Federal inspection record · CMS data as of October 1, 2026
The Center At Grande
3219 East Grande Boulevard, Tyler, TX · (719) 522-2000
- Certified beds
- 96
- Residents per day
- 63
- Ownership
- For-Profit
- Chain
- Veritas Management Group
- Medicare / Medicaid
- Medicare
- Certified since
- April 5, 2018
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
The Center At Grande carries 8 inspection points. That is fewer than 99% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- B
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Rights1D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspection history
2026-05-20
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2025-03-12
2 health deficiencies · 0 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-02-07
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 28 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
4 h 28 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 80% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.4 pts worse | 12.6% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts better | 0.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.5 pts better | 97.9% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts better | 22.7% | 25.5% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| East Texas Medical Center Regional Healthcare System | 5% Or Greater Indirect Ownership Interest · Organization | 10% | 1 facilities |
| Esmas, Bartolome | Corporate Director · Individual | 0% | 7 facilities |
| Golden Road Investments LLC | General Partnership Interest · Organization | 0% | 1 facilities |
| Kelly, Julie | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Kelly, Julie | Adp Of The SNF · Individual | 0% | 5 facilities |
| Michaels, James | Corporate Officer · Individual | 0% | 1 facilities |
| Murdock, Monte | Operational/Managerial Control · Individual | 0% | 10 facilities |
| Senkoff, Alexander | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Veritas Management Group LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
·
Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
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Other homes nearby
-
The Waterton Healthcare & Rehabilitation
Tyler, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 29 min
- Fines
- $23,389
-
Providence Park Rehabilitation and Skilled Nursing
Tyler, TX · Stonegate Senior Living
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 24 min
- Fines
- $188,361
-
Meadow Lake Health Center
Tyler, TX · Lifespace Communities
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 2 min
- Fines
- $0