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Nursing homeFAID #14788

The Center At Grande

3219 EAST GRANDE BOULEVARD, TYLER, TX, 75707
(719) 522-2000
96 licensed beds
★★★★★5/5CMS Five-Star overall5/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
96
CMS facility ID
676443
Care type
Nursing home
County
Smith
Facility name
The Center At Grande
Street address
3219 EAST GRANDE BOULEVARD
City / state / ZIP
Tyler, TX 75707
Phone
(719) 522-2000

The Center At Grande is a Medicare/Medicaid-certified skilled nursing facility in Tyler, Texas. It is licensed for 96 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 45 senior care facilities in Tyler and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Center At Grande 11 times across 8 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Veritas Management Group
Ownership type
For profit - Limited Liability company

Registered owners & officers

East Texas Medical Center Regional Healthcare System
Indirect owner — 10% stake — since 2016
Esmas, Bartolome
Director — since 2016
Golden Road Investments Llc
Partner — since 2016
Kelly, Julie
Operational control · Additional disclosable party — since 2018
Michaels, James
Officer — since 2016
Murdock, Monte
Operational control — since 2016
Senkoff, Alexander
Operational control — since 2016
Veritas Management Group Llc
Operational control — since 2016

Regulatory standing

Licensed / certified since
2018-04-05
CMS overall rating
5 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-05-20
Nurse staffing
4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$898 per day (≈ $27,300/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
0% Medicaid · 61% Medicare · 39% private/other
Occupancy
61% (fiscal year 2023)
Vs. state median
224% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
96
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-05-20Health inspection1 citation
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-07-03
2025-11-16Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
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
5 earlier / fire-safety inspections (9 citations)
2025-03-12Health inspection1 citation
F-0640
B · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-03-13
2025-03-06Health inspectionComplaint-triggered1 citation
F-0602
E · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-03-07
2024-02-07Health inspection5 citations
F-0655
D · No harm found
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
F-0657
D · No harm found
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
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-15
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-15
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-15
2026-05-20Fire-safety inspection1 citation
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-07-03
2024-02-07Fire-safety inspection1 citation
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-03-30
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676443.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 11 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered