Garden Estates Of Tyler Assisted Living Community
State licensed2055 Grande Blvd, Tyler, TX 75703
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Prices not published
About The Center at Grande
THE CENTER AT GRANDE is a for profit - limited liability company nursing home in TYLER, TX with 96 certified beds, holding a 5-star overall CMS rating.
Community at a glance
Capacity
96 residents
Medicare rating
5 of 5 stars
Location
Tyler, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
3219 EAST GRANDE BOULEVARD, Tyler, Texas 75707
Medicare inspection and quality record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
Medicare rates The Center at Grande 5 out of 5 stars overall, which it describes as much above average. The average across Texas's nursing homes is 2.7 stars.
At its most recent standard inspection, on May 20, 2026, state inspectors cited 2 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 4 hours 11 minutes with each resident a day, above the Texas average of 3 hours 23 minutes.
Medicare has not fined The Center at Grande in the last three years.
Overall
5 of 5
much above average
Combines the three ratings below
Health inspections
5 of 5
much above average
Results of state inspections over three years
Staffing
1 of 5
much below average
Nurse hours per resident and staff turnover
Quality of resident care
5 of 5
much above average
Outcomes like falls, pressure ulcers and rehospitalization
Texas average: 2.7 stars across 1,177 nursing homes. National average: 3.0 stars.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 11 minutesAbove the Texas average |
| Registered nurse time per resident, per day | 22 minutesBelow the Texas average |
| Nursing staff who left in the past year | 54% |
Inspections
9 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 20, 2026 · Standard inspection · 1 citation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 3, 2026
November 16, 2025 · Complaint investigation · 1 citation
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 15, 2025
March 12, 2025 · Standard inspection · 1 citation+
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningCorrected Mar 13, 2025
March 6, 2025 · Complaint investigation · 1 citation+
Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 7, 2025
February 7, 2024 · Standard inspection · 5 citations+
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 15, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 15, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 15, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 15, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 15, 2024
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- The Center at Grande LLC
- Medicare-certified beds
- 96
- Average residents per day
- 70
- Accepts
- Medicare
- First certified
- April 5, 2018
- Part of a chain
- Veritas Management Group, 13 homes (chain average 4.3 stars)
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676443
Location
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3219 EAST GRANDE BOULEVARDTyler, TX 75707
12 other communities within 10 miles
Senior living near Tyler
East Texas Alf Waterton Inn
State licensed2885 Shiloh Road, Tyler, TX 75703
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
The Waterton Healthcare & Rehabilitation
Medicare-certified2875 Shiloh Road, Tyler, TX 75703
Skilled Nursing
4 of 5Medicare rating
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
Call for pricing
Prices not published
Questions about The Center at Grande
What is The Center at Grande's Medicare star rating?+
Medicare rates The Center at Grande 5 out of 5 stars overall (much above average). Health inspections: 5 stars. Staffing: 1 stars. Quality of resident care: 5 stars. Source: CMS Care Compare, data as of September 1, 2026.
How did The Center at Grande do on its last inspection?+
State inspectors visited on May 20, 2026 and cited 2 health deficiencies, 1 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at The Center at Grande?+
Nurses and aides spend 4 hours 11 minutes with each resident per day, including 22 minutes from registered nurses. 54% of nursing staff left over the past year.
Has The Center at Grande been fined by Medicare?+
Medicare's records show no fines against The Center at Grande in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.