Nursing home · SNF / NF

Greenbrier Nursing & Rehabilitation Center of Tyle

Federal · CMSActive CMS certificationCCN 675267For profit CMS overall

3526 West Erwin Street, Tyler, TX 75702 · Operated by Liberty County Hospital District No 1 · Chain Creative Solutions in Healthcare

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

120

Avg residents / day

Inspections

Citations

Harm-level

Fines

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 51.8 CMS, MDS-derived
CMS Certification Number: 675267
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 14, 1994
Ownership type: For profit - Corporation
Operator (legal business name): Liberty County Hospital District No 1
CMS chain: Creative Solutions in Healthcare 150 facilities
Phone: (903) 593-6441
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Aug 18, 2026

Citations

30 health · 9 fire

Harm or worse

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E11	F2
Minimal	A·	B·	C3

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

Payment denials

Latest

—

Date	Domain	Survey types	Citations	Most severe	Open
Aug 18, 2026	Health	Health Complaint	2	Potential harm	2	Open →
Mar 25, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Mar 25, 2026	Health	Health Standard	15	Potential harm	—	Open →
Aug 13, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Dec 18, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Dec 18, 2024	Health	Health Standard	4	Potential harm	—	Open →
Oct 6, 2024	Health	Health Complaint	3	Potential harm	—	Open →
May 21, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jan 8, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Nov 15, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Nov 15, 2023	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E11	F2
Minimal	A·	B·	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 18, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Plan of correction, not yet verified Aug 19, 2026	Complaint
Aug 18, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Plan of correction, not yet verified Aug 19, 2026	Complaint
Mar 25, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 9, 2026
Mar 25, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 10, 2026
Mar 25, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 9, 2026
Mar 25, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 17, 2026
Mar 25, 2026	F-0638	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 16, 2026
Mar 25, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 26, 2026
Mar 25, 2026	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Apr 2, 2026
Mar 25, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Mar 26, 2026
Mar 25, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	F-0802	Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	F-0924	Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	F-0926	Have policies on smoking. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 26, 2026
Mar 25, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	No revisit needed
Aug 13, 2025	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 14, 2025	Complaint
Aug 13, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 14, 2025	Complaint
Aug 13, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 14, 2025	Complaint
Dec 18, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 18, 2024
Dec 18, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 8, 2025
Dec 18, 2024	F-0693	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 8, 2025
Dec 18, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 8, 2025
Dec 18, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 8, 2025
Dec 18, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted
Oct 6, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 7, 2024	Complaint
Oct 6, 2024	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 7, 2024	Complaint
Oct 6, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 7, 2024	Complaint
May 21, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 22, 2024	Complaint
Jan 8, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 30, 2024	Complaint
Nov 15, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 4, 2023
Nov 15, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 4, 2023
Nov 15, 2023	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 16, 2023
Nov 15, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Liberty County Hospital District No 1

CMS legal business name of the certified provider. Operates 35 facilities.

VerifiedLinked by exact legal name

CMS chain

Creative Solutions in Healthcare

150 facilities in 1 states. CMS chain ID 169.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Liberty County Hospital District No 1	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2022

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Liberty County Hospital District No 1	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2022
Milton Fregia	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 7, 2022
Shannon Gardner	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Aug 22, 2022
Margaret Gardzina	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 26, 2024
Paul Henry	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 9, 2009
Charles Stratton	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2005
Tyler II Enterprises, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
Gary Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
Malisa Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2022
Linda Huggins	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2022
Zachary Willig	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2025
Charles Stratton	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 1, 2005
Tyler II Enterprises, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2022
Gary Blake	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2022
Khoren Hekimian	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 11, 2025
Laurie Stepps	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 11, 2025

Other facilities operated by Liberty County Hospital District No 1

All 34 →

Facility	Beds	Last inspection	Citations (window)	Fines
Mesa Hills Post Acute 901 Wildrose Ln, Brownsville, TX 78520 CCN 455423	166	Aug 28, 2026	541 IJ2 open	$5,734
Timberwood Nursing and Rehabilitation Center 4001 Hwy 59 North, Livingston, TX 77351 CCN 455745	120	Jan 14, 2026	181 IJ	$8,021
Cass Valley Healthcare Center 103 Teakwood St, Centerville, TX 75833 CCN 675065Abuse icon	74	Apr 21, 2026	365 IJ1 open	$55k
Bremond Nursing and Rehabilitation Center 211 N Main, Bremond, TX 76629 CCN 675132	82	Aug 22, 2026	401 IJ1 harm1 open	$24k
Pine Tree Lodge Nursing Center 2711 Pine Tree Rd, Longview, TX 75604 CCN 675177	92	Jun 25, 2026	594 IJ	$233k
Twin Oaks Health & Rehabilitation Center 1123 North Bolton Street, Jacksonville, TX 75766 CCN 675183	116	Dec 31, 2025	492 IJ	$174k
Harbor Point Skilled Nursing 1720 N Logan St, Texas City, TX 77590 CCN 675214	129	Apr 17, 2026	20	—
Avalon Place Kirbyville 700 N Herndon Ave, Kirbyville, TX 75956 CCN 675220	114	Dec 3, 2025	231 IJ	$9,113

Same chain in Texas

All 149 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon	222	Jul 24, 2026	595 IJ1 harm	$198k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	144	Jul 2, 2026	531 IJ	$8,160
Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471	187	Jul 2, 2026	836 IJ	$123k
Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493	120	Aug 24, 2026	832 IJ	$40k
Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon	90	Aug 7, 2026	774 IJ2 harm	$66k
Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536	200	Aug 7, 2026	44	—
Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569	140	Apr 28, 2026	401 IJ1 harm1 open	$82k
Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570	109	Jun 24, 2026	19	—

Coordinates as published by CMS.

Address: 3526 West Erwin Street, Tyler, TX 75702
ZIP: 75702
County: Smith County FIPS 48423
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Briarcliff Health Center 3403 Vine Ave, Tyler, TX 75701 CCN 675142	4.8 km	230	Jul 22, 2026	243 IJ2 harm	$51k
Avir at Azalea Heights 3505 Old Jacksonville Rd, Tyler, TX 75701 CCN 675289	5 km	120	Aug 28, 2026	263 IJ1 open	$15k
Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon	5.3 km	120	May 13, 2026	352 IJ	$26k
Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate	5.3 km	172	Aug 14, 2026	639 IJ3 harm	$484k
Park Place Nursing & Rehabilitation Center 2450 E Fifth St, Tyler, TX 75701 CCN 676005Abuse icon	6.9 km	120	Jun 30, 2026	461 IJ2 harm	$282k
Reunion Plaza Healthcare & Rehabilitation 1401 Rice Rd, Tyler, TX 75703 CCN 675888	7 km	99	Aug 7, 2025	19	—
The Heights of Tyler 2650 Elkton Trail, Tyler, TX 75703 CCN 676262	8.3 km	120	Mar 24, 2026	23	—
Providence Park Rehabilitation and Skilled Nursing 5505 New Copeland Rd, Tyler, TX 75703 CCN 676184	8.4 km	125	Jun 15, 2026	242 IJ	$188k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675267	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675267	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675267

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

Loading facility…

Greenbrier Nursing & Rehabilitation Center of Tyle

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Liberty County Hospital District No 1

Same chain in Texas

Nearby nursing homes

Greenbrier Nursing & Rehabilitation Center of Tyle

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Liberty County Hospital District No 1

Same chain in Texas

Nearby nursing homes