Smith County, Texas · Nursing home
The Center at Grande
5 of 5 overall from CMS
3219 East Grande Boulevard, Tyler, TX 75707
At a glance
- Overall rating 5 of 5 Above the state average of 2.7
- Nurse time per resident, per day 4.19 hours Above the state average of 3.39
- Nursing staff who left in a year 54.2% Below the state average of 55.3%
- Health citations, last 3 inspection cycles 9 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 73.1% of 96 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
The Center at Grande is a 96-bed nursing home in Tyler, Texas (Smith County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 4.19 nurse staffing hours per resident per day, above the Texas average of 3.39. CMS lists no fines in the past three years.
- Certified beds
- 96
- Residents per day (average)
- 70.2
- Certified since
- 2018 (8 yrs)
For profit - Limited Liability company Participates in MedicarePart of Veritas Management Group (13 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask The Center at Grande
Chosen from this home's public data.
- Reported nurse staffing is 3.35 hours per resident on weekends against 4.19 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 73.1% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- Registered nurse time is 0.36 hours per resident per day; the Texas average is 0.43. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Texas average 2.7
- Health inspections 5 of 5 Texas average 2.8
- Staffing 1 of 5 Texas average 1.9
- Quality measures 5 of 5 Texas average 3.7
The vertical line marks the Texas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.19 h Texas average 3.39
- Nurse aides 2.21 h Texas average 2.01
- Licensed practical nurses 1.62 h Texas average 0.95
- Registered nurses 0.36 h Texas average 0.43
- All staff, weekends 3.35 h Texas average 2.98
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Texas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover54.2%
- Texas average55.3%
- Registered nurse turnover87.5%
- Texas average54.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Texas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | Too few residents or stays to report | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | Too few residents or stays to report | 3.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | Too few residents or stays to report | 0.3% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | Too few residents or stays to report | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | Too few residents or stays to report | 2.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | Too few residents or stays to report | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | Too few residents or stays to report | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Too few residents or stays to report | 96.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | Too few residents or stays to report | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Too few residents or stays to report | 18.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 98.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | Too few residents or stays to report | 3.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Too few residents or stays to report | 13.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | Too few residents or stays to report | 9.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 2.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 2.06 | 1.78 |
Short-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 88.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.9% | 88.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.4% | 25.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% | 12.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 9 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 2 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 20, 2026 | 2 | 1 |
| Mar 12, 2025 | 2 | 0 |
| Feb 7, 2024 | 5 | 1 |
Texas homes averaged 9.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (9)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 3, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 15, 2025)
-
BPotential for minimal harm, pattern
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 13, 2025)
-
EPotential for more than minimal harm, pattern
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 7, 2025)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 15, 2024)
Show 4 more
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 15, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Mar 15, 2024)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Mar 15, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Texas homes averaged 1.5 fines and $44,141 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Texas
- Size850 of 1177 by certified beds
- Texas average residents per day75.8
- ChainVeritas Management Group
- Chain average overall rating4.3 of 5
- Resident or family councilNone
- Homes in Tyler13
- Homes in Smith County17
Common questions
What is the CMS star rating for The Center at Grande?
The Center at Grande has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 1 and quality measures is 5.
How many beds does The Center at Grande have?
The Center at Grande has 96 certified beds. It averages 70.2 residents per day, about 73.1% of its certified beds.
How much nursing care do residents get at The Center at Grande?
The home reports 4.19 hours of nurse staffing per resident per day, including 0.36 hours from registered nurses. The Texas average is 3.39 hours and 0.43 hours from registered nurses.
Has The Center at Grande been fined?
CMS lists no fines for this home in the past three years.
Does The Center at Grande accept Medicare or Medicaid?
CMS lists its participation as "Medicare". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 The Waterton Healthcare & Rehabilitation 92beds 72.3%in use 3.38nurse hours a day
- 2 of 5 Providence Park Rehabilitation and Skilled Nursing 125beds 83.4%in use 3.24nurse hours a day
- 5 of 5 Meadow Lake Health Center 20beds 142.0%in use 4.01nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Smith County
Who to call in Texas
These offices serve residents of every nursing home in Texas.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-252-2412 An advocate for residents and their families.
- File a complaint about a nursing home Complaint and Incident Intake 1-800-458-9858 (Monday to Friday, 7 a.m. to 7 p.m. Central) The state agency that inspects nursing homes.
Texas staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 676443. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.