Texas ›Tyler

The Center at Grande

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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★)

5/5
Health inspection rating (on-site)
inspected May 20, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.41
Nurse hours/resident/day (adjusted)

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

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.

Inspection findings in the public record

Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.

  1. 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

  2. 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

  3. 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

View all 9 inspection findingsShow only the latest 3 findings

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.

DateSeverityWhat the facility was cited for
May 20, 2026D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025B · Potential for minimal harm, patternThe 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, 2025E · Potential for more than minimal harm, patternThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202450D
202530E
202610D

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.41
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.29
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.72
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.413.463.95top 42% in Texas; bottom 32% in the U.S.
Registered Nurse hours0.290.440.69bottom 27% in Texas; bottom 9% in the U.S.
Weekend total nurse staffing2.723.043.50bottom 32% in Texas; bottom 17% in the U.S.
Weekend RN hours (not acuity-adjusted)0.250.340.48bottom 37% in Texas; bottom 21% in the U.S.
Total nursing staff turnover (%)54.255.345.8bottom 45% in Texas; bottom 27% in the U.S.
RN turnover (%)87.554.642.9bottom 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.

Quality measures: assessments & claims

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

Costs & payment

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.

Calculate a stay from a quote you receive

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.

Before you compare prices

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  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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 / managerTypeRoleStakeSince
East Texas Medical Center Regional Healthcare SystemOrganization5% or Greater Indirect Ownership Interest10%12/01/2016
Esmas, BartolomeIndividualCorporate DirectorNOT APPLICABLE12/01/2016
Golden Road Investments LLCOrganizationGeneral Partnership InterestNOT APPLICABLE04/01/2016
Kelly, JulieIndividualOperational/Managerial ControlNOT APPLICABLE04/05/2018
Kelly, JulieIndividualADP of the SNFNOT APPLICABLE04/05/2018
Michaels, JamesIndividualCorporate OfficerNOT APPLICABLE12/01/2016
Murdock, MonteIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2016
Senkoff, AlexanderIndividualOperational/Managerial ControlNOT APPLICABLE04/01/2016
Veritas Management Group LLCOrganizationOperational/Managerial ControlNOT APPLICABLE04/07/2016

All 9 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

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.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 54% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 18 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
The Waterton Healthcare & Rehabilitation1.3 miTyler, TX★★★★☆4/5
Providence Park Rehabilitation and Skilled Nursing2.1 miTyler, TX★★☆☆☆2/5
Meadow Lake Health Center2.8 miTyler, TX★★★★★5/5
Park Place Nursing & Rehabilitation Center3.8 miTyler, TX★☆☆☆☆1/5abuse
Reunion Plaza Healthcare & Rehabilitation3.9 miTyler, TX★★★★☆5/5
Avir at Azalea Heights4.3 miTyler, TX★★☆☆☆3/5
Briarcliff Health Center4.5 miTyler, TX★★☆☆☆3/5
Avir at Rose Trail4.5 miTyler, TX★☆☆☆☆1/5SFF
Avir at Petal Hill4.5 miTyler, TX★★☆☆☆2/5abuse
Oak Brook Health Care Center4.8 miWhitehouse, TX★★★☆☆4/5
The Heights of Tyler4.8 miTyler, TX★★★☆☆4/5
Greenbrier Nursing & Rehabilitation Center of Tyle7.1 miTyler, TX★★☆☆☆3/5

Compare this facility with the 3 closest →

Other facilities in the same county

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.

All facilities in Tyler →

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

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