CCN 676262 · Smith County, Texas

The Heights of Tyler

2650 Elkton Trail, Tyler, TX 75703

The Heights of Tyler is a 120-bed for-profit nursing home in Tyler, Texas, first certified for Medicare or Medicaid in 2010. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 112.0 residents a day, about 93% of its certified beds. It has an active FHA-insured Section 232 loan: $9.7 million originally, at 3.64%, with $7.7 million outstanding as of September 30, 2026 and maturity in January 2050.

Facility facts

Certified beds
120
Average residents per day
112.0 (93.3% of beds)
Ownership type
For profit - Partnership
Certification
Medicare and Medicaid
Legal business name
Liberty County Hospital District No 1
Certified since
Dec 7, 2010
Chain or affiliated group
Touchstone Communities (25 facilities, chain average 2.9 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityTexas medianUS median
Overall rating3 of 5State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5
Health inspections4 of 5
Quality measures3 of 5
Staffing1 of 5
Total nurse hours per resident per day3.133.273.68
RN hours per resident per day0.260.380.58
Weekend nurse hours per resident per day2.75
Nursing staff turnover56.1%52.1%44.9%
Occupancy (residents / beds)93.3%68.6%85.7%
Fines reported by CMSNone
Health deficiencies, latest standard survey7 (Feb 25, 2026)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Heights of Tyler meets that part today: 3 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Liberty County Hospital District No 1OrganizationDirect Ownership Interest100%04/01/2017
Capital Funding Group, Inc.OrganizationMortgage Interestn/a12/01/2014
Touchstone Strategies-Tyler LLCOrganizationOperational / Managerial Controln/a04/01/2017
Boening, ChristopherIndividualOperational / Managerial Controln/a01/13/2020
Campbell, LeslieIndividualOperational / Managerial Controln/a04/01/2020
Castillo, LynneaIndividualOperational / Managerial Controln/a04/01/2017
McGuire, RichardIndividualOperational / Managerial Controln/a07/08/2024
Sehlke, BryonIndividualOperational / Managerial Controln/a04/01/2017
Sweat, StacyIndividualOperational / Managerial Controln/a10/02/2025
Zurovec, DarrellIndividualOperational / Managerial Controln/a08/01/2017

Holders of a 5% or greater mortgage interest reported in the enrollment record: Capital Funding Group, Inc..

Changes of ownership

No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.

HUD Section 232 loans

HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.

EndorsedProgramOriginal amountStatusFHA number
Dec 4, 2014223(f) refinance or purchaseHUD project name: Touchstone-The Heights of Tyler, 110 beds. Lender at endorsement: Capital Funding LLC$9,719,300Active: 3.64%, $7,720,752 balanceMatures Jan 1, 2050. Servicer: Capital Funding LLC11322152

Watch this facility

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.