Skilled nursing facility · CMS certification number 676262

The Heights of Tyler

Tyler, Texas · Medicare and Medicaid · 120 certified beds in Care Compare

Download The Heights of Tyler’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. The most recent penalty on file: September 1, 2023, Fine, $14,276. Every penalty on file ↓

The Heights of Tyler: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

Its latest cost report on file is for fiscal year 2024, covering October 1, 2023 to September 30, 2024 (365 days), and CMS processed it on March 17, 2025.
Net patient revenue fell from $10.2M in fiscal year 2023 to $9.3M in fiscal year 2024.
Its result from service to patients: $465K (2022), $644K (2023), $218K (2024).
Its cost reports on file run from fiscal year 2011 to fiscal year 2024.
Its net patient revenue of $9.3M ranks 185th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.

The Heights of Tyler: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-10	2024 · report 1405380	2023 · report 1375182	2022 · report 1344578	2021 · report 1313562	2020 · report 1289052	2019 · report 1286214	2018 · report 1221827	2017 · report 1189896	2016 · report 1173078	2015 · report 1141695	2014 · report 1147465	2013 · report 1110994	2012 · report 1043917	2011 · report 1057219
Period began	October 1, 2023	October 1, 2022	October 1, 2021	October 1, 2020	October 1, 2019	October 1, 2018	October 1, 2017	April 1, 2017	January 1, 2016	January 1, 2015	January 1, 2014	January 1, 2013	January 1, 2012	December 7, 2010
Period ended	September 30, 2024	September 30, 2023	September 30, 2022	September 30, 2021	September 30, 2020	September 30, 2019	September 30, 2018	September 30, 2017	December 31, 2016	December 31, 2015	December 31, 2014	September 30, 2013	December 31, 2012	December 31, 2011
Days, where not a full year	—	—	—	—	—	—	—	182	—	—	—	272	—	—
Processed by CMS	March 17, 2025	March 18, 2024	March 17, 2023	April 21, 2022	July 15, 2021	June 15, 2021	March 25, 2019	May 16, 2018	August 14, 2017	August 17, 2016	December 2, 2016	September 30, 2015	July 25, 2013	March 23, 2014
Total patient revenue	$10,787,701	$11,892,238	$11,371,515	$10,329,373	$10,747,833	$9,712,487	$9,352,543	$5,291,912	$8,329,290	$8,907,825	$9,024,734	$6,291,912	$8,115,915	$6,143,167
Contractual allowances and discounts	$1,486,143	$1,664,602	$1,342,953	$983,385	$1,245,203	$889,718	$732,127	$412,635	$277,180	$1,106,119	$986,890	$304,214	$441,018	$429,460
Net patient revenue	$9,301,558	$10,227,636	$10,028,562	$9,345,988	$9,502,630	$8,822,769	$8,620,416	$4,879,277	$8,052,110	$7,801,706	$8,037,844	$5,987,698	$7,674,897	$5,713,707
Total operating expenses	$9,083,845	$9,583,486	$9,563,530	$8,546,465	$8,261,536	$8,041,819	$8,706,466	$4,325,235	$8,034,493	$7,816,926	$7,773,130	$5,615,874	$7,116,161	$6,256,522
Net income from service to patients	$217,713	$644,150	$465,032	$799,523	$1,241,094	$780,950	−$86,050	$554,042	$17,617	−$15,220	$264,714	$371,824	$558,736	−$542,815
Total other income	$200,680	$936,400	$1,060,428	$569,995	$371,968	$22,521	$25,916	$736	$5,503	$8,725	$5,492	$3,407	$5,879	$5,316
Net income after other income	$418,393	$1,580,550	$1,525,460	$1,369,518	$1,613,062	$803,471	−$60,134	$554,778	$23,120	−$6,495	$270,206	$375,231	$564,615	−$537,499
Net income	$418,393	$1,580,550	$1,525,460	$1,369,518	$1,613,062	$803,471	−$60,134	$554,778	$23,120	−$6,495	$270,206	$216,276	$547,989	−$587,678
Total facility beds, all components	120	120	120	120	120	120	120	120	120	120	120	120	120	120
Bed days available, all components	43,920	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicare (Title XVIII) patient days	2,634	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid (Title XIX) patient days	22,951	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer patient days	10,594	—	—	—	—	—	—	—	—	—	—	—	—	—
Total patient days, all components	36,179	38,462	36,767	34,762	38,611	40,269	38,261	19,611	37,544	35,657	36,321	27,787	37,024	23,862
Medicare discharges	93	—	—	—	—	—	—	—	—	—	—	—	—	—
Medicaid discharges	124	—	—	—	—	—	—	—	—	—	—	—	—	—
Other-payer discharges	263	—	—	—	—	—	—	—	—	—	—	—	—	—
Total discharges, all components	480	577	456	487	430	401	550	186	360	330	364	264	391	389
Average length of stay, Medicare, in days	28.32	28.16	36.6	36.51	70.92	52.69	27.57	28.45	30.65	38	42.55	39	33.02	34.16
Average length of stay, Medicaid, in days	185.09	149.99	207.42	133.92	101.14	145.43	142.88	545.73	360.85	315.63	224.99	356.15	347.69	140.39
Average length of stay, all patients, in days	75.37	66.66	80.63	71.38	89.79	100.42	69.57	105.44	104.29	108.05	99.78	105.25	94.69	61.34

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

The Heights of Tyler: nurse staffing hours by quarter →

Who owns The Heights of Tyler, as filed with CMS

Care Compare

5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100%%, since 04/01/2017
5% OR GREATER MORTGAGE INTEREST: CAPITAL FUNDING GROUP, INC. (organization), NOT APPLICABLE, since 12/01/2014
ADP OF THE SNF: AEGIS THERAPIES, INC. (organization), NOT APPLICABLE, since 04/01/2017; BOENING, CHRISTOPHER (individual), NOT APPLICABLE, since 01/13/2020; CAMPBELL, LESLIE (individual), NOT APPLICABLE, since 04/01/2020; CARVAJAL PHARMACY LTC (organization), NOT APPLICABLE, since 04/01/2017; CASTILLO, LYNNEA (individual), NOT APPLICABLE, since 04/01/2017; FELLBAUM, ERNEST (individual), NOT APPLICABLE, since 04/01/2017; MCGUIRE, RICHARD (individual), NOT APPLICABLE, since 07/08/2024; NUTRITIOUS LIFESTYLES, INC. (organization), NOT APPLICABLE, since 04/01/2017; PLANTE & MORAN PLLC (organization), NOT APPLICABLE, since 04/01/2017; SEHLKE, BRYON (individual), NOT APPLICABLE, since 04/01/2017; STUDER, STANLEY (individual), NOT APPLICABLE, since 04/01/2017; SWEAT, STACY (individual), NOT APPLICABLE, since 10/02/2025; TOUCHSTONE COMMUNITIES INC (organization), NOT APPLICABLE, since 04/01/2017; TOUCHSTONE REALTY - SC LLC (organization), NOT APPLICABLE, since 04/01/2017; TOUCHSTONE STRATEGIES-TYLER LLC (organization), NOT APPLICABLE, since 07/24/2025; TRIDENT HEALTH SERVICES INC (organization), NOT APPLICABLE, since 04/01/2017; ZUROVEC, DARRELL (individual), NOT APPLICABLE, since 08/01/2017
CORPORATE OFFICER: STRATTON, CHARLES (individual), NOT APPLICABLE, since 05/01/2005
OPERATIONAL/MANAGERIAL CONTROL: BOENING, CHRISTOPHER (individual), NOT APPLICABLE, since 01/13/2020; CAMPBELL, LESLIE (individual), NOT APPLICABLE, since 04/01/2020; CASTILLO, LYNNEA (individual), NOT APPLICABLE, since 04/01/2017; MCGUIRE, RICHARD (individual), NOT APPLICABLE, since 07/08/2024; SEHLKE, BRYON (individual), NOT APPLICABLE, since 04/01/2017; SWEAT, STACY (individual), NOT APPLICABLE, since 10/02/2025; TOUCHSTONE STRATEGIES-TYLER LLC (organization), NOT APPLICABLE, since 04/01/2017; ZUROVEC, DARRELL (individual), NOT APPLICABLE, since 08/01/2017

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (enrollment ID O20170605000811).

5% OR GREATER DIRECT OWNERSHIP INTEREST: LIBERTY COUNTY HOSPITAL DISTRICT NO 1 (organization), 100.00%, since 04/01/2017
5% OR GREATER MORTGAGE INTEREST: CAPITAL FUNDING GROUP, INC. (organization), since 12/01/2014
ADP OF THE SNF: AEGIS THERAPIES, INC. (organization), since 04/01/2017; BRYON SEHLKE (individual), since 04/01/2017; CARVAJAL PHARMACY LTC (organization), since 04/01/2017; CHRISTOPHER BOENING (individual), since 01/13/2020; DARRELL D ZUROVEC (individual), since 08/01/2017; ERNEST C FELLBAUM (individual), since 04/01/2017; LESLIE D CAMPBELL (individual), since 04/01/2020; LYNNEA CASTILLO (individual), since 04/01/2017; NUTRITIOUS LIFESTYLES, INC. (organization), since 04/01/2017; PLANTE & MORAN PLLC (organization), since 04/01/2017; RICHARD MCGUIRE (individual), since 07/08/2024; STACY SWEAT (individual), since 10/02/2025; STANLEY S STUDER (individual), since 04/01/2017; TOUCHSTONE COMMUNITIES INC (organization), since 04/01/2017; TOUCHSTONE REALTY - SC LLC (organization), since 04/01/2017; TOUCHSTONE STRATEGIES-TYLER LLC (organization), since 07/24/2025; TRIDENT HEALTH SERVICES INC (organization), since 04/01/2017; No owner named in the filing (individual), since 07/10/2023; No owner named in the filing (organization), since 07/12/2025
CORPORATE OFFICER: CHARLES BRUCE STRATTON (individual), 0.00%, since 05/01/2005
OPERATIONAL/MANAGERIAL CONTROL: BRYON SEHLKE (individual), since 04/01/2017; CHRISTOPHER BOENING (individual), since 01/13/2020; DARRELL D ZUROVEC (individual), since 08/01/2017; LESLIE D CAMPBELL (individual), since 04/01/2020; LYNNEA CASTILLO (individual), since 04/01/2017; RICHARD MCGUIRE (individual), since 07/08/2024; STACY SWEAT (individual), since 10/02/2025; TOUCHSTONE STRATEGIES-TYLER LLC (organization), since 04/01/2017

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: LIBERTY COUNTY HOSPITAL DISTRICT NO 1; CAPITAL FUNDING GROUP, INC.; AEGIS THERAPIES, INC.; CARVAJAL PHARMACY LTC; NUTRITIOUS LIFESTYLES, INC.; PLANTE & MORAN PLLC; TOUCHSTONE COMMUNITIES INC; TOUCHSTONE REALTY - SC LLC; TOUCHSTONE STRATEGIES-TYLER LLC; TRIDENT HEALTH SERVICES INC; No owner named in the filing; TOUCHSTONE STRATEGIES-TYLER LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: BRYON SEHLKE; CHRISTOPHER BOENING; DARRELL D ZUROVEC; ERNEST C FELLBAUM; LESLIE D CAMPBELL; LYNNEA CASTILLO; RICHARD MCGUIRE; STACY SWEAT; STANLEY S STUDER; No owner named in the filing; CHARLES BRUCE STRATTON; BRYON SEHLKE; CHRISTOPHER BOENING; DARRELL D ZUROVEC; LESLIE D CAMPBELL; LYNNEA CASTILLO; RICHARD MCGUIRE; STACY SWEAT.

Changes in ownership

December 1, 2025, enrollment ownership file; no longer listed: DAVID ROBERTSON (ADP OF THE SNF); DAVID ROBERTSON (OPERATIONAL/MANAGERIAL CONTROL); first listed: STACY SWEAT (ADP OF THE SNF), associated since October 2, 2025; STACY SWEAT (OPERATIONAL/MANAGERIAL CONTROL), associated since October 2, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-12-01.csv
September 1, 2025, enrollment ownership file; no longer listed: BRITTNEY WEBER (W-2 MANAGING EMPLOYEE); LIBERTY COUNTY HOSPITAL DISTRICT NO.1 (OPERATIONAL/MANAGERIAL CONTROL); CHARLES BRUCE STRATTON (CORPORATE DIRECTOR); first listed: RICHARD MCGUIRE (ADP OF THE SNF), associated since July 8, 2024; RICHARD MCGUIRE (OPERATIONAL/MANAGERIAL CONTROL), associated since July 8, 2024; STANLEY S STUDER (ADP OF THE SNF), associated since April 1, 2017; TRIDENT HEALTH SERVICES INC (ADP OF THE SNF), associated since April 1, 2017; ERNEST C FELLBAUM (ADP OF THE SNF), associated since April 1, 2017; TOUCHSTONE STRATEGIES-TYLER LLC (ADP OF THE SNF), associated since July 24, 2025; CAPITAL FUNDING GROUP, INC. (5% OR GREATER MORTGAGE INTEREST), associated since December 1, 2014; LESLIE D CAMPBELL (ADP OF THE SNF), associated since April 1, 2020; LESLIE D CAMPBELL (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2020; BRYON SEHLKE (ADP OF THE SNF), associated since April 1, 2017; BRYON SEHLKE (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2017; AEGIS THERAPIES, INC. (ADP OF THE SNF), associated since April 1, 2017; TOUCHSTONE COMMUNITIES INC (ADP OF THE SNF), associated since April 1, 2017; DARRELL D ZUROVEC (ADP OF THE SNF), associated since August 1, 2017; DARRELL D ZUROVEC (OPERATIONAL/MANAGERIAL CONTROL), associated since August 1, 2017; CHRISTOPHER BOENING (ADP OF THE SNF), associated since January 13, 2020; CHRISTOPHER BOENING (OPERATIONAL/MANAGERIAL CONTROL), associated since January 13, 2020; LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since April 1, 2017; CHARLES BRUCE STRATTON (CORPORATE OFFICER), associated since May 1, 2005; DAVID ROBERTSON (ADP OF THE SNF), associated since October 28, 2024; DAVID ROBERTSON (OPERATIONAL/MANAGERIAL CONTROL), associated since October 28, 2024; NUTRITIOUS LIFESTYLES, INC. (ADP OF THE SNF), associated since April 1, 2017; PLANTE & MORAN PLLC (ADP OF THE SNF), associated since April 1, 2017; LYNNEA CASTILLO (ADP OF THE SNF), associated since April 1, 2017; LYNNEA CASTILLO (OPERATIONAL/MANAGERIAL CONTROL), associated since April 1, 2017; CARVAJAL PHARMACY LTC (ADP OF THE SNF), associated since April 1, 2017; a listing under ADP OF THE SNF with no owner named, associated since July 10, 2023; TOUCHSTONE REALTY - SC LLC (ADP OF THE SNF), associated since April 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
February 1, 2024, enrollment ownership file; no longer listed: LARRY SNOW (W-2 MANAGING EMPLOYEE); first listed: BRITTNEY WEBER (W-2 MANAGING EMPLOYEE), associated since January 2, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv

Inspections of The Heights of Tyler

Cycle 1: health February 25, 2026 (7 deficiencies), fire safety February 25, 2026 (0)
Cycle 2: health October 30, 2024 (5 deficiencies), fire safety October 30, 2024 (1)
Cycle 3: health September 20, 2023 (6 deficiencies), fire safety September 20, 2023 (4)

Deficiencies cited at The Heights of Tyler

21 deficiencies on file, by tag, newest citation first

every one from a health inspection; 9 cited from a complaint, marked below. Letter after a date: scope and severity grade.

F 0656, resident assessment and care planning: March 24, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected March 26, 2026).
F 0584, resident rights: February 25, 2026 (E, Deficient, Provider has date of correction, corrected March 3, 2026).
F 0641, resident assessment and care planning: February 25, 2026 (D, Deficient, Provider has date of correction, corrected March 3, 2026).
F 0658, resident assessment and care planning: February 25, 2026 (D, Deficient, Provider has date of correction, corrected March 3, 2026).
F 0695, quality of life and care: February 25, 2026 (E, Deficient, Provider has date of correction, corrected March 3, 2026); September 20, 2023 (D, Deficient, Provider has date of correction, corrected October 1, 2023).
F 0755, pharmacy service: February 25, 2026 (D, Deficient, Provider has date of correction, corrected March 3, 2026); October 30, 2024 (D, Deficient, Provider has date of correction, corrected October 30, 2024); October 4, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected October 23, 2024).
F 0812, nutrition and dietary: February 25, 2026 (E, Deficient, Provider has date of correction, corrected March 3, 2026); September 20, 2023 (F, Deficient, Provider has date of correction, corrected October 1, 2023).
F 0576, resident rights: October 30, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected October 30, 2024).
F 0880, infection control: October 30, 2024 (D, Deficient, Provider has date of correction, corrected October 30, 2024); August 28, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected August 29, 2024).
F 0842, resident assessment and care planning: October 4, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected October 23, 2024); September 1, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected September 15, 2023).
F 0600, freedom from abuse, neglect, and exploitation: September 18, 2024 (D, from a complaint, Past Non-Compliance, corrected September 27, 2023).
F 0645, resident assessment and care planning: September 20, 2023 (D, Deficient, Provider has date of correction, corrected October 1, 2023).
F 0868, administration: September 20, 2023 (C, Deficient, Provider has date of correction, corrected October 1, 2023).
F 0760, pharmacy service: September 1, 2023 (K, from a complaint, Past Non-Compliance, corrected August 17, 2023).
F 0761, pharmacy service: September 1, 2023 (E, from a complaint, Deficient, Provider has date of correction, corrected September 15, 2023).

Penalties

Penalty date	Type	Fine amount	Payment denial began	Payment denial, days	Fine ID
September 1, 2023	Fine	$14,276			111307

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on August 1, 2026.

The Heights of Tyler in Care Compare

Ownership Type: For profit - Partnership
Legal Business Name: LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Date First Approved to Provide Medicare and Medicaid Services: 2010-12-07
Provider Resides in Hospital: N
Continuing Care Retirement Community: N
Urban: Y
County/Parish: Smith
Telephone Number: 9032667200
Chain Name: TOUCHSTONE COMMUNITIES
Chain ID: 521
Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: None
Automatic Sprinkler Systems in All Required Areas: Yes
Average Number of Residents per Day: 108.7
Overall Rating: 3
Health Inspection Rating: 4
QM Rating: 4
Long-Stay QM Rating: 5
Short-Stay QM Rating: 2

Care Compare: provider information NH_ProviderInfo_Oct2026.csv, October 1, 2026 · inspections NH_SurveySummary_Oct2026.csv, October 1, 2026 · citations NH_HealthCitations_Oct2026.csv, October 1, 2026 · penalties NH_Penalties_Aug2026.csv, August 1, 2026 · ownership NH_Ownership_Oct2026.csv, October 1, 2026.

Other nursing facilities in Tyler and Texas

Report a figure on The Heights of Tyler’s record that differs from its CMS file, quoting 676262.