County directory
Nursing homes in Smith County, Texas
Explore homes across the county, or narrow your search to a local community.
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Avir at Rose Trail
930 S Baxter · Tyler, TX
Ownership: Government (hospital district)
Avir at Petal Hill
900 S Baxter Ave · Tyler, TX
Ownership: For-profit (corporation)
Oak Brook Health Care Center
107 Stacy Dr. · Whitehouse, TX
Ownership: Government (hospital district)
Briarcliff Health Center
3403 S Vine Ave · Tyler, TX
Ownership: For-profit (corporation)
Greenbrier Nursing & Rehabilitation Center of Tyle
3526 West Erwin Street · Tyler, TX
Ownership: For-profit (corporation)
Avir at Azalea Heights
3505 Old Jacksonville Rd · Tyler, TX
Ownership: For-profit (limited liability company)
Colonial Nursing & Rehabilitation Center
508 Pierce St · Lindale, TX
Ownership: For-profit (individual)
Reunion Plaza Healthcare & Rehabilitation
1401 Rice Rd · Tyler, TX
Ownership: Government (hospital district)
Park Place Nursing & Rehabilitation Center
2450 E Fifth St · Tyler, TX
Ownership: For-profit (corporation)
Providence Park Rehabilitation and Skilled Nursing
5505 New Copeland Rd · Tyler, TX
Ownership: For-profit (corporation)
The Waterton Healthcare & Rehabilitation
2875 Shiloh Road · Tyler, TX
Ownership: Government (hospital district)
The Heights of Tyler
2650 Elkton Trail · Tyler, TX
Ownership: For-profit (partnership)
Meadow Lake Health Center
16044 County Road 165 · Tyler, TX
Ownership: Non-profit (corporation)
Watkins-logan-garrison Texas State Veteran's Home
11466 Honor Lane · Tyler, TX
Ownership: For-profit (corporation)
The Center at Grande
3219 East Grande Boulevard · Tyler, TX
Ownership: For-profit (limited liability company)
Bluebonnet Point Wellness
151 Heritage Springs Drive · Bullard, TX
Ownership: For-profit (corporation)
Avir at Lindale
13905 Fm 2710 · Lindale, TX
Ownership: Government (hospital district)
CMS ratings and family reviews are separate. Medicare data as of September 2026.
Nursing home care at a glance
Scope: all homes within Smith County, Texas. Filters do not change this comparison scope.
CMS overall rating
out of 5 · from this site's directory data
Ratings offer a starting point. Review each home’s inspection, staffing and quality details.
Source: Medicare (CMS) Care Compare · scope: Smith County (17 facilities), Texas (1177 facilities), United States (14,690 facilities) · Medicare data as of September 2026 · average of each facility's CMS overall star rating, each home counted equallyNurse staffing time
hours of nursing care per resident per day · higher is better
Source: Medicare (CMS) payroll-based staffing data · Smith County: average of 17 homes, each counted equally; state and national figures are Medicare averages · Medicare data as of September 2026Nursing staff turnover
share of nursing staff who left in a year · lower is better
Source: Medicare (CMS) · Smith County: average of 16 homes, each counted equally; state and national figures are Medicare averages · Medicare data as of September 2026Explore more local data
Inspections and quality
Each home’s page shows its full Medicare inspection record, what Medicare found, fines, and short-stay and long-stay quality measures, compared with the state average.
How these comparisons work
Area figures are simple averages of the homes listed here that have Medicare data, with each home counted equally. State and national figures are Medicare’s own averages. An average does not describe any single home. Our methodology.
Choosing care in Smith County
This directory lists 17 nursing homes in Smith County, Texas, with 1,985 certified beds between them. Their average CMS overall rating is 2.5 stars, below the national average of 3.0 stars: 5 homes hold four or five stars and 10 have one or two.
Among the highest-rated homes are Meadow Lake Health Center (5 stars), The Center At Grande (5 stars) and Reunion Plaza Healthcare & Rehabilitation (4 stars).
By ownership, 65% are for-profit, 6% non-profit and 29% government-owned. 1 home is a candidate for it. 2 homes carry the CMS abuse icon, which flags recent inspection citations related to abuse; check the inspection details on each profile.
These figures come from the CMS data behind this directory. Ratings and inspections change, so confirm current details on each home’s profile and with the home itself.
Costs and payment
Contact your shortlisted homes for a current quote and to discuss accepted payment options.
Explore payment guides →Quality and staffing
Review each home’s dated CMS ratings, inspection information and staffing details in its profile.
Understand nursing home ratings →What should I ask before choosing a home?
Ask how the home will meet your loved one’s needs, how family members receive updates, what costs to expect, and whether you can visit before deciding.
How can I broaden my search?
Open the county map search, select a community below, or browse the Texas state directory.
Planning your county-wide search
A county-wide search can help you see more options. Narrow the list to communities that make visits manageable for family and friends. Review each home’s information, then contact your shortlist about the care you need, payment options and next steps.
Need a hand narrowing it down?
Tell us what matters to your family and get help exploring your options.
Get help →Feel prepared for the next step
Read practical guides about tours, coverage questions and care transitions.
Explore family guides →Planning your county search
How do I narrow the county-wide list?
Choose a community in the left panel, then use rating, payment and size filters. County results stay within the municipality.
What should I review beyond the overall rating?
Open each facility profile to review dated inspection, staffing and quality information, and keep family reviews separate from CMS ratings.
How do I check payment and admissions?
Contact the home to discuss accepted coverage, costs and current admissions. A directory listing does not confirm availability or individual insurance coverage.
Browse communities in Smith County
Explore nearby areas →See the best-rated nursing homes in Smith County →
Questions about nursing homes in Smith County
How many nursing homes are in Smith County?
There are 17 Medicare-certified nursing homes in Smith County, with 1,985 certified beds in total. Bed counts show capacity, not current openings.
Which nursing homes in Smith County have the highest Medicare rating?
Meadow Lake Health Center (5 stars), The Center At Grande (5 stars), Reunion Plaza Healthcare & Rehabilitation (4 stars). See the full ranking.
What is the average Medicare rating of nursing homes in Smith County?
2.5 out of 5 across 17 rated homes, compared with 2.7 for Texas as a whole.
Do nursing homes in Smith County accept Medicaid?
15 of the 17 homes accept Medicaid, according to Medicare’s records. Confirm with each home, since Medicaid beds can be limited. How nursing home Medicaid works in Texas.
Are any nursing homes in Smith County on Medicare’s Special Focus list?
No. The Special Focus program follows homes with a history of serious quality problems. Data as of September 2026.