Cycle 1
Health 2025-03-12 · Fire 2025-03-12
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Tyler, TX
The Center At Grande
5-star overall rating with 5-star inspections with 3 recent health deficiencies
3219 East Grande Boulevard, Tyler, TX
(719) 522-2000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
96
Certified beds
Average residents
67
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Veritas Management Group
Operator or chain grouping
Approved since
2018-04-05
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
15 facilities
Chain averages 4 overall / 4 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.55
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.51
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
4.41
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.56
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.68
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,399
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9857
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.51
Baseline 24.62% · Performance 19.30% · Measure score 6.51 · Achievement 4.60 · Improvement 6.51
Healthcare-associated infections
1.22
Baseline 8.19% · Performance 7.64% · Measure score 1.22 · Achievement 0.66 · Improvement 1.22
Total nurse turnover
2
Baseline 67.92% · Performance 57.14% · Measure score 2 · Achievement 1.60 · Improvement 2
Adjusted total nurse staffing
2.22
Baseline 5.11 hours · Performance 3.71 hours · Measure score 2.22 · Achievement 2.22 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.28% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 720 · Observed rate 8.61% · Lower 95% interval 8.32% |
| Discharge to community | 62.76% |
50.57%
12.2 pts better
|
Better than the National Rate · Eligible stays 716 · Observed rate 66.06% · Lower 95% interval 59.8% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 89.26% |
95.27%
6 pts worse
|
Numerator 374 · Denominator 419 |
| Falls with major injury | 0.24% |
0.77%
0.5 pts better
|
Numerator 1 · Denominator 419 |
| Discharge self-care score | 64.48% |
53.69%
10.8 pts better
|
Numerator 216 · Denominator 335 |
| Discharge mobility score | 71.94% |
50.94%
21 pts better
|
Numerator 241 · Denominator 335 |
| Pressure ulcers or injuries, new or worsened | 0.72% |
2.29%
1.6 pts better
|
Numerator 3 · Denominator 419 · Adjusted rate 0.8% |
| Healthcare-associated infections requiring hospitalization | 7.64% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 396 · Observed rate 6.06% · Lower 95% interval 5.45% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 148 |
| Staff flu vaccination coverage | 14.01% |
42%
28 pts worse
|
Numerator 44 · Denominator 314 |
| Discharge function score | 67.16% |
56.45%
10.7 pts better
|
Numerator 225 · Denominator 335 |
| Transfer of health information to provider | 99.04% |
95.95%
3.1 pts better
|
Numerator 308 · Denominator 311 |
| Transfer of health information to patient | 87.74% |
96.28%
8.5 pts worse
|
Numerator 93 · Denominator 106 |
| Resident COVID-19 vaccinations up to date | 54.63% |
25.2%
29.4 pts better
|
Numerator 118 · Denominator 216 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
89.7%
9.9 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 98.8% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.2% |
12.0%
2.2 pts worse
|
12.0%
2.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.2% · Observed 13.1% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% |
1.5%
1.4 pts better
|
1.6%
1.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.2% · Q4 0.3% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.9% |
88.0%
8.9 pts better
|
79.7%
17.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.4% |
25.9%
3.5 pts better
|
23.9%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 19.0% · Expected 20.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-07 · Fire 2024-02-07
5 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2022-12-07 · Fire 2022-12-07
1 health deficiencies
Top issue: Administration (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-02-07
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-03-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-16
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-15
B · Minimal harm
2025-03-12
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-03-13
E · Potential for more than minimal harm
2025-03-06
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-03-07
D · Potential for more than minimal harm
2024-02-07
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-07
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-07
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-07
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-15
D · Potential for more than minimal harm
2024-02-07
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-15
E · Potential for more than minimal harm
2022-12-07
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-12-30
Penalties and ownership
What sits behind the stars
Ownership
Golden Road Investments LLC
5% Or Greater Indirect Ownership Interest · Organization
East Texas Medical Center Regional Healthcare System
5% Or Greater Indirect Ownership Interest · Organization
Esmas, Bartolome
Corporate Director · Individual
Kelly, Julie
W-2 Managing Employee · Individual
Michaels, James
Corporate Officer · Individual
Murdock, Monte
Operational/Managerial Control · Individual
Senkoff, Alexander
Operational/Managerial Control · Individual
Veritas Management Group LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
The Waterton Healthcare & Rehabilitation
Tyler, TX
4-star overall rating with 4-star inspections with $9,009 in total fines with 2 recent health deficiencies
#2
Providence Park Rehabilitation and Skilled Nursing
Tyler, TX
3-star overall rating with 2-star inspections with $265,674 in total fines with 3 recent health deficiencies
#3
Meadow Lake Health Center
Tyler, TX
5-star overall rating with 5-star inspections with 1 recent health deficiencies
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