Elder Care Record

Texas › Hood County › Granbury

Granbury Rehab & Nursing

2124 Paluxy Hwy, Granbury, TX 76048

CCN 455929 · For-profit, limited liability company · 95 certified beds · chain Creative Solutions In Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 95 beds, Granbury Rehab & Nursing serves Granbury in Hood County, Texas and has taken Medicare and Medicaid residents since 1991.

CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 4.

Inspectors recorded 21 health deficiencies across the three most recent survey cycles (14, 4, 3 by cycle, most recent first), none at the actual-harm level. That is 22.1 per 100 beds, about the same as the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 52.8%.

21health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.0nurse hours per resident per daystate median 3.3
82%occupancy (residents ÷ beds)78 residents a day

Compared with county, state and nation

MeasureThis facilityHood Co. medianTexas medianUS average
Overall star rating2233.0
Health citations, 3 cycles21282528.7
Citations per 100 beds22.122.122.526.8
Total nurse hours per resident day3.03.13.33.9
RN hours per resident day0.50.40.40.7
Nursing staff turnover52.8%69.6%52.1%45.8%
Fines listed$0$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

Cycle 1 (latest)14
Cycle 24
Cycle 33

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Dec 2025, 1 Aug 2024.

Severity mix: D ×7 E ×10 F ×3 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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Jun 2026F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DComplaint investigation5 Aug 2026
25 Jun 2026F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation5 Aug 2026
25 Jun 2026F0732Post nurse staffing information every day.CComplaint investigation5 Aug 2026
2 Jun 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation30 Jun 2026
2 Dec 2025F0803Ensure 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.FStandard survey3 Dec 2025
2 Dec 2025F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey3 Dec 2025
2 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey3 Dec 2025
2 Dec 2025F0680Ensure the activities program is directed by a qualified professional.EStandard survey3 Dec 2025
2 Dec 2025F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard survey3 Dec 2025
2 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey3 Dec 2025
2 Dec 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey3 Dec 2025
2 Dec 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey3 Dec 2025
2 Dec 2025F0761Ensure 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.DStandard survey3 Dec 2025
2 Dec 2025F0880Provide and implement an infection prevention and control program.DStandard survey3 Dec 2025
1 Aug 2024F0576Ensure residents have reasonable access to and privacy in their use of communication methods.FStandard survey30 Aug 2024
1 Aug 2024F0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.EStandard survey30 Aug 2024
1 Aug 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard survey30 Aug 2024
1 Aug 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey30 Aug 2024
14 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Jul 2023
14 Jun 2023F0641Ensure each resident receives an accurate assessment.EStandard survey14 Jul 2023
14 Jun 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey14 Jul 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.03 h
Nurse aides1.64 h
LPN0.88 h
RN0.52 h
Weekend total2.59 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 52.8%, RNs 53.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay17.1%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.7%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.4%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay2.6%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: Coryell County Memorial Hospital Authority. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
Advanced Hcs LLCOperational/managerial controlNOT APPLICABLE10/01/2014
Coryell County Memorial Hospital AuthorityOperational/managerial controlNOT APPLICABLE09/01/2014

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Harbor Lakes Nursing and Rehabilitation CenterGranbury1425521611.3—11 Sep 2025
Avir At GranburyGranbury901212831.1$66K23 Apr 2026
Granbury Care CenterGranbury1741213721.3$38K30 Mar 2026

All 4 facilities in Hood County

Questions and answers

How many deficiencies has Granbury Rehab & Nursing been cited for?

21 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Granbury Rehab & Nursing been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Granbury Rehab & Nursing compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Granbury Rehab & Nursing?

It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Advanced Hcs LLC and Coryell County Memorial Hospital Authority. Individual owners and managers are not listed on this site.

When was Granbury Rehab & Nursing last inspected?

The most recent survey or investigation in the CMS record is dated 25 Jun 2026; the most recent standard health survey was 2 Dec 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.