Federal inspection record · CMS data as of October 1, 2026
Park Place Nursing & Rehabilitation Center
2450 E Fifth St, Tyler, TX · (903) 592-6745
- Cited for abuse (CMS abuse icon)
- Certified beds
- 120
- Residents per day
- 87
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 9, 2004
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Texas homes
Park Place Nursing & Rehabilitation Center carries 152.25 inspection points. That is fewer than 17% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Provide or obtain dental services for each resident.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning8E
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care8E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- D
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service5E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control5E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights3E
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-06-30
20 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2025-05-05
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-02-28
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 38 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 88% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$282,126 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-04 | Fine | $9,347 |
| 2025-05-05 | Fine | $272,779 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts worse | 2.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.4 pts worse | 94.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse | 4.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.5 pts better | 1.8% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts worse | 5.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.8 pts better | 12.0% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.4 pts worse | 11.2% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3 pts worse | 15.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts worse | 16.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts worse | 1.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts worse | 18.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.1% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts worse | 86.8% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts better | 8.9% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.9 pts better | 96.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.7 pts worse | 31.2% | 25.5% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Black, David | Corporate Director · Individual | 0% | 4 facilities |
| Black, David | Corporate Officer · Individual | 0% | 4 facilities |
| Brown, Christopher | Corporate Director · Individual | 0% | 2 facilities |
| Burgin, Joe | Corporate Director · Individual | 0% | 2 facilities |
| Hopkins County Hospital District | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Law, Kerry | Corporate Director · Individual | 0% | 2 facilities |
| Law, Kerry | Corporate Officer · Individual | 0% | 2 facilities |
| Mckeehan, John | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Medina, Eimy | Corporate Director · Individual | 0% | 1 facilities |
| Shultz, Kristi | Corporate Director · Individual | 0% | 2 facilities |
| Smith, Michael | Corporate Officer · Individual | 0% | 18 facilities |
| Tyler Pp Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Wright, Tammy | Corporate Director · Individual | 0% | 2 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress3C
- B
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- C
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- B
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous1D
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke1D
- D
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
-
Avir at Rose Trail
Tyler, TX · Avir Health Group · Special Focus
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 26 min
- Fines
- $483,785
-
Avir at Petal Hill
Tyler, TX · Avir Health Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 24 min
- Fines
- $25,532
-
The Waterton Healthcare & Rehabilitation
Tyler, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 29 min
- Fines
- $23,389