The Center at Grande

Name: The Center at Grande
Address: 3219 EAST GRANDE BOULEVARD, Tyler, TX, 75707, US
Telephone: 7195222000

3219 East Grande Boulevard, Tyler, TX 75707 · Smith County · 96 certified beds · avg 70 residents/day · certified since Apr 5, 2018

Part of chain: VERITAS MANAGEMENT GROUP (13 facilities, chain avg rating 4.2★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.41

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 self-reported quality measures.

All citations in the current public record (9)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 20, 2026	D · Potential for harm, one-off	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.
Nov 16, 2025	D · Potential for harm, one-off	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
Mar 12, 2025	B · Minimal risk, repeated	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.
Mar 6, 2025	E · Potential for harm, repeated	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
Feb 7, 2024	D · Potential for harm, one-off	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.
Feb 7, 2024	D · Potential for harm, one-off	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.
Feb 7, 2024	D · Potential for harm, one-off	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.
Feb 7, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 7, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).

Year	Citations	Worst severity that year
2024	5	D
2025	3	E
2026	1	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.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5

Who owns this facility

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

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

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

Compare this facility with the 3 closest →

All facilities in Tyler →

Facility data as of CMS processing date 2026-08-01. CCN 676443.

The Care File

Visit checklist — The Center at Grande

3219 East Grande Boulevard, Tyler, TX 75707 · 7195222000

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676443 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)