Park Place Nursing & Rehabilitation Center
2450 E Fifth St · Tyler, TX · 75701 · 9035926745
120 certified beds For profit - Corporation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $287,159 in fines in the last 24 months.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$287,159 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 2.81 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 2 · $287,159 |
Inspection citations (32 in the current record)
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Potential for harm · D April 22, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 4, 2026 · found via complaint
Provide or obtain dental services for each resident.
Corrected April 6, 2026 · Quality of Life and Care
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Potential for harm · E January 21, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 26, 2026 · Infection Control
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Potential for harm · E December 30, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 25, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 26, 2025 · Infection Control
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Actual harm · G November 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 20, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 20, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 21, 2025 · Quality of Life and Care
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Potential for harm · E November 20, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 21, 2025 · Pharmacy Service
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Potential for harm · D June 18, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected June 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 28, 2025 · Infection Control
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Immediate jeopardy · K May 5, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 6, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 5, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 6, 2025 · Quality of Life and Care
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Potential for harm · D May 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 6, 2025 · Quality of Life and Care
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Potential for harm · E May 5, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 6, 2025 · Pharmacy Service
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Potential for harm · D May 5, 2025
Provide and implement an infection prevention and control program.
Corrected May 6, 2025 · Infection Control
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Potential for harm · E February 15, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 25, 2025 · Quality of Life and Care
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Potential for harm · D February 15, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 25, 2025 · Pharmacy Service
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Potential for harm · D February 15, 2025 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected February 25, 2025 · Nutrition and Dietary
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Potential for harm · D January 29, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 4, 2025 · Infection Control
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Potential for harm · D August 5, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 16, 2024 · Pharmacy Service
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Potential for harm · D May 19, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 20, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 4, 2026 | Fine | $14,380 |
| May 5, 2025 | Fine | $272,779 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676005 · certified since March 9, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.