Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Center At Grande during CMS and state inspections, most recent first.
Failure to Timely Report Alleged Misappropriation: A resident with moderate cognitive impairment reported missing money from his bedside drawer, and the BOM and case manager investigated the allegation. The report was not sent to the State Survey Agency within 24 hours, and the PIR was also submitted late, after the required 5-working-day timeframe.
A resident with multiple chronic conditions did not have required post-admission labs completed after staff were unable to obtain blood samples. Staff did not notify the physician or nurse manager about the unsuccessful attempts, and the physician was unaware of the issue until after the resident was discharged. Facility policy required prompt notification in such situations, but this was not followed.
The facility failed to transmit MDS assessments for two residents within the required 14-day timeframe due to the absence of the responsible MDS nurses. One resident had a history of right femur fracture, multiple sclerosis, and hypertension, while the other had surgery on the digestive system, ileus, sepsis, and dementia. The delay in transmission was acknowledged by MDS Nurse A, who cited the importance of timely submissions for quality of care measures and payments. The Administrator was unaware of the issue, and the facility lacked a specific policy, relying on RAI guidelines.
A CNA at the facility misappropriated money and credit card information from four residents during night shifts. The residents, who were cognitively intact, reported missing cash and credit card information after the CNA, described as having red hair, entered their rooms. The facility's care plans did not address the right to be free from misappropriation, contributing to the deficiency.
Failure to Timely Report Alleged Misappropriation
Penalty
Summary
The facility failed to ensure that an allegation of misappropriation involving Resident #88 was reported immediately and no later than 24 hours after the report was made, and failed to submit the Provider Investigation Report within 5 working days. Record review showed the allegation was received by HHSC on 04/08/2026 at 2:29 PM, approximately 54 hours after Resident #88 reported missing money on 04/06/2026, and the PIR was not submitted until 04/15/2026, which was 7 working days after the incident was reported. Resident #88 was a [AGE]-year-old male admitted to the facility with diagnoses including atherosclerotic heart disease of native coronary artery without angina pectoris and acute on chronic systolic heart failure. His discharge MDS showed a BIMS score of 12, indicating moderate cognitive impairment, and he did not present with inattention, disorganized thinking, or an altered level of consciousness. Resident #88 told the BOM that money was missing from his bedside drawer, initially stating the amount was $1500 and later believing it was $1800. The BOM’s witness statement indicated that on 04/06/2026 Resident #88 reported missing $1500, and that the BOM immediately notified the case manager and they assisted in investigating the allegation on 04/06/2026 and 04/07/2026.
Failure to Notify Physician of Unsuccessful Lab Draws
Penalty
Summary
A deficiency occurred when facility staff failed to immediately notify a resident's physician after unsuccessful attempts to draw blood for ordered laboratory tests. The resident, a 68-year-old female with multiple diagnoses including acute kidney failure, congestive heart failure, anemia, hypertension, and hypothyroidism, was admitted and had physician orders for specific labs to be completed one week post-admission. Documentation shows that staff attempted to draw blood on two separate occasions but were unsuccessful, and the resident subsequently refused further attempts due to repeated failures. Despite the inability to obtain the required laboratory specimens, staff did not notify the charge nurse, DON, or the resident's physician as required by facility policy and the resident's care plan interventions. The physician was not made aware that the labs were not completed and only learned of the issue after the resident had been discharged. The facility's DON confirmed that she was unaware of the failed attempts until after the resident left and acknowledged that there was no system in place to verify lab completion at that time. Interviews and record reviews confirmed that the physician expected to be notified of any issues with obtaining ordered labs so that alternative arrangements could be made. The facility's laboratory services policy also required prompt notification of the ordering practitioner if lab results could not be obtained. The lack of immediate notification resulted in the ordered labs not being completed during the resident's stay.
Failure to Timely Transmit MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure the timely transmission of Minimum Data Set (MDS) assessments for two residents, which is a requirement to be completed within 14 days after the assessment. Resident #16, a female with a history of right femur fracture, multiple sclerosis, and hypertension, had her discharge MDS assessment dated 11/19/24, but it was not transmitted and accepted until 03/12/25. Similarly, Resident #115, a female with a history of surgery on the digestive system, ileus, sepsis, and dementia, had her discharge MDS assessment dated 11/06/24, but it was also not transmitted and accepted until 03/12/25. The delay in transmission was attributed to the absence of the MDS nurses responsible for the task, as they were both out sick. During an interview, MDS Nurse A acknowledged the oversight and the importance of timely MDS submissions for quality of care measures and payments. The facility did not have a specific policy in place and was following the Resident Assessment Instrument (RAI) guidelines. The Administrator was unaware of the delay and stated that it was the responsibility of the MDS nurses to ensure timely completion and transmission of the MDS assessments.
Misappropriation of Resident Property by CNA
Penalty
Summary
The facility failed to protect residents from the misappropriation of their property, as evidenced by the actions of CNA B, who stole money and credit card information from four residents. The incidents occurred during night shifts over two consecutive nights. CNA B was described by multiple residents as having red hair and a medium build. The residents involved were cognitively intact, as indicated by their MDS assessments, and were able to communicate effectively. However, they did not realize their belongings were missing until after the thefts occurred. Resident #1 reported $500 missing from his wallet, which he had placed in a drawer before going to sleep. Resident #2 had $200 stolen after CNA B, who was assisting her after a fall, asked for the key to her locked drawer under the pretense of cleaning. Resident #3 discovered $60 and credit card information missing after receiving a fraud alert. Resident #4 reported $400 missing from his locked drawer, with the key left on his bedside table. The facility's investigation revealed that CNA B had been entering the rooms of the victimized residents during the shifts in question. The facility's care plans for the residents did not address the right to be free from misappropriation, which contributed to the deficiency. The facility's policy on abuse, neglect, and misappropriation was not effectively implemented, as evidenced by the repeated incidents involving CNA B. The facility notified the police and the staffing agency, and video footage showed CNA B entering and exiting the residents' rooms, although it did not capture the thefts themselves.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Tyler
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Waterton Healthcare & Rehabilitation | 1.3 mi | ★★★★★ | 5 | 0 |
| Providence Park Rehabilitation And Skilled Nursing | 2.1 mi | ★★★★★ | 2 | 1 |
| Meadow Lake Health Center | 2.8 mi | ★★★★★ | 0 | 0 |
| Park Place Nursing & Rehabilitation Center | 3.8 mi | ★★★★★ | 11 | 0 |
| Reunion Plaza Healthcare & Rehabilitation | 3.9 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.