Skilled nursing · Tyler, TX

The Center At Grande

3219 EAST GRANDE BOULEVARD, Tyler, TX 75707

5 / 5CMS 96 bedsCapacity Apr 2026Inspected

PALMELLE

Top 6%

Federal · State

Strong

The Palmelle read

Strong. The Center At Grande carries a Palmelle Clarity Score of 94 out of 100, derived from federal CMS Care Compare data plus Texas state records. Health inspection rating sits at 5-star, staffing at 2-star, quality measures at 5-star. Long-stay antipsychotic prescribing is at None percent versus a 14 percent national median. RN coverage is 0.41 hours per resident per day. Nurse turnover 50 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, Texas DPH

In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This

0.41

National

0.78

Annual nurse turnover

This

50%

National

53%

No federal fines

Zero fines on record in the last 36 months.

Worth asking about

Antipsychotic, long-stay

This

—

National

14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + Texas state data

The full record.

Federal CMS ratings

Overall★★★★★5 / 5

Health inspection★★★★★5 / 5

Staffing★★★★★2 / 5

Quality measures★★★★★5 / 5

Staffing

RN hours per resident, daily

This

0.41

Nat

0.78

Total nurse hours / resident, daily

This

4.62

Nat

3.62

Annual nurse turnover

This

50%

Nat

53%

Annual RN turnover

This

60%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

—

Nat

14%

Sedative / sleep med

This

—

Nat

15%

Physical restraint

This

—

Nat

1.1%

Falls with major injury

This

—

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection currentZero federal fines (36mo)

Identity & licensing

CMS ID676443

OwnershipFor profit - Limited Liability company

ChainIndependent

Beds96

Avg residents63

Citations · last 36 months

No federal conflict flags on record in the latest CMS reconcile.

Sources: federal CMS Care Compare, Texas DPH · Last reconciled May 5, 2026

Questions families ask

Common questions.

What is the CMS rating for The Center At Grande?

The Center At Grande has an overall CMS Care Compare rating of 5 out of 5 stars. It scores 5 of 5 on health inspection, 2 of 5 on staffing, and 5 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has The Center At Grande been cited for resident harm?

The Center At Grande has no abuse icon, no federal fines, and no CMS conflict flags on record in the latest reconcile. The full citation record appears in the record section above.

Does The Center At Grande use antipsychotic medications?

Data unavailable for percent of long-stay residents at The Center At Grande are on antipsychotic medications, above the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is also elevated at Data unavailable for percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is The Center At Grande's Palmelle Clarity Score?

The Center At Grande has a Palmelle Clarity Score of 94 out of 100, placing it among the top-scoring facilities nationwide. The score is a composite of federal CMS and Texas state inspection data. Higher is better.

How can I tour or contact The Center At Grande?

The Center At Grande is located at 3219 EAST GRANDE BOULEVARD, Tyler, TX 75707. Phone: (719) 522-2000. Website: contact facility. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is The Center At Grande a special focus facility?

The Center At Grande is not currently on the federal Special Focus Facility list, has no abuse icon on file, and no federal fines in the last 36 months.

What does F-689 mean on The Center At Grande's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If The Center At Grande has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does The Center At Grande compare to other Tyler skilled nursing facilities?

The Center At Grande holds a Palmelle Clarity Score of 94. The full Tyler directory shows nearby facilities ranked by score, antipsychotic prescribing, staffing, and citation history. Browse the full Tyler directory to compare more facilities by score, staffing, and inspection record.

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