Skilled nursing facility · CMS certification number 676443
THE CENTER AT GRANDE
TYLER, Texas · Medicare · 96 certified beds in Care Compare
Download THE CENTER AT GRANDE’s record (CSV, each figure with its worksheet, line and column)
THE CENTER AT GRANDE: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on December 12, 2025.
- Net patient revenue rose from $10.8M in fiscal year 2023 to $11.6M in fiscal year 2024.
- Its result from service to patients: −$1.4M (2022), −$291K (2023), $648K (2024).
- Its cost reports on file run from fiscal year 2018 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on December 12, 2025, 7 changes are listed on this record: 2 owner changes and 5 owner changes.
- Its net patient revenue of $11.6M ranks 82nd of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 2 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a gain on service to patients.
THE CENTER AT GRANDE: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1444514 | 2023 · report 1421152 | 2022 · report 1373948 | 2021 · report 1359390 | 2020 · report 1339371 | 2019 · report 1311729 | 2018 · report 1241877 |
|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | April 5, 2018 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 |
| Days, where not a full year | — | — | — | — | — | — | 270 |
| Processed by CMS | December 12, 2025 | April 21, 2025 | February 27, 2024 | July 20, 2023 | December 30, 2022 | March 9, 2022 | August 22, 2019 |
| Total patient revenue | $18,922,456 | $19,128,686 | $19,651,896 | $22,848,677 | $23,817,119 | $26,637,742 | $11,229,596 |
| Contractual allowances and discounts | $7,301,733 | $8,351,749 | $9,006,460 | $10,415,342 | $11,465,065 | $13,364,528 | $5,820,529 |
| Net patient revenue | $11,620,723 | $10,776,937 | $10,645,436 | $12,433,335 | $12,352,054 | $13,273,214 | $5,409,067 |
| Total operating expenses | $10,972,369 | $11,067,974 | $12,037,602 | $13,323,951 | $12,708,859 | $13,140,303 | $8,005,832 |
| Net income from service to patients | $648,354 | −$291,037 | −$1,392,166 | −$890,616 | −$356,805 | $132,911 | −$2,596,765 |
| Total other income | $166,619 | $2,333,652 | $1,950,902 | $1,638,002 | $354,506 | $7,572 | $3,232 |
| Net income after other income | $814,973 | $2,042,615 | $558,736 | $747,386 | −$2,299 | $140,483 | −$2,593,533 |
| Net income | $814,973 | $2,042,615 | $558,736 | $747,386 | −$2,299 | $140,483 | −$2,593,533 |
| Total facility beds, all components | 96 | 96 | 96 | 96 | 96 | 96 | 96 |
| Bed days available, all components | 35,136 | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 11,464 | — | — | — | — | — | — |
| Other-payer patient days | 9,644 | — | — | — | — | — | — |
| Total patient days, all components | 21,108 | 21,309 | 21,784 | 26,193 | 25,195 | 26,633 | 11,379 |
| Medicare discharges | 417 | — | — | — | — | — | — |
| Other-payer discharges | 695 | — | — | — | — | — | — |
| Total discharges, all components | 1,112 | 2,133 | 1,096 | 1,287 | 1,289 | 1,181 | 538 |
| Average length of stay, Medicare, in days | 27.49 | 24.5 | 23.18 | 24.24 | 22.29 | 24.01 | 20.7 |
| Average length of stay, Medicaid, in days | — | — | — | — | — | 17.57 | 23.16 |
| Average length of stay, all patients, in days | 18.98 | 9.99 | 19.88 | 20.35 | 19.55 | 22.55 | 21.15 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018. Checked against the form’s own arithmetic: what that check shows.
THE CENTER AT GRANDE: nurse staffing hours by quarter →
Who owns THE CENTER AT GRANDE, as filed with CMS
Care Compare
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM (organization), 10%%, since 12/01/2016
- ADP OF THE SNF: KELLY, JULIE (individual), NOT APPLICABLE, since 04/05/2018
- CORPORATE DIRECTOR: ESMAS, BARTOLOME (individual), NOT APPLICABLE, since 12/01/2016
- CORPORATE OFFICER: MICHAELS, JAMES (individual), NOT APPLICABLE, since 12/01/2016
- GENERAL PARTNERSHIP INTEREST: GOLDEN ROAD INVESTMENTS LLC (organization), NOT APPLICABLE, since 04/01/2016
- OPERATIONAL/MANAGERIAL CONTROL: KELLY, JULIE (individual), NOT APPLICABLE, since 04/05/2018; MURDOCK, MONTE (individual), NOT APPLICABLE, since 04/01/2016; SENKOFF, ALEXANDER (individual), NOT APPLICABLE, since 04/01/2016; VERITAS MANAGEMENT GROUP LLC (organization), NOT APPLICABLE, since 04/07/2016
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of THE CENTER AT GRANDE LLC (enrollment ID O20170718001477).
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST: EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM (organization), 10.31%, since 12/01/2016
- ADP OF THE SNF: JULIE L KELLY (individual), since 04/05/2018; No owner named in the filing (individual), since 04/08/2025; No owner named in the filing (individual), since 04/08/2025
- CORPORATE DIRECTOR: BARTOLOME ESMAS (individual), 100.00%, since 12/01/2016
- CORPORATE OFFICER: JAMES P MICHAELS (individual), 5.00%, since 12/01/2016
- DIRECT OWNERSHIP INTEREST: No owner named in the filing (individual), since 05/01/2018
- GENERAL PARTNERSHIP INTEREST: GOLDEN ROAD INVESTMENTS LLC (organization), since 04/01/2016
- OPERATIONAL/MANAGERIAL CONTROL: ALEXANDER SENKOFF (individual), 50.00%, since 04/01/2016; JULIE L KELLY (individual), since 04/05/2018; MONTE S. MURDOCK (individual), 50.00%, since 04/01/2016; VERITAS MANAGEMENT GROUP LLC (organization), 100.00%, since 04/07/2016
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM; GOLDEN ROAD INVESTMENTS LLC; VERITAS MANAGEMENT GROUP LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: JULIE L KELLY; No owner named in the filing; No owner named in the filing; BARTOLOME ESMAS; JAMES P MICHAELS; No owner named in the filing; ALEXANDER SENKOFF; JULIE L KELLY; MONTE S. MURDOCK.
Changes in ownership
- July 1, 2026, enrollment ownership file; no longer listed: JULIE L KELLY (W-2 MANAGING EMPLOYEE); GOLDEN ROAD INVESTMENTS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: a listing under DIRECT OWNERSHIP INTEREST with no owner named, associated since May 1, 2018; a listing under ADP OF THE SNF with no owner named, associated since April 8, 2025; JULIE L KELLY (ADP OF THE SNF), associated since April 5, 2018; JULIE L KELLY (OPERATIONAL/MANAGERIAL CONTROL), associated since April 5, 2018; GOLDEN ROAD INVESTMENTS LLC (GENERAL PARTNERSHIP INTEREST), associated since April 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
Inspections of THE CENTER AT GRANDE
- Cycle 1: health May 20, 2026 (2 deficiencies), fire safety May 20, 2026 (1)
- Cycle 2: health March 12, 2025 (2 deficiencies), fire safety March 12, 2025 (0)
- Cycle 3: health February 7, 2024 (5 deficiencies), fire safety February 7, 2024 (1)
Deficiencies cited at THE CENTER AT GRANDE
9 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 2 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0609, freedom from abuse, neglect, and exploitation: May 20, 2026 (D, corrected July 3, 2026).
- F 0580, resident rights: November 16, 2025 (D, from a complaint, corrected December 15, 2025).
- F 0640, resident assessment and care planning: March 12, 2025 (B, corrected March 13, 2025).
- F 0602, freedom from abuse, neglect, and exploitation: March 6, 2025 (E, from a complaint, corrected March 7, 2025).
- F 0655, resident assessment and care planning: February 7, 2024 (D, corrected March 15, 2024).
- F 0657, resident assessment and care planning: February 7, 2024 (D, corrected March 15, 2024).
- F 0695, quality of life and care: February 7, 2024 (D, corrected March 15, 2024).
- F 0755, pharmacy service: February 7, 2024 (D, corrected March 15, 2024).
- F 0842, resident assessment and care planning: February 7, 2024 (D, corrected March 15, 2024).
THE CENTER AT GRANDE in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: THE CENTER AT GRANDE LLC
- Date First Approved to Provide Medicare and Medicaid Services: 2018-04-05
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Smith
- Telephone Number: 7195222000
- Chain Name: VERITAS MANAGEMENT GROUP
- Chain ID: 545
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: None
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 62.9
- Overall Rating: 5
- Health Inspection Rating: 5
- QM Rating: 5
- Short-Stay QM Rating: 5
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for THE CENTER AT GRANDE: no penalty in Care Compare.
Other nursing facilities in TYLER
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