How to file a complaint about care →
No fines or payment denials in the published 3-year window.
3219 East Grande Boulevard, Tyler, TX 75707 (opens Google Maps) · Smith County · (719) 522-2000· 96 certified beds · avg 70 residents/day · certified since Apr 5, 2018 · Medicare only — not Medicaid certified
Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
Part of chain: VERITAS MANAGEMENT GROUP (13 facilities, chain avg rating 4.2★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. F-0609
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint F-0580
The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. F-0640
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 20, 2026 | D · Potential for more than minimal harm, isolated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
| Nov 16, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Mar 12, 2025 | B · Potential for minimal harm, pattern | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · F-0640 |
| Mar 6, 2025 | E · Potential for more than minimal harm, pattern | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602 |
| Feb 7, 2024 | D · Potential for more than minimal harm, isolated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Feb 7, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Feb 7, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Feb 7, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Feb 7, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 0 | D |
| 2025 | 3 | 0 | E |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.41 | 3.46 | 3.95 | top 42% in Texas; bottom 32% in the U.S. |
| Registered Nurse hours | 0.29 | 0.44 | 0.69 | bottom 27% in Texas; bottom 9% in the U.S. |
| Weekend total nurse staffing | 2.72 | 3.04 | 3.50 | bottom 32% in Texas; bottom 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.34 | 0.48 | bottom 37% in Texas; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 54.2 | 55.3 | 45.8 | bottom 45% in Texas; bottom 27% in the U.S. |
| RN turnover (%) | 87.5 | 54.6 | 42.9 | bottom 13% in Texas; bottom 3% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.19, RN 0.36, weekend 3.35.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.19 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for The Center at Grande. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| East Texas Medical Center Regional Healthcare System | Organization | 5% or Greater Indirect Ownership Interest | 10% | 12/01/2016 |
| Esmas, Bartolome | Individual | Corporate Director | NOT APPLICABLE | 12/01/2016 |
| Golden Road Investments LLC | Organization | General Partnership Interest | NOT APPLICABLE | 04/01/2016 |
| Kelly, Julie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/05/2018 |
| Kelly, Julie | Individual | ADP of the SNF | NOT APPLICABLE | 04/05/2018 |
| Michaels, James | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2016 |
| Murdock, Monte | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2016 |
| Senkoff, Alexander | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2016 |
| Veritas Management Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/07/2016 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Veritas Management Group — 13 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 12 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Waterton Healthcare & Rehabilitation | 1.3 mi | Tyler, TX | ★★★★☆ | 4/5 | |
| Providence Park Rehabilitation and Skilled Nursing | 2.1 mi | Tyler, TX | ★★☆☆☆ | 2/5 | |
| Meadow Lake Health Center | 2.8 mi | Tyler, TX | ★★★★★ | 5/5 | |
| Park Place Nursing & Rehabilitation Center | 3.8 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | abuse |
| Reunion Plaza Healthcare & Rehabilitation | 3.9 mi | Tyler, TX | ★★★★☆ | 5/5 | |
| Avir at Azalea Heights | 4.3 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Briarcliff Health Center | 4.5 mi | Tyler, TX | ★★☆☆☆ | 3/5 | |
| Avir at Rose Trail | 4.5 mi | Tyler, TX | ★☆☆☆☆ | 1/5 | SFF |
| Avir at Petal Hill | 4.5 mi | Tyler, TX | ★★☆☆☆ | 2/5 | abuse |
| Oak Brook Health Care Center | 4.8 mi | Whitehouse, TX | ★★★☆☆ | 4/5 | |
| The Heights of Tyler | 4.8 mi | Tyler, TX | ★★★☆☆ | 4/5 | |
| Greenbrier Nursing & Rehabilitation Center of Tyle | 7.1 mi | Tyler, TX | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Smith, TX — 17 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 676443.
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