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.
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Veritas Management Group chain, which operates 15 facilities, with a chain-average CMS rating of 4.1 stars.