The Center At Grande
3219 East Grande Boulevard, Tyler, TX 75707 · Smith County
For-profit · 96 certified beds · 73% occupancy · (719) 522-2000
The U.S. government (CMS) rates The Center At Grande 5 out of 5 stars overall — much above average. Its nurse staffing is at or above the Texas median.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
4.19 nurse hours per resident per day. 28% above the Texas median of 3.27.
Nursing staff turnover: 54.2% · RN turnover: 87.5%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0580 · Nov 16, 2025ComplaintCorrected Dec 15, 2025
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
- Minimal harmTag F0640 · Mar 12, 2025Corrected Mar 13, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0602 · Mar 6, 2025ComplaintCorrected Mar 7, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0655 · Feb 7, 2024Corrected Mar 15, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0657 · Feb 7, 2024Corrected Mar 15, 2024
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
- Potential for harmTag F0695 · Feb 7, 2024Corrected Mar 15, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · Feb 7, 2024Corrected Mar 15, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0842 · Feb 7, 2024Corrected Mar 15, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0868 · Dec 7, 2022Corrected Dec 30, 2022
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Showing the 9 most recent and serious of 9 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Veritas Management Group chain (15 facilities), chain average overall rating 4.1★.