FANNIN COUNTY HOSPITAL AUTHORITY
NPI 1679225296
Skilled Nursing Facility in Tyler, TX

Q: What is Fannin County Hospital Authority's NPI number?

The NPI number for Fannin County Hospital Authority is 1679225296. It was assigned to this organization in the NPPES registry on January 25, 2022. The provider is doing business as The Waterton Healthcare and Rehabilitation.

Q: What is Fannin County Hospital Authority's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does Fannin County Hospital Authority have?

CMS rates The Waterton Healthcare & Rehabilitation 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since January 25, 2022

2/5

Overall Rating

2875 SHILOH RD, TYLER, TX 75703(903) 561-1300(903) 939-1754 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fannin County Hospital Authority NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANNIN COUNTY HOSPITAL AUTHORITY (NPI 1679225296), doing business as The Waterton Healthcare And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Tyler, Texas and active in the NPI registry since January 2022. The organization lists Soon Burnam, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1679225296

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameFANNIN COUNTY HOSPITAL AUTHORITY

Location Address2875 SHILOH RDTyler, TX 75703-2936

Mailing Address2875 Shiloh RdTyler, TX 75703-2936 · (903) 561-1300 · Fax (903) 939-1754

Phone(903) 561-1300

Fax(903) 939-1754

Organization SubpartNo

Authorized OfficialSoon BurnamAuthorized Representative · (949) 540-1249

Enumeration DateJanuary 25, 2022

NPPES CertifiedJanuary 25, 2022

✔ NPI 1679225296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

2875 SHILOH RD, Tyler, TX 75703

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Other Names 1

Doing Business AsThe Waterton Healthcare And Rehabilitation

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for The Waterton Healthcare & Rehabilitation (CMS certification number 676193), from CMS Care Compare.

The Waterton Healthcare & Rehabilitation

Nursing home · Tyler, TX

2/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number676193

Certified Beds92 beds64 residents per day on average

Medicare & Medicaid Participant SinceSeptember 3, 2008

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

4/5

Long-Stay Quality

Quality of care delivered to long-term residents.

4/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

4/5

Staffing

Based on nursing staff hours relative to resident needs.

1/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

43.5

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 1.76 · LPN 0.89 · RN 0.45

3.1 hrs per resident per day

Weekend Nurse Staffing

2.62 hrs per resident per day

Physical Therapist Staffing

0.26 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

60.3%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

1 totaling $9,009.39

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH COLLEEN BROGAN-HAAN

Physical Therapist