Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
74
39 employees · 35 contractors · 20 on an average day Meadow Lake Senior Living – Tyler
Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Tyler, TX
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — 15 points above the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — 15 points above the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Meadow Lake Senior Living – Tyler
Nursing Home, Assisted Living, Independent Living, Memory Care, Respite Care & Skilled Nursing · Tyler, TX
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — 15 points above the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — 15 points above the Texas average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Meadow Lake Senior Living – Tyler accepts Medicare and private pay.
Overview of Meadow Lake Senior Living – Tyler
Meadow Lake Senior Living, Tyler offers independent living, assisted living, memory care, nursing home care, skilled nursing, and respite care in Tyler, TX. Independent living provides private living with community services and no daily care, while assisted living adds help with daily tasks such as dressing, bathing, and medication. Memory care provides a secured setting with supervision. Nursing home and skilled nursing care provide licensed nursing care on site around the clock, while respite care offers a short stay when a family caregiver needs to travel or recover.
The community has 20 beds, creating a smaller setting where staff and residents can get to know each other. One bedroom and two bedroom housing options can work for someone living alone, a couple moving together, or a resident who wants a companion. Pets are allowed, so residents can keep a pet in the community. The range of care levels may suit someone whose needs could grow over time, or a family needing short term care while a primary caregiver travels or recovers.
Residents can spend time on walking trails, fish in a stocked lake, or use the rustic community lodge for outdoor time and entertaining. Clubs, classes, and hobby groups provide organized activities. Scheduled transportation serves appointments and outings, while a salon and rehabilitation services are also available within the community.
Medicare and private pay are accepted, giving families two listed ways to cover care. Total nurse staffing is 4 hours 6 minutes per resident per day, representing that amount of daily nurse staffing time allocated per resident. A Walk Score of 33 out of 100 indicates a car dependent setting where most errands require a car or a ride. A resident who no longer drives would generally need transportation for errands.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Total nursing care per resident / day
This nursing home is ranked 50th out of 233 nursing homes we track in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 6m
This nursing home is ranked 50th out of 233 nursing homes we track in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 6mStandout metric: Registered nurse (RN) is +128% above Texas average
1 of 6 metrics below Texas average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 8 total: 7 of the facility's own employees and 1 agency contractor.
8 staff · 9.3-hour shifts
59m
↑ 128% · TX 26mThis facility: 59m per resident per day, 128% above the Texas average of 26m (among Texas facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 8 total: 7 of the facility's own employees and 1 agency contractor.
8 staff · 9.3-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 5 total: 2 of the facility's own employees and 3 agency contractors.
5 staff · 11.4-hour shifts
25m
↓ 57% · TX 57mThis facility: 25m per resident per day, 57% below the Texas average of 57m (among Texas facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 5 total: 2 of the facility's own employees and 3 agency contractors.
5 staff · 11.4-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 31 total: 20 of the facility's own employees and 11 agency contractors.
31 staff · 8.6-hour shifts
2h 42m
↑ 34% · TX 2h 1mThis facility: 2h 42m per resident per day, 34% above the Texas average of 2h 1m (among Texas facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 31 total: 20 of the facility's own employees and 11 agency contractors.
31 staff · 8.6-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
4m
↑ 3% · TX 4mThis facility: 4m per resident per day, 3% above the Texas average of 4m (among Texas facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
3h 33m
↑ 19% · TX 2h 59mThis facility: 3h 33m per resident per day, 19% above the Texas average of 2h 59m (among Texas facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
36m
↑ 72% · TX 21mThis facility: 36m per resident per day, 72% above the Texas average of 21m (among Texas facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
74
39 employees · 35 contractors · 20 on an average day
Average hours one staff member works on a day they are on shift, across every role.
7.6 h
↓ 6% · TX 8.1 hThis facility: 7.6 h, 6% below the Texas average of 8.1 h (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
13,858 staff hours this quarter
See full Texas ranking →85.2% of staff hours were worked by the facility's own employees
Texas average: 94.3% · Contractors this quarter: Certified Nursing Assistant (11), Respiratory Therapy Technician (5), Speech Language Pathologist (5), Physical Therapy Assistant (4), Physical Therapy Aide (4), Licensed Practical Nurse (3), Qualified Social Worker (2), Registered Nurse (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
20
Rank #254 / 258Bed count — State benchmarked This nursing home is ranked 254th out of 258 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
20
Rank #254 / 258Bed count — State benchmarked This nursing home is ranked 254th out of 258 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A community with a solid operating history and experience delivering ongoing care. This is the number of years in operation under current management.
Rank #116 / 147Years in operation — State benchmarked This nursing home is ranked 116th out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A community with a solid operating history and experience delivering ongoing care. This is the number of years in operation under current management.
Rank #116 / 147Years in operation — State benchmarked This nursing home is ranked 116th out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
15
years
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #196 / 276Walk Score — State benchmarked This nursing home is ranked 196th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #196 / 276Walk Score — State benchmarked This nursing home is ranked 196th out of 276 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
33
/ 100
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
38
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Accredited
How BBB ratings workAbout This Community
License Number104686
5-Star Rating from Centers for Medicare & Medicaid Services
Secured Perimeter
Accept Medicare
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
TransportationListed as: Scheduled transportation
Pets Allowed
Walking Paths
Fitness Center
Beauty Salon
Library
Game Room
Gated Community
Five-Acre Lake
Rustic Community Lodge
Private Dining Room
Emergency Call System
Activities
Hobby Groups
Arts and Crafts
Building TypeTwo-story
Room Types
1 Bed
2 Bed
In-Room Features
Personal Safe In Each Home
CMS Health Inspection History
ALM Inspection Grade
97 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
15 points above the Texas average for CMS-certified facilities (82/100)
Category breakdown
Citations
Strong
6 severity-weighted points (4 citations) · 14× lower than the typical CMS-certified TX facility (median: 85)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Strong
1 day to fix issues · much faster than the typical CMS-certified TX facility (median: 16)
Total health inspections
3
↓ 63% · TX 8This facility: 3, 63% below the Texas average of 8 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
4
Rank #2 / 234Health citations — State benchmarked This nursing home is ranked 2nd out of 234 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 234 TX facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 86% · TX 28This facility: 4, 86% below the Texas average of 28 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
1.33
Rank #2 / 234Citations per inspection — State benchmarked This nursing home is ranked 2nd out of 234 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 234 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 64% · TX 3.65This facility: 1.33, 64% below the Texas average of 3.65 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
4 of 4 citations corrected
Critical
J–L
0
↓ 100% · TX 1.8This facility: 0, 100% below the Texas average of 1.8 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · TX 0.4This facility: 0, 100% below the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
4
↓ 84% · TX 25.4This facility: 4, 84% below the Texas average of 25.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · TX 0.4This facility: 0, 100% below the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: May 19, 2025 · 1 citation (Resident Rights, moderate), corrected
Most cited category: Abuse, Neglect & Exploitation, 2 of 4 citations · 3 categories in total
Citations history
Most recent first
May 19, 2025
1 citation
Resident Rights moderate citation
Corrected
Corrected
Aug 21, 2024
1 citation
Care Planning moderate citation
Corrected
Corrected
Jul 19, 2023
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Top deficiency categories
Share of 4 citations
Abuse, Neglect & Exploitation
2 deficiencies (50%)
Resident Rights
1 deficiency (25%)
Resident Assessment & Care Planning
1 deficiency (25%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 4 citations resulted from standard inspections; and 1 of 4 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
TX avg $63KTexas average: $63,404. Average among the 798 Texas facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
TX avg 2.1Texas average: 2.1. Average among the 798 Texas facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
TX avg 0.18Texas average: 0.18. Average among the 798 Texas facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 23% · TX 4.1This facility: 5.0, 23% above the TX average of 4.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 30% · TX 3.1This facility: 4.0, 30% above the TX average of 3.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
8.6
Score · lower is better
↑ 12% · TX 7.6This facility: 8.6, 12% above the TX average of 7.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
17.7
Score · lower is better
↑ 29% · TX 13.8This facility: 17.7, 29% above the TX average of 13.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.9 long-stay measures: 2 better, 6 worse, 1 near TX average
8 short-stay measures: 2 better, 1 worse, 2 near TX average, 3 compared with US only
Long-stay residents
People who live at the home · 9 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
19.4%
↑ 23% · TX 15.8This facility: 19.4, 23% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
19.4%
↑ 23% · TX 15.8This facility: 19.4, 23% above the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.1%
↑ 29% · TX 12.5This facility: 16.1, 29% above the TX average of 12.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.1%
↑ 29% · TX 12.5This facility: 16.1, 29% above the TX average of 12.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
3.1%
↑ 286% · TX 0.8This facility: 3.1, 286% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
3.1%
↑ 286% · TX 0.8This facility: 3.1, 286% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
↓ 5% · TX 3.2This facility: 3.1, 5% below the TX average of 3.2 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
↓ 5% · TX 3.2This facility: 3.1, 5% below the TX average of 3.2 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
5.1%
↑ 39% · TX 3.7This facility: 5.1, 39% above the TX average of 3.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
5.1%
↑ 39% · TX 3.7This facility: 5.1, 39% above the TX average of 3.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
6.7%
↑ 129% · TX 2.9This facility: 6.7, 129% above the TX average of 2.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
6.7%
↑ 129% · TX 2.9This facility: 6.7, 129% above the TX average of 2.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
5.4%
↑ 130% · TX 2.3This facility: 5.4, 130% above the TX average of 2.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
5.4%
↑ 130% · TX 2.3This facility: 5.4, 130% above the TX average of 2.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
7.7%
↓ 22% · TX 9.8This facility: 7.7, 22% below the TX average of 9.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
7.7%
↓ 22% · TX 9.8This facility: 7.7, 22% below the TX average of 9.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · TX 96.3This facility: 100.0, 4% above the TX average of 96.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · TX 96.3This facility: 100.0, 4% above the TX average of 96.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
57.1%
↑ 6% · US 53.7This facility: 57.1, 6% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
57.1%
↑ 6% · US 53.7This facility: 57.1, 6% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
55.4%
↑ 9% · US 50.6This facility: 55.4, 9% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
55.4%
↑ 9% · US 50.6This facility: 55.4, 9% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
↑ 16% · TX 1.4This facility: 1.7, 16% above the TX average of 1.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
↑ 16% · TX 1.4This facility: 1.7, 16% above the TX average of 1.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 13% · TX 88.7This facility: 100.0, 13% above the TX average of 88.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 13% · TX 88.7This facility: 100.0, 13% above the TX average of 88.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
↑ 15% · TX 85.4This facility: 98.2, 15% above the TX average of 85.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
↑ 15% · TX 85.4This facility: 98.2, 15% above the TX average of 85.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.0%
≈ 0% · TX 25.9This facility: 26.0, level with the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.0%
≈ 0% · TX 25.9This facility: 26.0, level with the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
12.0%
≈ 0% · TX 12.0This facility: 12.0, level with the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
12.0%
≈ 0% · TX 12.0This facility: 12.0, level with the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Meadow Lake Senior Living – Tyler’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, and more than last year
−67.8% operating margin
−4.3 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($1.1M) trims the net loss to −$6.0M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Texas homes
56.0% payroll share of revenue
TX average 68.8%Rank #110 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 110th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.8M while revenue rose $0.7M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $10.5M | +$0.7M | Trend 20162024 | TX median $9.3M | Rank in TX Rank #76 / 225Net patient revenue — State benchmarked This nursing home is ranked 76th out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 67% of homes | Above TX median Higher net patient revenue than 67% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $17.6M | +$1.6M | Trend 20162024 | TX median $9.8M | Rank in TX Rank #32 / 225Operating expenses — State benchmarked This nursing home is ranked 32nd out of 225 nursing homes we track in Texas for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Texas homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 86% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$7.1M | −$0.9M | Trend 20162024 | TX median −$0.4M | Rank in TX Rank #200 / 225Net patient income — State benchmarked This nursing home is ranked 200th out of 225 nursing homes we track in Texas for net patient income. Shows net patient revenue minus operating expenses, compared with other Texas homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 11% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −67.8% | −4.3 pts | Trend 20162024 | TX median −5.0% | Rank in TX Rank #200 / 225Operating margin — State benchmarked This nursing home is ranked 200th out of 225 nursing homes we track in Texas for operating margin. Shows net patient income as a share of net patient revenue, compared with other Texas homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 11% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $1.1M | — | Trend — | TX median $0.4M | Rank in TX Rank #52 / 214Other income — State benchmarked This nursing home is ranked 52nd out of 214 nursing homes we track in Texas for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Texas homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 76% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$6.0M | −$0.4M | Trend — | TX median $0.3M | Rank in TX Rank #196 / 207Net income — State benchmarked This nursing home is ranked 196th out of 207 nursing homes we track in Texas for net income. Shows the bottom line after other income, compared with other Texas homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 5% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Texas homes
| Metric | FY 2024 | vs prior year | Trend 2016 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $5.9M | +$0.8M | Trend 20162024 | TX median $4.9M | Rank in TX Rank #81 / 225Payroll costs — State benchmarked This nursing home is ranked 81st out of 225 nursing homes we track in Texas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 64% of homes | Above TX median Higher payroll than 64% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 56.0% | +4.5 pts | Trend 20162024 | TX median 57.6% | Rank in TX Rank #110 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 110th out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 46% of homes | 12.8 pts under TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2016–2024 2 charts · TX benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average No report
Year-by-year data, 2016–2024 every reported year · latest first, scroll sideways
| Metric | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022no report | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $2.9M | $3.8M | $3.2M | $2.8M | $2.7M | $3.4M | $9.8M | $10.5M | |
| Operating expenses | $8.8M | $10.6M | $14.6M | $14.4M | $12.8M | $17.2M | $16.0M | $17.6M | |
| Net patient income | −$6.0M | −$6.8M | −$11.4M | −$11.7M | −$10.2M | −$13.8M | −$6.2M | −$7.1M | |
| Operating margin | −206.4% | −178.5% | −352.0% | −421.1% | −383.6% | −411.8% | −63.4% | −67.8% | |
| Net income | $0.5M | −$0.9M | −$1.1M | −$0.6M | −$0.4M | −$1.1M | −$5.6M | −$6.0M | |
| Payroll costs | $4.4M | $4.8M | $5.0M | $4.8M | $4.8M | $4.9M | $5.0M | $5.9M | |
| Payroll share of revenue | 153.0% | 125.1% | 154.9% | 174.3% | 180.7% | 144.9% | 51.5% | 56.0% | |
| Beds | 30 | 30 | 30 | 30 | 30 | 30 | 30 | 30 | |
| Gross revenue | $2.9M | $3.9M | $3.2M | $2.8M | $2.6M | $3.3M | $10.7M | $11.3M | |
| Salaries | $3.9M | $4.2M | $4.2M | $4.0M | $3.9M | $4.0M | $4.4M | $5.1M | |
| Wage-related costs | $0.5M | $0.6M | $0.8M | $0.8M | $0.9M | $0.8M | $0.6M | $0.8M | |
| Contract labor | $0.1M | $0.1M | — | — | — | — | $0.6M | $0.5M | |
| Other operating costs | $4.4M | $5.9M | $9.6M | $9.6M | $8.0M | $12.3M | $10.9M | $11.7M | |
| Net patient revenue per day | $319 | $414 | $391 | $388 | $377 | $378 | $1,114 | $1,140 | |
| Cost per day | $977 | $1,153 | $1,766 | $2,023 | $1,821 | $1,933 | $1,820 | $1,913 | |
| Average length of stay | 64.7 days | 48.4 days | 33.1 days | 41.3 days | 60.8 days | 64.4 days | 70.2 days | 38.4 days |
Showing 2024–2022 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Arriving
237 admissions · FY2024
Residents admitted during the year.
Medicare
80 · 34%
Medicaid
0 · 0%
Private pay & other
157 · 66%
Leaving
239 discharges · FY2024
Residents discharged during the year.
Medicare
60 · 25%
Medicaid
0 · 0%
Private pay & other
179 · 75%
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Places of interest near Meadow Lake Senior Living – Tyler
8.5 miles from city center
Estimated distance in miles from Tyler's city center to Meadow Lake Senior Living – Tyler's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Texas
Meadow Lake Senior Living – Tyler is located in Tyler, Texas.
Here are the financial assistance programs available to residents in Texas.
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Frequently Asked Questions about Meadow Lake Senior Living – Tyler
Quick answers from public records and the community's own listing.01 Is Meadow Lake Senior Living – Tyler in a walkable area?
Meadow Lake Senior Living – Tyler has a walk score of 33. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
02 What is the license number of Meadow Lake Senior Living – Tyler?
Meadow Lake Senior Living – Tyler's license number is 104686.
03 What is the occupancy rate at Meadow Lake Senior Living – Tyler?
Meadow Lake Senior Living – Tyler's occupancy is 83.6%.
04 How long has Meadow Lake Senior Living – Tyler been in business?
Meadow Lake Senior Living – Tyler has been operating for approximately 15 years, based on available licensing and registration records.
05 Are pets allowed at Meadow Lake Senior Living – Tyler?
Yes, Meadow Lake Senior Living – Tyler allows residents to bring their pets.
06 What is the overall rating for Meadow Lake Senior Living – Tyler?
Meadow Lake Senior Living – Tyler received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Meadow Lake Senior Living – Tyler have?
Meadow Lake Senior Living – Tyler has 20 beds.
Updated on
