Texas › Smith County › Tyler
The Center At Grande
3219 East Grande Boulevard, Tyler, TX 75707
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 96 beds, The Center At Grande serves Tyler in Smith County, Texas and has taken Medicare and Medicaid residents since 2018.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 1 and quality measures 5.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (2, 2, 5 by cycle, most recent first), none at the actual-harm level. That is 9.4 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.2 hours per resident per day (0.4 RN), above the Texas median of 3.3; nursing staff turnover is 54.2%.
Compared with county, state and nation
| Measure | This facility | Smith Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 23 | 25 | 28.7 |
| Citations per 100 beds | 9.4 | 20.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.2 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 54.2% | 56.3% | 52.1% | 45.8% |
| Fines listed | $0 | $31,256 | $16,801 | — |
County and state figures are medians across facilities (17 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 May 2026, 12 Mar 2025.
Severity mix: D ×7 E ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 3 Jul 2026 |
| 16 Nov 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Dec 2025 |
| 12 Mar 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 13 Mar 2025 |
| 6 Mar 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 7 Mar 2025 |
| 7 Feb 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 15 Mar 2024 |
| 7 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Mar 2024 |
| 7 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Mar 2024 |
| 7 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 Mar 2024 |
| 7 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Mar 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 54.2%, RNs 87.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.1% | 0.7% | 1.0% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: The Center At Grande Llc. Chain: Veritas Management Group (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| East Texas Medical Center Regional Healthcare System | 5% or greater indirect ownership interest | 10% | 12/01/2016 |
| Veritas Management Group LLC | Operational/managerial control | NOT APPLICABLE | 04/07/2016 |
| Golden Road Investments LLC | General partnership interest | NOT APPLICABLE | 04/01/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Smith County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Meadow Lake Health Center | Tyler | 20 | 5 | 5 | 3 | 4 | 20.0 | — | 19 May 2025 |
| Reunion Plaza Healthcare & Rehabilitation | Tyler | 99 | 4 | 5 | 1 | 5 | 5.1 | — | 7 Aug 2025 |
| The Waterton Healthcare & Rehabilitation | Tyler | 92 | 4 | 4 | 2 | 10 | 10.9 | $23K | 6 May 2026 |
| Oak Brook Health Care Center | Whitehouse | 120 | 3 | 4 | 1 | 12 | 10.0 | — | 17 Jun 2026 |
| The Heights of Tyler | Tyler | 120 | 3 | 4 | 1 | 21 | 17.5 | $14K | 24 Mar 2026 |
| Avir At Azalea Heights | Tyler | 120 | 2 | 3 | 1 | 25 | 20.8 | $28K | 30 Apr 2026 |
| Avir At Petal Hillabuse icon | Tyler | 120 | 2 | 2 | 2 | 31 | 25.8 | $31K | 13 May 2026 |
| Briarcliff Health Center | Tyler | 230 | 2 | 3 | 3 | 14 | 6.1 | $51K | 21 May 2025 |
All 17 facilities in Smith County
Questions and answers
How many deficiencies has The Center At Grande been cited for?
9 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has The Center At Grande been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at The Center At Grande compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates The Center At Grande?
It is part of the Veritas Management Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include East Texas Medical Center Regional Healthcare System and Veritas Management Group LLC. Individual owners and managers are not listed on this site.
When was The Center At Grande last inspected?
The most recent survey or investigation in the CMS record is dated 20 May 2026; the most recent standard health survey was 20 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.