Watkins-Logan-Garrison Texas State Veteran's Home

Name: Watkins-Logan-Garrison Texas State Veteran's Home: CMS nursing home record
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/government-works

Tyler, Smith County, Texas · CCN 676311 · For-profit (Corporation) · part of Texvet (9 facilities, chain average 2.7 stars)

CMS rates Watkins-Logan-Garrison Texas State Veteran's Home 2 of 5 overall as of August 2026. 100 certified beds, 95 residents a day on average. 19 citations on record from the current inspection cycles, 3 at immediate jeopardy; 2 fines totalling $214,759.

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	★★★★☆ 4 of 5
Quality measures	★★☆☆☆ 2 of 5
Quality: long-stay / short-stay	2 / — of 5

Staffing

Total nurse staffing	6.31456 hours per resident per day
Registered nurses	0.54172 hours per resident per day
Weekend total	5.50595 hours per resident per day
Nursing staff turnover	33.6% (registered nurses 58.8%)
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
2026-06-11 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 2026-07-02
2026-06-11 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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2026-07-02
2025-06-11 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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2025-07-25
2025-06-11	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 2025-07-25
2024-05-15	Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · tag F0572	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-06-15
2024-05-15	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · tag F0576	E No actual harm, with potential for more than minimal harm; pattern	Deficient, Provider has date of correction 2024-06-15
2024-05-08 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 2024-05-12
2024-05-08 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	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-05-12
2024-01-08 complaint survey	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · tag F0773	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2024-02-17
2023-08-31 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	K Immediate jeopardy to resident health or safety; pattern	Deficient, Provider has date of correction 2023-09-28
2023-08-31 complaint survey	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · tag F0740	K Immediate jeopardy to resident health or safety; pattern	Deficient, Provider has date of correction 2023-09-28
2023-08-31 complaint survey	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-27
2023-08-31 complaint survey	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-09-28
2023-03-22	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-04-20
2023-03-22	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 2023-04-20
2023-03-22	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-04-20
2023-03-22	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 2023-04-20
2023-03-22	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 2023-04-20
2023-03-22	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · tag F0758	D No actual harm, with potential for more than minimal harm; isolated	Deficient, Provider has date of correction 2023-04-20

Fines and payment denials

Date	Penalty	Amount
2024-05-08	Fine	$190,793
2023-08-31	Fine	$23,966

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
Texas Vsi, LLC Organization	operational/managerial control	—	2016-07-01
Elledge, Matthew Individual	corporate officer	—	2016-05-01
Biggs, William Individual	operational/managerial control	—	2016-07-01
Mcbride, Michael Individual	operational/managerial control	—	2016-07-01
Mccrary, Janice Individual	operational/managerial control	—	2016-07-01
Berkely, John Individual	w-2 managing employee	—	2016-05-01

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 Watkins-Logan-Garrison Texas State Veteran's Home.

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.