Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected, date of correction 3 Jul 2026
THE CENTER AT GRANDE
Nursing home · 3219 EAST GRANDE BOULEVARD, Tyler, TX 75707 · Smith County · (719) 522-2000Medicare and Medicaid certified
9
health deficiencies
across 5 surveys
across 5 surveys
0
at actual harm or worse
0 immediate jeopardy
0 immediate jeopardy
$0
in federal fines
0 penalties
0 penalties
CMS star ratings
Medicare’s Care Compare ratings, 1 to 5 stars, as published. Health inspection is the one built from the deficiencies below.
★★★★★
Overall
★★★★★
Health inspection
★★★★★
Staffing
★★★★★
Quality measures
How it compares in Smith County
1.8 health deficiencies per survey, against a county median of 2.9. Lower is better.
Fewer deficiencies per survey than 88 out of 100 nursing homes in Smith County. Per survey, not raw count, because a home surveyed ten times will always have more findings on paper than one surveyed twice.
Deficiencies by level of harm
| Immediate jeopardy | 0 | |
| Actual harm | 0 | |
| Potential for harm | 8 | |
| No harm | 1 |
CMS grades every deficiency by scope and severity, A to L. A to C is no harm, D to F potential for harm, G to I actual harm, J to L immediate jeopardy. Fire safety is surveyed separately: 2 fire safety deficiencies on record.
What the surveyors found
The most recent deficiency is open to read. The full record of 9, with dates, severity and corrections, is in the report.
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
Read all 9 deficiencies
Every finding as CMS published it, the survey date, the harm level, the correction, and the full ownership trail. One payment, no subscription.
Get the full report, $12Records last updated 23 October 2026 from CMS and Texas HHSC.
Source: CMS Care Compare nursing home data (data.cms.gov), refreshed monthly. Survey findings are public records written by state surveyors for CMS. KnowYourCareHome does not inspect homes and adds no findings of its own.
Full report $12, one time
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