Texas › Hood County › Granbury
Avir At Granbury
600 Reunion Ct., Granbury, TX 76048
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 90 beds, Avir At Granbury serves Granbury in Hood County, Texas and has taken Medicare and Medicaid residents since 1992.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 1.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (11, 9, 8 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 31.1 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $66K.
Reported nurse staffing is 3.1 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 69.6%.
Compared with county, state and nation
| Measure | This facility | Hood Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 28 | 25 | 28.7 |
| Citations per 100 beds | 31.1 | 22.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 69.6% | 69.6% | 52.1% | 45.8% |
| Fines listed | $66,367 | $37,501 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2025, 16 May 2024.
Severity mix: J ×2 D ×10 E ×13 F ×1 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 13 May 2026 |
| 23 Apr 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint investigation | 15 May 2026 |
| 5 Dec 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 12 Dec 2025 |
| 4 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 27 Jun 2025 |
| 4 Jun 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 27 Jun 2025 |
| 4 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Jun 2025 |
| 4 Jun 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard survey | 27 Jun 2025 |
| 4 Jun 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 27 Jun 2025 |
| 4 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Jun 2025 |
| 4 Jun 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 27 Jun 2025 |
| 4 Jun 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 27 Jun 2025 |
| 22 May 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 13 Jun 2025 |
| 8 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 9 Jun 2024 |
| 8 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 9 Jun 2024 |
| 8 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 9 Jun 2024 |
| 16 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 7 Jun 2024 |
| 16 May 2024 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Complaint investigation | 7 Jun 2024 |
| 16 May 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 7 Jun 2024 |
| 16 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 Jun 2024 |
| 16 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 7 Jun 2024 |
| 16 May 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint investigation | 7 Jun 2024 |
| 16 May 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 7 Jun 2024 |
| 16 May 2024 | F0910 | Ensure resident rooms meet each resident's needs. | B | Complaint investigation | 7 Jun 2024 |
| 27 Nov 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Complaint investigation | 11 Jan 2024 |
| 27 Nov 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 11 Jan 2024 |
| 29 Mar 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 29 Apr 2023 |
| 29 Mar 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Standard survey | 30 Apr 2023 |
| 29 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 May 2024 | Fine | $66,367 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 69.6%, RNs 80.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 35.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 11.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 51.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 11.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hood County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Harbor Lakes Nursing and Rehabilitation Center | Granbury | 142 | 5 | 5 | 2 | 16 | 11.3 | — | 11 Sep 2025 |
| Granbury Rehab & Nursing | Granbury | 95 | 2 | 3 | 1 | 21 | 22.1 | — | 25 Jun 2026 |
| Granbury Care Center | Granbury | 174 | 1 | 2 | 1 | 37 | 21.3 | $38K | 30 Mar 2026 |
All 4 facilities in Hood County
Questions and answers
How many deficiencies has Avir At Granbury been cited for?
28 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Granbury been fined?
Yes. CMS lists fines totalling $66K in the period covered.
How does staffing at Avir At Granbury compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Granbury?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Avir At Granbury last inspected?
The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 4 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.