11 For-Profit Nursing Homes in Smith County, Texas
11 of the 17 Medicare-certified nursing homes in Smith County, Texas (65%) are for-profit, and all are listed below. 0 of the 11 graded homes earn an A and 1 earn a D or F. Nurse staff turnover runs 57.2%, 1.6 points lower than the 58.8% across all homes there. The Center At Grande in Tyler grades highest at B (76 out of 100).
How for-profit homes in Smith County, Texas compare
This group set against every nursing home in Smith County, Texas, from the current CMS release.
Nursing hours per resident per day
3.58
All homes in Smith County, Texas: 3.51
Better than the local average
Nurse staff turnover
57.2%
All homes in Smith County, Texas: 58.8%
Better than the local average
Average ElderGrade score
62.3/100
All homes in Smith County, Texas: 62.3/100
Better than the local average
Grade spread
B
C
D
2 grade B, 8 grade C, 1 grade D,
The best-graded for-profit home in Smith County, Texas is
The Center At Grande
in Tyler, TX, grade B, 76/100.
Every for-profit nursing home in Smith County, Texas
The Center At Grande has a clean recent inspection record, 9 deficiencies, none at the harm level, with the most recent survey in March 2025. Its 5-star inspection and quality ratings back that up. But look at staffing: the 1-star rating reflects 54.2% annual turnover, well above the 45.8% national average, and weekend coverage drops about 20% below weekday levels even though overall nurse hours (4.19 per resident day) sit above the national figure. One abuse-related deficiency is on the record too. For-profit, LLC-owned. The care may be decent on paper, but consistent staffing is the question worth asking when you visit.
Nurse staffing at this Tyler home runs 6.31 hours per resident day, about 64% above the national average, and 33.6% of staff left last year against a national 45.8%, that's a real edge in keeping people. Weekends drop roughly 13% below weekday coverage, so ask how weekends are actually covered. The inspection record is where it gets harder: 17 deficiencies, three at harm or jeopardy level, one tied to abuse, and two fines totaling $214,759. Quality measures score 2 of 5. The last inspection was June 2025, so the record is current, not stale. Strong floor staff, thinner weekends, and a serious citation history worth asking about directly before you sign anything.
Briarcliff Health Center runs 230 beds in Tyler under corporate ownership, and the numbers show a home that's struggling on care quality even where it looks average on paper. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national figure, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 14 deficiencies, five serious enough to put residents at harm or jeopardy, three tied to abuse, and two fines totaling $51,034. Staff turnover at 41% is slightly better than the national rate, but that's small comfort against a quality-measure score at the bottom of the scale and a citation history this recent.
Providence Park runs 3.24 nurse hours per resident per day, about 16 percent under the national average, and weekends drop another 13 percent below its own weekday staffing. The 125-bed for-profit has 23 deficiencies on its current record, two of them at the harm or jeopardy level, with two fines totaling $188,361. Its most recent inspection was June 18, 2025, and the health inspection rating sits at 2 of 5 stars. Staff turnover of 40.9 percent is slightly better than the 45.8 percent national figure, but a 2-star staffing rating paired with that many deficiencies is the real story here.
Greenbrier runs on 3.06 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% under its own weekday level. That thin coverage shows up in the staffing rating, which sits at the bottom of CMS's scale. Annual turnover of 96.6%, more than double the national figure, means the people caring for residents are constantly new. Its current record carries 28 deficiencies, two tied to abuse, though none reached the harm or jeopardy level. The most recent inspection was March 2026. For-profit corporate ownership rounds out the picture. Ask about actual weekend coverage and how long aides tend to stay.
Avir At Petal Hill runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. Its record shows 33 deficiencies, four of them at the harm or jeopardy level and two tied to abuse, with $31,256 in fines across two penalties. Staff turnover sits at 43.9%, a touch better than the 45.8% national figure. All three CMS ratings, health inspection, quality measures, staffing, land at 2 out of 5, and the most recent inspection was March 5, 2026. For a 120-bed for-profit corporate home, the pattern is thin staffing, repeated serious findings, and middle-to-low marks across the board.
The Heights of Tyler runs 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekend coverage dips about 12 percent below what it manages on weekdays. That thin margin sits behind a staffing rating of 1 out of 5 even though the home's last inspection in February 2026 produced a 4-star health inspection result. Turnover adds another layer: 56.1 percent of staff leave annually, well above the 45.8 percent national figure. The current record lists 21 deficiencies, one involving harm or jeopardy and one abuse-related, plus a $14,276 fine. Ownership is for-profit partnership. The inspection picture looks better than the day-to-day staffing reality.
Colonial Nursing & Rehabilitation Center runs 90 certified beds in Lindale under individual for-profit ownership, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 7% below the home's own weekday coverage, so the thinnest shifts get thinner.
The inspection record is the bigger concern. Twenty-three deficiencies are on file, three of them serious enough to involve harm or jeopardy, and two tied to abuse. One federal fine totals $247,572, a figure usually reserved for repeat or high-severity problems. The last inspection was March 18, 2026, so the record is recent, not stale.
If you're weighing this one, ask the administrator directly how those abuse deficiencies were resolved and what weekend nurse coverage looks like on a typical Saturday.
Park Place runs lean on the people who actually deliver care. At 3.41 nurse hours per resident day, it sits about 12 percent under the national average, and weekends drop roughly another 18 percent below its own weekday coverage. The staffing picture gets harder when you look at turnover: 63.8 percent of staff left last year, against a national rate near 46 percent, meaning the aides and nurses caring for your relative are, statistically, likely to be new to the building. The government's own inspectors rated staffing and health inspections each 1 out of 5, and the record shows 32 deficiencies, three of them serious enough to put residents in harm's way and three tied to abuse. Two fines total $287,159. Texas corporate ownership, 120 beds, last inspected May 2025.
Avir At Azalea Heights runs 120 certified beds in Tyler under for-profit LLC ownership, and its nurse staffing sits at 2.60 hours per resident day, roughly a third below the national average of 3.86. Weekends dip about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 25 deficiencies, three of them serious enough to put residents at harm or jeopardy, with two fines totaling $27,550 and a December 2025 inspection. Staff turnover of 43.8% is close to the national 45.8%, so the problem isn't retention so much as how few hands are scheduled per resident.
Bluebonnet Point Wellness runs on 2.80 nurse hours per resident day, roughly 27% under the national average, and weekends drop about 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 97.8% against a national 45.8%, meaning nearly the entire nursing workforce cycles out each year. The current record shows 34 deficiencies, six serious enough to cause harm or jeopardy and one tied to abuse, with five fines totaling $181,947. Inspectors last visited in August 2025. With 119 certified beds under corporate for-profit ownership, ask specifically who is on duty nights and weekends before you decide.
Frequently asked questions
How many for-profit nursing homes are there in Smith County, Texas?
There are 11 for-profit Medicare-certified nursing homes in Smith County, Texas, 65% of the 17 nursing homes there.
Are for-profit nursing homes better staffed?
In Smith County, Texas they average 3.58 total nursing hours per resident per day, against 3.51 for all nursing homes in Smith County, Texas, a difference of +0.07 hours. Staff turnover averages 57.2% against 58.8%.
Which for-profit nursing home grades best in Smith County, Texas?