ElderGrade
C

60/100

Average

Reunion Plaza Healthcare & Rehabilitation

1401 Rice Rd, Tyler, TX 75703

CMS 4/5 stars #3 of 17 in Smith County (903) 561-6060
Certified beds
99
Occupancy
80%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 66%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.28 total nurse hours per resident per day (national median 3.77)
  • 0.34 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 66% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.20 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.34 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.92 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 66.30%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: August 7, 2025 (1 year ago).

E Aug 7, 2025 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

E Aug 7, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Aug 7, 2025 F0585

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

No actual harm, potential for more than minimal harm

D Aug 7, 2025 F0677

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D Aug 7, 2025 F0842

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of SOUTHWEST LTC, which operates 13 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
SPEER, GENA Individual CORPORATE OFFICER
PMG OPCO-TYLER LLC Organization OPERATIONAL/MANAGERIAL CONTROL
DAVIS, KENT Individual OPERATIONAL/MANAGERIAL CONTROL
KOEHLER, KEITH Individual OPERATIONAL/MANAGERIAL CONTROL
BOULWARE, DOUGLAS Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
BOULWARE, SANDRA Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
BAUDER FAMILY INVESTMENTS, LLC Organization ADP OF THE SNF
BOULWARE ST JAMES LLC Organization ADP OF THE SNF
PMG REALCO-TYLER LLC Organization ADP OF THE SNF
STEVEN BOULWARE FAMILY INVESTMENTS LLC Organization ADP OF THE SNF
BAUDER, KELLY Individual ADP OF THE SNF
BAUDER, MADISON Individual ADP OF THE SNF

What families say

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Common questions about Reunion Plaza Healthcare & Rehabilitation

What is the ElderGrade for Reunion Plaza Healthcare & Rehabilitation? +

Reunion Plaza Healthcare & Rehabilitation holds an ElderGrade of C (60 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Reunion Plaza Healthcare & Rehabilitation? +

Residents receive an average of 3.20 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Reunion Plaza Healthcare & Rehabilitation been cited for harming residents? +

No. None of the 5 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Reunion Plaza Healthcare & Rehabilitation accept Medicaid? +

Yes, Reunion Plaza Healthcare & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.