01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-05-20 | 2 | 2026-05-20 | 1 |
| Cycle 2 | 2025-03-12 | 2 | 2025-03-12 | 0 |
| Cycle 3 | 2024-02-07 | 5 | 2024-02-07 | 1 |
CMS CCN 6764432026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Center At Grande
3219 East Grande Boulevard · Tyler, TX 75707 · Smith County
Certified beds96CMS provider file
Recent citation rows11current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
11 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-05-20 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2026-07-032026-05-20 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2026-07-032025-11-16 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-12-15 · complaint2025-03-12 · HEALTHF0640Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2025-03-132025-03-06 · HEALTHF0602Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Deficient, Provider has date of correction · 2025-03-07 · complaint2024-02-07 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-03-152024-02-07 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-03-152024-02-07 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-03-152024-02-07 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-03-152024-02-07 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-03-152024-02-07 · FIREK0374Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-03-3003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEMOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST10% · since 12/01/2016
- ESMAS, BARTOLOMEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2016
- MICHAELS, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/01/2016
- VERITAS MANAGEMENT GROUP LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/07/2016
- KELLY, JULIEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/05/2018
- MURDOCK, MONTEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2016
- SENKOFF, ALEXANDERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2016
- GOLDEN ROAD INVESTMENTS LLCOrganization · GENERAL PARTNERSHIP INTERESTNOT APPLICABLE · since 04/01/2016
- KELLY, JULIEIndividual · ADP OF THE SNFNOT APPLICABLE · since 04/05/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.19per resident day
RN hours0.36per resident day
Weekend nurse hours3.35per resident day
Staff turnover54.2%CMS reported field
06 / LOCAL RECORDS
Open the Tyler ledger →Other published facilities nearby
Avir At Azalea Heights120 beds · CMS overall 2/525 citation rowsAvir At Petal Hill120 beds · CMS overall 2/539 citation rowsAvir At Rose Trail172 beds · CMS overall 1/566 citation rowsBriarcliff Health Center230 beds · CMS overall 2/521 citation rowsGreenbrier Nursing & Rehabilitation Center Of Tyle120 beds · CMS overall 2/537 citation rowsMeadow Lake Health Center20 beds · CMS overall 5/54 citation rowsPark Place Nursing & Rehabilitation Center120 beds · CMS overall 1/538 citation rowsProvidence Park Rehabilitation And Skilled Nursing125 beds · CMS overall 2/525 citation rows