Texas › Hood County › Granbury
Granbury Care Center
301 South Park Street, 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 174 beds, Granbury Care Center serves Granbury in Hood County, Texas and has taken Medicare and Medicaid residents since 1991.
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 3.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (10, 12, 15 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 21.3 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $38K.
Reported nurse staffing is 2.7 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 94.2%.
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 | 37 | 28 | 25 | 28.7 |
| Citations per 100 beds | 21.3 | 22.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 94.2% | 69.6% | 52.1% | 45.8% |
| Fines listed | $37,501 | $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: 19 Feb 2026, 4 Dec 2024.
Severity mix: J ×1 K ×1 D ×14 E ×21
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 |
|---|---|---|---|---|---|
| 30 Mar 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 1 Apr 2026 |
| 19 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 20 Feb 2026 |
| 19 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 20 Feb 2026 |
| 19 Feb 2026 | 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 | Standard survey | 20 Feb 2026 |
| 12 Sep 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 28 Aug 2025 |
| 3 Jul 2025 | 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 | 4 Jul 2025 |
| 3 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 4 Jul 2025 |
| 2 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 27 May 2025 |
| 24 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 25 Mar 2025 |
| 10 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Jan 2025 |
| 4 Dec 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 5 Dec 2024 |
| 4 Dec 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 5 Dec 2024 |
| 4 Dec 2024 | 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 | 5 Dec 2024 |
| 4 Dec 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 5 Dec 2024 |
| 4 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Dec 2024 |
| 16 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 17 Oct 2024 |
| 16 Oct 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 | 17 Oct 2024 |
| 29 Jul 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 27 Jul 2024 |
| 29 Jul 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 | 30 Jul 2024 |
| 23 Jul 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 24 Jul 2024 |
| 5 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 May 2024 |
| 21 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 22 Feb 2024 |
| 21 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 22 Feb 2024 |
| 21 Feb 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 | 22 Feb 2024 |
| 21 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 22 Feb 2024 |
| 21 Feb 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 22 Feb 2024 |
| 16 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 17 Nov 2023 |
| 16 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. | E | Standard survey | 17 Nov 2023 |
| 16 Nov 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 | 17 Nov 2023 |
| 16 Nov 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 17 Nov 2023 |
| 16 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Nov 2023 |
| 3 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 4 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Sep 2025 | Fine | $16,394 | |
| 21 Feb 2024 | Fine | $21,107 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 94.2%, RNs 75.0%; 2 administrators 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 | 13.8% | 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 | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.1% | 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: government, hospital district. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Creative Solutions In Healthcare At Granbury LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2022 |
| Creative Solutions In Healthcare At Granbury LLC | Adp of the snf | NOT APPLICABLE | 05/30/2025 |
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 |
| Avir At Granbury | Granbury | 90 | 1 | 2 | 1 | 28 | 31.1 | $66K | 23 Apr 2026 |
All 4 facilities in Hood County
Questions and answers
How many deficiencies has Granbury Care Center been cited for?
37 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 Granbury Care Center been fined?
Yes. CMS lists fines totalling $38K in the period covered.
How does staffing at Granbury Care Center compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Granbury Care Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Creative Solutions In Healthcare At Granbury LLC. Individual owners and managers are not listed on this site.
When was Granbury Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 Mar 2026; the most recent standard health survey was 19 Feb 2026.
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.