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Nursing Home Top Rated

The Center at Grande

Strong Medicare quality ratings; families often praise exceptional physical and occupational therapy teams. Still worth an in-person visit.

3219 East Grande Boulevard, Tyler, TX 7570796 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 166 Google reviews

5
4
3
2
1
The Center at Grande Nursing Home in Tyler, TX — Street View
Street View

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What this means for your family

This facility is an excellent choice if your primary goal is intensive physical or occupational therapy, as their rehab teams are top-tier. However, families must be vigilant regarding nursing care and medication schedules, as multiple reviewers have reported significant lapses in nursing responsiveness and medication accuracy.

Google Reviews

Google Reviews

166 reviews analyzed
The Center at Grande is highly regarded for its exceptional physical and occupational therapy teams and its modern, clean, and beautiful facility. While many families praise the compassionate therapists and the comfort of private rooms, there are significant, recurring concerns regarding nursing staff responsiveness, medication management errors, and inconsistent food quality.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean9.0Activities8.0Meds2.0MemoryN/AComms5.0ValueN/A

Strengths

  • Exceptional physical and occupational therapy teams
  • Modern, clean, and beautiful facility
  • Compassionate and professional case management
  • Comfortable private rooms

Concerns

  • Nursing staff responsiveness and neglect (mentioned by 7 reviewers)
  • Medication administration errors or delays (mentioned by 5 reviewers)
  • Inconsistent food quality and service (mentioned by 5 reviewers)
  • Understaffing issues (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'18(15)'20(23)'22(26)'24(18)'26(7)

Distribution

5
110
4
9
3
1
2
4
1
40

How They Respond to Reviews

0%response rate
Good

The owner uses personalized greetings for most positive reviews and provides professional, empathetic responses to negative feedback. When addressing complaints, they focus on investigation, invite direct communication, and provide a specific phone number for resolution.

Questions for Your Tour

  • 1The facility looks incredibly modern and clean; how do you ensure the private rooms stay comfortable and well-maintained for residents?
  • 2I noticed the therapy teams receive a lot of praise; could you tell me more about how the physical and occupational therapy programs are integrated into a resident's daily routine?
  • 3What specific protocols are in place to ensure medication is administered accurately and on time every day?
  • 4How does the nursing team manage resident needs during the night or during periods when the floor is particularly busy?
  • 5We want to make sure they enjoy their meals; how would you describe the dining experience and the variety of food options available?
  • 6In the event of a medical emergency, what is the immediate process for notifying the family and coordinating with outside doctors?

Personalized based on this facility's data


Key Review Excerpts

The therapy team was amazing. They were patient, encouraging, and really invested in progress. You could see how much they wanted the best outcome.

Rehab patient's family · 2026★★★★★

The physical therapists are great. I enjoyed and benefited from all those I worked with. Medication was very slow coming but overall I am very satisfied with my treatment.

Rehab patient · 2024★★☆☆☆

My Mom was here to recover from a stay at the hospital, because of heart complications and developing Hypercapnia. After 4 days I brought her home. They only gave her meds to her at random and not even all of them.

Long-term resident's family · 2025☆☆☆☆
Source: 166 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.41hrs
54%
Registered nurses for medical care
Total Nursing
4.62hrs
OK
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 3 measures

Medicare Rating
5/ 5
Better Than Avg

3

measures

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.9%
Better than Avg
Here
96.9%
US
79.7%
TX
88.0%
Smith
73.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
TX
89.2%
Smith
82.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.1%
Better than Avg
Here
0.1%
US
1.6%
TX
1.5%
Smith
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (9.1)
2 complaint-triggered

Families have filed complaints resulting in deficiencies related to resident belongings protection and family notification requirements. The facility shows recurring issues with care planning and resident assessment across multiple surveys, along with problems in pharmacy services and respiratory care. While all deficiencies have correction dates, the pattern of complaints and repeated assessment issues warrants careful evaluation during your visit.

Nov 16, 2025Complaint
1
0580MinorCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Mar 12, 2025Routine
1
0640MinorCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Mar 6, 2025Complaint
1
0602ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Feb 7, 2024Routine
6
0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0374MinorCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Dec 7, 2022Routine
1
0868ModerateCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Center at Grande LLC

Organization Type

for profit

Management Company

VERITAS MANAGEMENT GROUP, LLC

Administrator

JANNA D KUECHLE

Chain Affiliation

Chain Name

Veritas Management Group

Chain Size

15 facilities nationwide

Chain avg rating: 4.7/5 · Rank 1 of 3 (Best)

Ownership & Management

Owners

East Texas Medical Center Regional Healthcare System

Owner (parent company) · Organization

10%

Golden Road Investments LLC

Owner (parent company) · Organization

31%

Key personnel

Kelly, JulieW-2 Managing EmployeeEsmas, BartolomeOfficer / DirectorMichaels, JamesOfficer / DirectorVeritas Management Group LLCManagerMurdock, MonteManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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