Nursing HomeInspections

The Center at Grande

Nursing home in Tyler, TX

Medicare-certified5★ overall (CMS)

Call (719) 522-2000Send a messageMap ↗

Public-record details

Address
3219 East Grande Boulevard, Tyler, TX 75707
Phone
(719) 522-2000
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
676443
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
96
Average residents per day
70
Ownership
For-profit, limited Liability company
Legal business name
The Center at Grande LLC
Chain
Veritas Management Group (13 facilities)
Certified for
Medicare
First approved by Medicare/Medicaid
Apr 5, 2018
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 676443. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 20, 2026. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 7, 2024 to May 20, 2026): 2 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 20, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Nov 16, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 12, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning
B
Potential for minimal harm, pattern
Mar 6, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 7, 2024Create 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
D
Potential for more than minimal harm, isolated
Feb 7, 2024Develop 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
D
Potential for more than minimal harm, isolated
Feb 7, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Feb 7, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Feb 7, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.19 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
2.21 hours
Total nurse staffing on weekends
3.35 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
88%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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