Complaint Investigation

The Center At Grande

November 16, 2025 · Tyler, TX · 3219 East Grande Boulevard

Citations 1

CMS Rating 5/5

Beds 96

Provider ID 676443

Healthcare Facility

The Center At Grande

Tyler, TX · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

THE CENTER AT GRANDE in TYLER, TX — inspection on November 16, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0580

Resident Rights Deficiencies

Potential for More Than Minimal Harm

During an interview on 11/16/25 at 4:00 p.m. the DON said the one-week post admission labs for CBC, CMP, TSH, and Vit.D. were a mistake made by the staff when entering the order.

During an interview on 11/16/25 at 5:23 p.m. the DON said Resident #1's one week post admission CBC, CMP, TSH, Vit.D labs were not done.

The DON said she was not aware of what [Staff C] did until after [Resident #1] discharged .

The DON said Staff C and LVN D should have told her or the resident's doctor.

The DON said they did not have a system in place to verify labs were done because that was not an issue before, to her knowledge.

The DON said the facility used its own staff to draw blood because everything was in-house and not contracted.

She said Staff C was good, no complaints, and DON trained Staff C had been trained on how to draw laboratory specimens. On 11/21/25 at 12:55 p.m., attempted to interview LVN B, the staff who entered the orders, the telephone number provided by facility was not a working number and no interview was obtained. On a telephone interview was attempted with Staff C, regarding the unsuccessful lab attempts for Resident #1.

Staff C did not answer, and although a message with a call back telephone number was left, the interview was not obtained.

During a telephone interview on 11/21/25 at 12:57 p.m., Resident #1's physician who wrote the order for one-week post-admission laboratory tests said he had not been made aware that the labs ordered were not completed. He said he had not been notified of Staff C's unsuccessful attempts to collect the lab specimen. Resident #1's Physician stated he would have expected Staff C to inform her nurse manager or for the facility to contact him directly, so the matter could have been addressed. He further stated that not doing the lab would never be an option and expressed that he wished he had been notified.

Record review of revised facility laboratory services policy, dated 4/2/24, indicated, The facility stall: 1.

Provide or obtain laboratory services only when ordered by a physician; physician assistant; nurse practitioner or clinical nurse specialist in accordance with State law, including scope of practice laws. 2.Promptly notify the ordering physician, physician assistant, nurse practitioner, or clinical nurse specialist of laboratory results that fall outside of clinical reference ranges in accordance with facility policies and procedures for notification of a practitioner or per the ordering physician's orders.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TYLER, TX, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from THE CENTER AT GRANDE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.