Nursing homeActive
The Center At Grande
3219 East Grande Boulevard, Tyler, TX 75707719522200096 certified beds · 70 residentsFor profit - Limited Liability companyMedicare
Surveys on file
5
since 2024
Deficiencies
9
● 1● 8● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-05-20
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-20 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-12 | Standard | 100 | CMS-2567 (Care Compare) | — |
| 2025-03-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-07 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-03Record 676443-20260520-F609
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-15Record 676443-20251116-F580
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2025-03-13Record 676443-20250312-F640
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-07Record 676443-20250306-F602
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676443-20240207-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676443-20240207-F657
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676443-20240207-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676443-20240207-F755
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 676443-20240207-F842
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.36
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day4.19
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.35
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover54%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover88%
Facility
Texas
National
Texas 55% · National 43%
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| East Texas Medical Center Regional Healthcare System Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | — | — |
| Kelly, Julie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Murdock, Monte Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Senkoff, Alexander Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Veritas Management Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Esmas, Bartolome Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Golden Road Investments LLC Organization | GENERAL PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kelly, Julie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Michaels, James Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Veritas Management Group — 13 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Smith.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Waterton Healthcare & Rehabilitation Tyler | 1.3 mi | 2026-05-06 | 082 |
| Providence Park Rehabilitation and Skilled Nursing Tyler | 2.1 mi | 2026-06-15 | 1142 |
| Meadow Lake Health Center Tyler | 2.8 mi | 2025-09-24 | 020 |
| Park Place Nursing & Rehabilitation Center Tyler | 3.8 mi | 2026-04-22 | 0283 |
| Reunion Plaza Healthcare & Rehabilitation Tyler | 3.9 mi | 2025-08-07 | 050 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |