Tyler, TX

Watkins-Logan-Garrison Texas State Veteran's Home

3-star overall rating with 3-star inspections with $214,759 in total fines with 2 recent health deficiencies

11466 Honor Lane, Tyler, TX

(903) 617-6150

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

96

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Texvet

Operator or chain grouping

Approved since

2012-02-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.24

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

4.61

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

6.44

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.83

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

5.75

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.83

CMS adjusted RN staffing hours

Adjusted total hours

9.08

CMS adjusted total nurse staffing hours

Case-mix index

0.97

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

70

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

88.94

Composite VBP score used to determine payment impact.

Payment multiplier

1.0272

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.79

Baseline 38.73% · Performance 31.85% · Measure score 7.79 · Achievement 7.79 · Improvement 4.46

Adjusted total nurse staffing

10

Baseline 7.82 hours · Performance 8.55 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 4 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 177
Staff flu vaccination coverage	28.02%	42% 14 pts worse	Numerator 58 · Denominator 207
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	2.1 0.6 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.1 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.5	2.1 1.4 pts worse	1.8 1.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 2.9 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	88.0%	97.1% 9.1 pts worse	93.4% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 81.7% · Q2 90.3% · Q3 89.1% · Q4 90.7% · 4Q avg 88.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.0%	97.9% 3.9 pts worse	95.5% 1.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.3% 0.6 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.2% · Q3 2.2% · Q4 2.1% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	2.7% 1.8 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	2.2%	3.3% 1.1 pts better	5.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.2% · Q3 2.4% · Q4 3.7% · 4Q avg 2.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.4%	18.9% 1.5 pts worse	19.6% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 18.3% · Q3 18.3% · Q4 23.2% · 4Q avg 20.4%
Percentage of long-stay residents who received an antipsychotic medication	14.1%	10.8% 3.3 pts worse	16.7% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 16.2% · Q3 13.0% · Q4 13.6% · 4Q avg 14.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	14.3%	15.4% 1.1 pts better	16.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 16.1% · Q3 8.1% · Q4 18.5% · 4Q avg 14.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.2%	16.1% 1.1 pts worse	14.9% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 21.8% · Q3 15.0% · Q4 20.0% · 4Q avg 17.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	0.5% 0.2 pts worse	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.9% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	0.8% 0.5 pts worse	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 2.2% · Q4 1.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.9%	15.0% 8.9 pts worse	19.8% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 27.5% · Q3 15.5% · Q4 20.5% · 4Q avg 23.9%
Percentage of long-stay residents with pressure ulcers	2.6%	4.2% 1.6 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.1% · Q3 0.0% · Q4 4.1% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	34.3%	89.7% 55.4 pts worse	81.7% 47.4 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 34.3%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	60.0%	88.0% 28 pts worse	79.7% 19.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 60.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-11 · Fire 2025-06-11

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-15 · Fire 2024-05-15

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-03-22 · Fire 2023-03-22

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-25

D · Potential for more than minimal harm 2025-06-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-07-25

E · Potential for more than minimal harm 2024-05-15

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2024-06-15

E · Potential for more than minimal harm 2024-05-15

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-06-15

J · Immediate jeopardy 2024-05-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-12

D · Potential for more than minimal harm 2024-05-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-05-12

D · Potential for more than minimal harm 2024-01-08

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2024-02-17

K · Immediate jeopardy 2023-08-31

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-09-28

K · Immediate jeopardy 2023-08-31

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2023-09-28

D · Potential for more than minimal harm 2023-08-31

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-09-27

D · Potential for more than minimal harm 2023-08-31

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-09-28