Nursing home · Top rated by CMS
The Center at Grande
3219 East Grande Boulevard, Tyler, TX 75707 · Map
For profit - Limited Liability company · Part of Veritas Management Group (15 facilities) · 96 certified beds
The Center at Grande is a Medicare-certified nursing home in Tyler, Texas. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 4.41 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Mar 12, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Center at Grande compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.41 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.55 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.36 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 44.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 3.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at The Center at Grande
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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 · Nov 16, 2025 · Full report (PDF) - Minimal
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Mar 12, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 6, 2025 · Full report (PDF) - Potential for harm
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 · Feb 7, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 7, 2024 · Full report (PDF)
Show all 9 deficiencies
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Feb 7, 2024 · Full report (PDF) - Potential for harm
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 · Feb 7, 2024 · Full report (PDF) - Potential for harm
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 · Feb 7, 2024 · Full report (PDF) - Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Dec 7, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3219 East Grande Boulevard
Tyler, TX 75707 - CMS certification #
- 676443
- Ownership
- For profit - Limited Liability company
- Certified beds
- 96
- Avg residents/day
- 67.2
- Provider type
- Medicare
- First certified
- 2018-04-05
- Chain
- Veritas Management Group (15 facilities)
- Setting
- Urban
Part of Veritas Management Group
Veritas Management Group operates 15 nursing facilities across the United States. View all Veritas Management Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Center at Grande using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2022
Full public records, with dates and sources
Care and services
From the community’s website
What The Center at Grande says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: private room.
Each private suite has its own private bathroom for your convenience and privacy.
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 31, 2022 to Jul 30, 2024. Violations found: Overtime. Back wages: $6,049 owed to 45 employees. Employer as DOL recorded it: The Center at Grande (CENTER AT GRANDE, LLC). Case 1995972.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Baylor Scott & White Texas Spine & Joint Hospital, Tyler. 4.4 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- The Waterton Healthcare & Rehabilitation, Tyler. 1.3 miles away, straight line.
- Nearest home health agency office
- Traditions Health, Tyler. 1.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 2.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75707 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Renal Center Of Waterton, Tyler, 1.2 miles away, straight line (CMS rating 3 of 5 stars)
Renal Care Group-Southeast Tyler, Tyler, 2.3 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Tyler Home Dialysis, Tyler, 2.3 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 20 Medicare hospices tell CMS they serve ZIP code 75707.
Traditions Health, office in Tyler, 1.9 miles away, straight line
Heart To Heart Hospice Of Tyler Ltd, office in Tyler, 3.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Heritage Hospice Of East Texas, office in Tyler, 3.7 miles away, straight line - Nearest geriatric medicine practice
- Healthtexas Provider Network, Waxahachie. 90.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane relatively low, inland flooding very low, wildfire relatively low, tornado very low, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is The Center at Grande a good nursing home?
CMS gives The Center at Grande an overall rating of 5 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Center at Grande staffed?
The Center at Grande reports 4.41 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has The Center at Grande had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does The Center at Grande have?
The Center at Grande is certified for 96 beds.