All states › Texas › Tyler › The Center at Grande
3219 East Grande Boulevard Tyler, TX 75707 · Smith County
All 13 nursing homes in Tyler, TX (11 take Medicaid)
CMS certification number 676443 · See this home on Medicare Care Compare
Is The Center at Grande a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Center at Grande as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.47 hours per resident per day at The Center at Grande, above the Texas median of 3.30 (US median: 3.72). About 0.51 of those hours are from registered nurses. On weekends it falls to 3.51 hours, 21% below its all-week average. Ask how weekends are staffed. 53.6% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at The Center at Grande: Medicare and Medicaid
The Center at Grande is certified for Medicare but not Medicaid. It can provide short-term skilled nursing and rehab covered by Medicare Part A, but if long-term care is needed and Medicaid becomes the payer, a move to a Medicaid-certified home would be needed. 11 other homes in Tyler accept Medicaid. Nursing homes that accept Medicaid in Texas.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 20, 2026 and found 1 deficiency, plus 1 from complaint inspections in the same period. In total, inspectors issued 9 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 9 citations at The Center at Grande across 5 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 8 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident assessment and care planning (4) and freedom from abuse, neglect, and exploitation (2). The most serious was cited under the CMS rule to "protect each resident from the wrongful use of the resident's belongings or money" (tag F0602, level E, March 6, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
May 20, 2026 · 1 citation
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 16, 2025 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
March 12, 2025 · 1 citation
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
March 6, 2025 · 1 citation · includes complaint inspection
EProtect each resident from the wrongful use of the resident's belongings or money.
February 7, 2024 · 5 citations
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of The Center at Grande
- CMS cited the home under its abuse and neglect rules on May 20, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 2/5 | 5/5 |
| August 2026 | 5/5 | 5/5 | 1/5 | 5/5 |
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Location
Hospitals near The Center at Grande
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 2.8 mi
-
4.3 mi
Texas Spine and Joint Hospital TylerEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 32m for patients treated and sent home
-
4.6 mi
East Texas Medical Center TylerEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 36m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Veritas Management Group nursing homes in Texas
- The Center at Parmer · Austin · 5 stars
- Center at Zaragoza · El Paso · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Veritas Management Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.