Overview
The Center at Grande has a Medicare overall rating of 5 out of 5, above the Texas average of 2.8. It ranks 2nd of 13 nursing homes in Tyler. It scores best on health inspections (5 of 5) and lowest on staffing (2 of 5).
Residents receive about 4.5 hours of nursing care per day, more than at 94% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.5 hours come from registered nurses.
Its most recent standard inspection, on May 20, 2026, found 2 health deficiencies, fewer than the Texas average of 9.6. 1 of them came from complaint investigations. It has no fines on record for the past three years, while 68% of Texas nursing homes have been fined.
The Center at Grande is a for-profit facility with 96 certified beds, caring for about 63 residents on an average day. It accepts Medicare and has participated since 2018.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 16%
Top 4%
Top 3%
Family reviews
- Pastor Kimberlie CurrierJuly 2022
My 81 year old dad left the hospital after a heart attack and was sent to The Center at Grande. The facility is nice but he didn't get to enjoy it because he was confined to his room, alone, except for visiting hours when we could go in and see him. They almost let him die. He called me and said that he couldn't breathe. He said he rolled himself down to the nurses station and they told him that he was just having a panic attack, to calm down and go back to bed. They even admitted this to me when I arrived on the scene, despite knowing his history of congestive heart failure. Luckily I was at Walmart 5 minutes away instead of at my hotel. I rushed over and when I got there his oxygen level was 67. I told them to call 911 or I was going to. By the time the paramedics arrived, his oxygen level had fallen to 64. They rushed him to the ER. Not only were they keeping him confined and alone in his room, (and worried about my mother who was also in the hospital and who ended up dying), but they did not treat his depression. He got bed sores so deep that when we got him home he has to go to wound care at the local hospital and have them debrided every week for weeks before they healed. His legs and feet were so swollen from fluid retention from the heart disease that they were weeping puddles on the floor and they refused to keep him dry or in dry clothing. They forgot to take him to his cardiologist appointment and I had to reschedule the appointment and take him myself. I DO NOT RECOMMEND! We tried The Heights of Tyler when he got out and had just as bad experiences there. We brought him home and cared for him here and he healed.
Inspections and penalties
- Most recent standard inspection
- May 20, 2026
- Health deficiencies cited
- 2
- Complaint-related deficiencies
- 1
- Fines in the last 3 years
- 0
- Payment denials
- 0
- Total penalties
- 0
Staffing
Average hours of care each resident receives per day.
- All nursing staff4.47 hrs
- Registered nurses (RN)0.51 hrs
- Licensed practical nurses (LPN)1.63 hrs
- Nurse aides2.33 hrs
- Physical therapists0.14 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 96
- Average residents per day
- 63
- Participates in
- Medicare
- Medicare/Medicaid since
- April 5, 2018
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes