The Center At Grande
3219 EAST GRANDE BOULEVARD, Tyler, TX, 75707
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Veritas Management Group
- Certified beds
- 96 · avg 67 residents/day
- Total nursing staff turnover
- 44% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 54.5% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 149746
- Service type
- Medicare Only
- Licensed capacity
- 96 beds
- Bed type breakdown
- 96 Medicare-only
- Current license effective
- April 5, 2024
- Current license expires
- April 5, 2027
- Initial license date
- April 5, 2018
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- The Center At Grande Llc (Limited Liability Company (LLC))
- Operator / manager
- Veritas Management Group, Llc
- Administrator
- Janna D Kuechle
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Veritas Management Group chain — 15 facilities across 5 states. Chain-wide average overall rating 4.3 / 5.
Disclosed owners (8 on record)
- Julie l Kelly
W-2 Managing Employee · since 2017
- Bartolome Esmas
Corporate Director · 100% · since 2016
- East Texas Medical Center Regional Healthcare System
5% or Greater Indirect Ownership Interest · 10% · since 2016
- Golden Road Investments Llc
5% or Greater Indirect Ownership Interest · 31% · since 2016
- James p Michaels
Corporate Officer · 5% · since 2016
- Veritas Management Group Llc
Operational/managerial Control · 100% · since 2016
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 9)
- D0580·Nov 16, 2025Complaint
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.
- B0640·Mar 12, 2025
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E0602·Mar 6, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0842·Feb 7, 2024
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.
- D0755·Feb 7, 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Feb 7, 2024
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0657·Feb 7, 2024
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.
- D0655·Feb 7, 2024
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
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Feb 7, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
The Center At Grande is a 96-bed Medicare-only nursing home in Tyler, Texas, licensed through April 2027 and managed by Veritas Management Group. CMS rates it 5 stars overall, with 5-star scores on health inspections and quality measures — the top tier in both categories. Staffing is rated 2 stars, a contrast worth understanding. The facility is currently operating at about 70% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 265 minutes of total nursing care per day — below the 241-minute threshold for a 4-star staffing rating in Texas, and 33 minutes of that comes from registered nurses, compared to 37 minutes at a 4-star-staffing facility in the state. About 32% of Texas nursing homes share this staffing rating. Despite the staffing score, CMS rates quality measures at 5 stars for short-stay residents, and the health inspection record also earns 5 stars — the facility sits in the top tier on both of those dimensions.
The facility is running at roughly 70% of its 96 licensed beds — about 67 residents on an average day. That is below typical occupancy for Texas nursing homes at this care level.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 3.6 hours per resident per day here — ask how many nurses and aides are on duty during evenings, nights, and weekends specifically.
How the 2-star staffing rating is being addressed
CMS rates this facility 2 stars on staffing despite 5-star inspection and quality scores — ask what the current hiring plan is and whether open positions exist.
Why occupancy is running at 70%
About 29 of 96 licensed beds are unoccupied on a typical day — ask whether that reflects a recent census change, referral patterns, or planned operational decisions.
Resident and family council status
CMS records do not show an active Resident Council or Family Council here — ask whether either exists and how residents and families currently raise concerns with staff.
RN coverage during off-hours
Registered nurse hours average 33 minutes per resident per day — ask whether a registered nurse is on site or on call around the clock, and what the response protocol is at night.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.