CCN 676443 · Smith County, Texas
The Center at Grande
3219 East Grande Boulevard, Tyler, TX 75707
The Center at Grande is a 96-bed for-profit nursing home in Tyler, Texas, first certified for Medicare or Medicaid in 2018. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 70.2 residents a day, about 73% of its certified beds. It has an active FHA-insured Section 232 loan: $18.7 million originally, at 5.68%, with $18.6 million outstanding as of September 30, 2026 and maturity in March 2061.
Facility facts
- Certified beds
- 96
- Average residents per day
- 70.2 (73.1% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare
- Legal business name
- The Center at Grande LLC
- Certified since
- Apr 5, 2018
- Chain or affiliated group
- Veritas Management Group (13 facilities, chain average 4.3 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 5 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 5 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 4.19 | 3.27 | 3.68 |
| RN hours per resident per day | 0.36 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 3.35 | ||
| Nursing staff turnover | 54.2% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 73.1% | 68.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 2 (May 20, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Center at Grande meets that part today: 5 stars overall, 5 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| East Texas Medical Center Regional Healthcare SystemOrganization | Indirect Ownership Interest | 10% | 12/01/2016 |
| Veritas Management Group LLCOrganization | Operational / Managerial Control | n/a | 04/07/2016 |
| Kelly, JulieIndividual | Operational / Managerial Control | n/a | 04/05/2018 |
| Murdock, MonteIndividual | Operational / Managerial Control | n/a | 04/01/2016 |
| Senkoff, AlexanderIndividual | Operational / Managerial Control | n/a | 04/01/2016 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Feb 5, 2026 | 223(f) refinance or purchaseHUD project name: The Center at Grande, 96 beds. Lender at endorsement: Walker and Dunlop LLC | $18,700,000 | Active: 5.68%, $18,614,245 balanceMatures Mar 1, 2061. Servicer: Walker and Dunlop LLC | 11322366 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.