Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.36 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
THE CENTER AT GRANDE has 96 certified beds in TYLER, Texas. The CMS overall rating is 5 of 5, compared with the Texas average of 2.6. The CMS health inspection rating is 5 of 5, compared with the Texas average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on May 20, 2026 lists 1 deficiencies, compared with the Texas average of 5.6. Total nurse staffing is 4.19 hours per resident day in 2026Q1, compared with the Texas average of 3.39.
Nearby facilities
- Avir at Azalea Heights TYLER
- Avir at Petal Hill Tyler
- Avir at Rose Trail TYLER
- BRIARCLIFF HEALTH CENTER TYLER
- Greenbrier Nursing & Rehabilitation Center of Tyle TYLER
- MEADOW LAKE HEALTH CENTER TYLER
- Park Place Nursing & Rehabilitation Center Tyler
- Providence Park Rehabilitation and Skilled Nursing Tyler
- REUNION PLAZA HEALTHCARE & REHABILITATION TYLER
- The Heights of Tyler Tyler
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 676443.
At a glance
CMS research snapshot
CMS overall rating
5 of 5
CMS health inspection rating
5 of 5
CMS staffing rating
1 of 5
CMS quality-measure rating
5 of 5
CMS ownership-change history
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEMOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10.31% ownership interest
- EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEMOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- GOLDEN ROAD INVESTMENTS LLCOrganizationGENERAL PARTNERSHIP INTEREST
- GOLDEN ROAD INVESTMENTS LLCOrganizationGENERAL PARTNERSHIP INTEREST
- Individual name not published by CMSIndividual ownerDIRECT OWNERSHIP INTEREST
Operators
- KELLY, JULIEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- KELLY, JULIEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MURDOCK, MONTEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MURDOCK, MONTEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL50% ownership interest
- SENKOFF, ALEXANDERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL50% ownership interest
- SENKOFF, ALEXANDERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- VERITAS MANAGEMENT GROUP LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
- VERITAS MANAGEMENT GROUP LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- KELLY, JULIEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- KELLY, JULIEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- MURDOCK, MONTEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- MURDOCK, MONTEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL50% ownership interest
- SENKOFF, ALEXANDERIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL50% ownership interest
- SENKOFF, ALEXANDERIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- VERITAS MANAGEMENT GROUP LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
- VERITAS MANAGEMENT GROUP LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- THE CENTER AT GRANDE LLCOrganization · CURRENTMedicare-enrolled legal organization
- THE CENTER AT GRANDE LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEMOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10.31% ownership interest
- EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEMOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- GOLDEN ROAD INVESTMENTS LLCOrganization · UNKNOWNGENERAL PARTNERSHIP INTEREST
- GOLDEN ROAD INVESTMENTS LLCOrganization · UNKNOWNGENERAL PARTNERSHIP INTEREST
- Individual name not published by CMSIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
Ownership change history
CMS ownership-change records
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 96
- Ownership descriptor
- For profit - Limited Liability company
- Medicare participation
- Yes
- Medicaid participation
- No
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 7195222000CMS Provider Information
State regulatory evidence
State License & Oversight
Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
Texas Health and Human Services Commission
- State license
- 149746
- License type
- Nursing Facility
State regulatory data · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1396291969 · enrollment O20170718001477
- NPI 1396291969 · enrollment O20170718001477
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 9
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 9
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 9
- Percentage of long-stay residents who lose too much weight (Long Stay): 9
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 9
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 9
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 9
- Percentage of long-stay residents with pressure ulcers (Long Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 100.000000
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.135777 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 96.868885
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2026-05-20 · tag 0374 · scope/severity E — Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 2024-02-07 · tag 0374 · scope/severity D — Install smoke barrier doors that can resist smoke for at least 20 minutes.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on May 20, 2026 cited 1 deficiencies.
View inspection evidenceOwnership
CMS-published records list 22 ownership or control parties.
View ownership evidenceChain context
CMS groups this facility with a chain covering 15 facilities across 5 states or territories.
View chain evidenceOwnership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - Limited Liability companyCMS
- Chain
- VERITAS MANAGEMENT GROUPCMS identifies this facility as part of the VERITAS MANAGEMENT GROUP chain.
- Related facilities
- 4Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 2 CMS-reported ownership organizations
- CMS reports 15 individual ownership interests
- a CMS chain / common-control group
Related facilities
4 currently connected nursing homes share this CMS organization identity with VERITAS MANAGEMENT GROUP LLC.
- Average CMS overall rating
- 4.3 stars across 4 reporting facilities
- CMS monetary penalties
- 1 of 4 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 1 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 1 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 4 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $12,740
Ownership
Who CMS records show is connected to this facility
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
- Reported party records
- 22
- Organizations shown
- 7
- Individuals shown
- 15
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Dec 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
KELLY, JULIE
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 5, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
ESMAS, BARTOLOME
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 1, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MICHAELS, JAMES
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 1, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GOLDEN ROAD INVESTMENTS LLC
Organization · GENERAL PARTNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
KELLY, JULIE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 5, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MURDOCK, MONTE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SENKOFF, ALEXANDER
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
VERITAS MANAGEMENT GROUP LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 7, 2016
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
EAST TEXAS MEDICAL CENTER REGIONAL HEALTHCARE SYSTEM
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10.31%
Association date reported to CMS: Dec 1, 2016
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 8, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 8, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
KELLY, JULIE
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 5, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
ESMAS, BARTOLOME
Individual · CORPORATE DIRECTOR
Published ownership percentage: 100%
Association date reported to CMS: Dec 1, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MICHAELS, JAMES
Individual · CORPORATE OFFICER
Published ownership percentage: 5%
Association date reported to CMS: Dec 1, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 1, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GOLDEN ROAD INVESTMENTS LLC
Organization · GENERAL PARTNERSHIP INTEREST
Association date reported to CMS: Apr 1, 2016
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
KELLY, JULIE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 5, 2018
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MURDOCK, MONTE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 50%
Association date reported to CMS: Apr 1, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SENKOFF, ALEXANDER
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 50%
Association date reported to CMS: Apr 1, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
VERITAS MANAGEMENT GROUP LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 100%
Association date reported to CMS: Apr 7, 2016
Other facilities connected through this exact CMS organization identity: 12 across AZ, CO, DE, KS, TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
THE CENTER AT GRANDE LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS records connect VERITAS MANAGEMENT GROUP LLC to 13 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with VERITAS MANAGEMENT GROUP
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 545 is a grouping identifier, not a legal organization.
- Facilities
- 15
- States and territories
- 5
- Average overall rating
- 4.1
- Average staffing rating
- 3.2
- Average total nurse HPRD
- 4.7
- Total fines
- 4
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 15 | 4.1 | 3.2 |
| Mon Jun | 15 | 4.2 | 3.4 |
| Fri May | 15 | 4.2 | 3.4 |
| Wed Apr | 15 | 4.3 | 3.4 |
| Sun Mar | 15 | 4.3 | 3.3 |
| Sun Feb | 15 | 4.2 | 3.3 |
Questions to ask
- CMS groups facilities in 5 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 4 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- May 20, 2026
- Survey type
- Fire Safety Standard
- Linked findings
- 0
- Highest linked CMS classification
- No linked health-deficiency finding in the loaded record
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:149067:ccn:676443
May 20, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
May 20, 2026 — Health Standard — 1 linked finding
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 3, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:417526:ccn:676443
Nov 16, 2025 — Health Complaint — 1 linked finding
F0580 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 15, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:417527:ccn:676443
Mar 12, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Mar 12, 2025 — Health Standard — 1 linked finding
F0640 — Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 13, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:417528:ccn:676443
Mar 6, 2025 — Health Complaint — 1 linked finding
F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 7, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:417529:ccn:676443
Feb 7, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Feb 7, 2024 — Health Standard — 5 linked findings
F0655 — 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
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:417530:ccn:676443
F0657 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:417531:ccn:676443
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:417532:ccn:676443
F0755 — Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:417533:ccn:676443
F0842 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 15, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 676443
- Source record locator
- csv-row:417534:ccn:676443
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Facility history
Facility History
8 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Total nurse staffing decreasedTotal nurse staffing decreased from 4.62 to 4.19 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
- Complaint inspection recorded1 deficiency was recorded.
2026
- Total nurse staffing decreased
Total nurse staffing decreased from 4.62 to 4.19 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
4.62 → 4.19
CMS · Reported in a source release · View related evidence
2025
- Total nurse staffing increased
Total nurse staffing increased from 4.41 to 4.62 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
4.41 → 4.62
CMS · Reported in a source release · View related evidence
- RN staffing decreased
RN staffing decreased from 0.55 to 0.41 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.55 → 0.41
CMS · Reported in a source release · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2022
- Health inspection completed
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 4.191 reported hours per resident day
- RN categories
- 0.36 reported hours per resident day
- LPN/LVN categories
- 1.617 reported hours per resident day
- CNA
- 2.214 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.532 | 3.346 |
| RN categories | 0.404 | 0.249 |
Contract staff accounted for 4.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.049 lower than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.448 | 0.485 | 1.604 | 2.359 | 2.6% | 91 |
| 2025Q3 | 4.413 | 0.55 | 1.506 | 2.357 | 3.3% | 92 |
| 2025Q4 | 4.615 | 0.408 | 1.806 | 2.401 | 3.2% | 92 |
| 2026Q1 | 4.191 | 0.36 | 1.617 | 2.214 | 4.3% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 5-star overall rating.
- CMS reports a 5-star health inspection rating.
- CMS reports a 1-star staffing rating.
- CMS reports a 5-star quality-measure rating.
Trust participation
See something that needs correction?
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Suggest a correctionReport a source-data concernRepresent this facility? Submit a representation claim
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
See where this record came from
Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
Directory of Nursing Facilities with an Active License
- Source organization
- Texas Health and Human Services Commission
- Dataset identifier
- state-regulator:tx
- Coverage
- State license 149746
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- state license, and license type. Separate from CMS certification, ratings, and ownership.
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.