Deficiency Index

Providence Park Rehabilitation and Skilled Nursing

Tyler, Texas · CCN 676184

27 surveys since 2011. The first finding at harm level was recorded in 2015.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
79
Surveys
27
Harm or worse
5
Immediate jeopardy
3
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file18/27

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
125
Ownership
For profit - Corporation
Chain
STONEGATE SENIOR LIVING
County
Smith
Medicare-certified since
2008

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Jun 15, 2026

147 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.243.25
Registered-nurse hours per resident day0.49—
Annual nurse turnover40.9%54.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$188,361 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ28.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD833.3%E1145.8%F28.3%
No harm, potential for minimalA—B—C14.2%
CMS’s current file: 24 of the 79 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F7592×

    Ensure medication error rates are not 5 percent or greater.

  • F7602×

    Ensure that residents are free from significant medication errors.

  • F7612×

    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.

  • F8092×

    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.

In the surveyor’s words

From the most serious findings on record at Providence Park Rehabilitation and Skilled Nursing, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF695Nov 24, 2025

    Based on observation, interview, and record review the facility failed to ensure that residents who need respiratory care are provided with such care, consistent with professional standards of practices for 1 of 9 residents (Resident #1) reviewed for respiratory care.The facility failed to ensure Resident #1, whom had a history of respiratory distress, received continuous oxygen as ordered by his physician. These failures resulted in the identification of an Immediate Jeopardy (IJ) on [DATE] at 12:08 PM. […]

  • Immediate jeopardy, isolatedF689Aug 29, 2024

    Based on observation, interview, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 2 residents reviewed for accident (Resident #1) The facility failed to put interventions in place to prevent Resident #1 from sliding out of the wheelchair during transport on 8/24/24, and ensure that he was secured by the shoulder harness. The facility failed to ensure the transport staff were aware of emergency precautions during a fall such as, not lifting the resident and calling 911. The transport aide picked Resident #1 up and placed him back in the wheelchair. […]

  • Immediate jeopardy, isolatedF755Feb 10, 2023

    Based on observation, interview and record review the facility failed to provide pharmaceutical services including procedures to ensure the accurate administering of all drugs and biologicals to meet the needs of each resident for 1 of 2 residents (Resident #1) reviewed for medications. 1. The facility failed to ensure Resident #1 was administered the correct dosage of Metformin (Pioglitazone 15mg- Metformin 850mg tablet) for 8 days. 2. The facility failed to ensure Resident #1 had physician's orders before administering 5 medications (Levothyroxine 75mcg tablet, (used to treat underactive thyroid), Losartan 100mg tablets, (used to treat high blood pressure), Preser Vision AREDS- 2 250mg -90mg - 40mg - 1mg capsule, (eye supplement to help improve the strength of the eye). […]

  • No harm, potential for more than minimal, widespreadF812Oct 24, 2023

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation and safety. -The facility failed to ensure food items in the refrigerator, and freezer were dated, labeled, and sealed appropriately. -Dietary aide J failed to use a beard restraint. Also, DA J grabbed the slice ham without washing hands or wearing gloves. -NA C failed to use a hairnet. -The facility failed to maintain proper dishwasher sanitation. -The facility failed to serve food at a proper serving temp. -The facility failed to ensure spoon was not left inside the jelly jar. -The facility failed to cover the turkey sausage stored on top of the oven. […]

  • No harm, potential for more than minimal, widespreadF812Aug 18, 2023

    Based on observation, interview, and record review the facility failed to store and prepare food in accordance with established food preparation practices and safety techniques for one of one kitchen reviewed for dietary services. One beverage dispenser nozzle, one can opener blade, and one ice cream scoop were dirty with different color substances on them. One ice scoop was stored directly on top of ice machine equipment, personal cell phones and drinks were not stored in designated area separate from food preparation area, and disposable towel dispensers at two hand sinks were not functioning. These failures could place residents at risk for foodborne illness. […]

Read 23 findings in full →The most serious and the most recent: 23 of 79 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 15, 2026Complaint1 finding
  • Nov 24, 2025Complaint1 finding · 1 harm
  • Jun 18, 2025Standard2 findings
  • Aug 29, 2024Complaint1 finding · 1 harm
  • May 8, 2024Standard7 findings
  • Mar 29, 2024Complaint1 finding
  • Oct 24, 2023Complaint4 findings
  • Aug 18, 2023Complaint1 finding
Show the 19 earlier surveys
  • Jun 26, 2023Complaint4 findings
  • Apr 5, 2023Standard6 findings
  • Feb 10, 2023Complaint2 findings · 1 harm
  • Sep 15, 2022Complaint2 findings
  • Mar 9, 2022Standard2 findings
  • Jul 29, 2021Infection control1 finding
  • Apr 2, 2021Standard4 findings
  • Sep 25, 2019Standard3 findings
  • Sep 13, 2018Standard8 findings
  • Mar 9, 2018Complaint2 findings
  • Sep 27, 2017Standard and complaint3 findings
  • Mar 8, 2017Complaint1 finding
  • Aug 17, 2016Standard and complaint4 findings
  • Sep 30, 2015Standard2 findings
  • Jun 16, 2015Complaint3 findings · 2 harm
  • Aug 6, 2014Standard and complaint3 findings
  • Aug 14, 2013—1 finding
  • Jul 31, 2012—1 finding
  • Jul 27, 2011—9 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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