The Center at Grande: Staffing, Turnover, and Inspection Record
The Center at Grande is a 96-bed for-profit nursing home in Tyler, Texas, part of Veritas Management Group. In the CMS August 2026 release it reported 2.21 nurse aide hours per resident per day, 11% above the Texas average of 2.00, and 54.2% nursing staff turnover (Texas average 55.3%).
The Center at Grande
3219 East Grande BoulevardTyler, TX 75707
Smith County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Center at Grande, nurse aides logged 2.21 hours per resident per day, 11% above the Texas average. With about 70 residents a day, that works out to roughly 155 aide hours a day, or about 19 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 20% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.21 | 2.00 | 2.32 |
| Licensed practical nurses | 1.62 | 0.95 | 0.86 |
| Registered nurses | 0.36 | 0.43 | 0.69 |
| All nursing staff | 4.19 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.35 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
54.2% of nursing staff at The Center at Grande left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 87.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 20, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Center at Grande holds 5 of 5 overall; the Texas average is 2.6.
About The Center at Grande
- Ownership: For profit - Limited Liability company
- Chain: Veritas Management Group, 13 homes
- Legal name: The Center at Grande LLC
- Medicare and Medicaid certified since: Apr 5, 2018
- Area: urban
Nursing homes near The Center at Grande
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Waterton Healthcare & Rehabilitation Tyler | 1.3 | 92 | 2.09 | 3.38 | 50.7% | 4 | $23,389 |
| Providence Park Rehabilitation and Skilled Nursing Tyler | 2.1 | 125 | 1.82 | 3.24 | 40.9% | 2 | $188,361 |
| Meadow Lake Health Center Tyler | 2.8 | 20 | 2.62 | 4.01 | 56.3% | 5 | None |
| Park Place Nursing & Rehabilitation Center Tyler · abuse citation | 3.8 | 120 | 2.12 | 3.41 | 63.8% | 1 | $287,159 |
| Reunion Plaza Healthcare & Rehabilitation Tyler | 3.9 | 99 | 1.89 | 3.20 | 66.3% | 4 | None |
| Avir at Azalea Heights Tyler | 4.3 | 120 | 1.76 | 2.60 | 43.8% | 2 | $27,550 |
| Briarcliff Health Center Tyler | 4.5 | 230 | 2.37 | 3.67 | 41.0% | 2 | $51,034 |
| Avir at Rose Trail Tyler · SFF candidate | 4.5 | 172 | 2.00 | 3.04 | 69.6% | 1 | $392,851 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.