The Center at Grande
3219 East Grande Boulevard, Tyler, TX 75707
Phone: 7195222000
CMS ratings and facility information
The Center at Grande is a Medicare-certified nursing facility in Tyler, Smith County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 5 of 5 stars |
|---|---|
| Health inspection rating | 5 of 5 |
| Staffing rating | 1 of 5 |
| Quality measures rating | 5 of 5 |
| Certified beds | 96 |
| Ownership | For profit - Limited Liability company |
| CMS certification number | 676443 |
Staffing
| Total nurse hours per resident day | 4.19 |
|---|---|
| RN hours per resident day | 0.36 |
| Nurse aide hours per resident day | 2.21 |
| Total nursing staff turnover percent | 54.2 |
| RN turnover percent | 87.5 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | Not available | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | Not available | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | Not available | percent | 2025Q2-2026Q1 |
| Pressure ulcers | Not available | percent | 2025Q2-2026Q1 |
| Urinary tract infections | Not available | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | Not available | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2026-05-20 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-03-12 | 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B |
| 2024-02-07 | 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| 2024-02-07 | 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-02-07 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-02-07 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-02-07 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| ESMAS, BARTOLOME | Individual | CORPORATE DIRECTOR |
| MICHAELS, JAMES | Individual | CORPORATE OFFICER |
| VERITAS MANAGEMENT GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| KELLY, JULIE | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| MURDOCK, MONTE | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| SENKOFF, ALEXANDER | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| GOLDEN ROAD INVESTMENTS LLC | Organization | GENERAL PARTNERSHIP INTEREST |
| KELLY, JULIE | Individual | ADP OF THE SNF |
Compare nursing homes in Smith County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.