 2024-09-18 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2023-09-27 |
| 2024-08-28 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-29 |
| 2023-09-20 | 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 2023-10-01 |
| 2023-09-20 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-01 |
| 2023-09-20 | 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 2023-10-01 |
| 2023-09-20 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-10-01 |
| 2023-09-01 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
K Immediate jeopardy to resident health or safety; pattern | Past Non-Compliance 2023-08-17 |
| 2023-09-01 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-15 |
| 2023-09-01 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-15 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2023-09-01 | Fine | $14,276 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Liberty County Hospital District No 1 Organization | 5% or greater direct ownership interest | 100% | 2017-04-01 |
| Capital Funding Group, Inc. Organization | 5% or greater mortgage interest | — | 2014-12-01 |
| Aegis Therapies, Inc. Organization | adp of the snf | — | 2017-04-01 |
| Carvajal Pharmacy Ltc Organization | adp of the snf | — | 2017-04-01 |
| Nutritious Lifestyles, Inc. Organization | adp of the snf | — | 2017-04-01 |
| Plante & Moran PLLC Organization | adp of the snf | — | 2017-04-01 |
| Touchstone Communities Inc. Organization | adp of the snf | — | 2017-04-01 |
| Touchstone Realty - Sc LLC Organization | adp of the snf | — | 2017-04-01 |
| Touchstone Strategies-Tyler LLC Organization | adp of the snf | — | 2025-07-24 |
| Trident Health Services Inc. Organization | adp of the snf | — | 2017-04-01 |
| Touchstone Strategies-Tyler LLC Organization | operational/managerial control | — | 2017-04-01 |
| Boening, Christopher Individual | adp of the snf | — | 2020-01-13 |
| Campbell, Leslie Individual | adp of the snf | — | 2020-04-01 |
| Castillo, Lynnea Individual | adp of the snf | — | 2017-04-01 |
| Fellbaum, Ernest Individual | adp of the snf | — | 2017-04-01 |
| Mcguire, Richard Individual | adp of the snf | — | 2024-07-08 |
| Sehlke, Bryon Individual | adp of the snf | — | 2017-04-01 |
| Studer, Stanley Individual | adp of the snf | — | 2017-04-01 |
| Sweat, Stacy Individual | adp of the snf | — | 2025-10-02 |
| Zurovec, Darrell Individual | adp of the snf | — | 2017-08-01 |
| Stratton, Charles Individual | corporate officer | — | 2005-05-01 |
| Boening, Christopher Individual | operational/managerial control | — | 2020-01-13 |
| Campbell, Leslie Individual | operational/managerial control | — | 2020-04-01 |
| Castillo, Lynnea Individual | operational/managerial control | — | 2017-04-01 |
| Mcguire, Richard Individual | operational/managerial control | — | 2024-07-08 |
| Sehlke, Bryon Individual | operational/managerial control | — | 2017-04-01 |
| Sweat, Stacy Individual | operational/managerial control | — | 2025-10-02 |
| Zurovec, Darrell Individual | operational/managerial control | — | 2017-08-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for The Heights Of Tyler.
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.