Texas › Burnet County › Marble Falls
Granite Mesa Health Center
1401 Max Copeland Dr, Marble Falls, TX 78654
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.
Granite Mesa Health Center is a For-profit, limited liability company nursing home in Marble Falls, Texas, certified for 124 beds and caring for about 97 residents a day.
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 24 health deficiencies across the three most recent survey cycles (9, 8, 7 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 19.4 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $59K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Burnet Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 13 | 25 | 28.7 |
| Citations per 100 beds | 19.4 | 17.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 57.8% | 52.1% | 45.8% |
| Fines listed | $59,345 | $59,345 | $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: 31 Dec 2025, 2 Oct 2024.
Severity mix: J ×1 D ×15 E ×7 F ×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 |
|---|---|---|---|---|---|
| 16 Jan 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 3 Feb 2026 |
| 31 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 20 Jan 2026 |
| 31 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 20 Jan 2026 |
| 31 Dec 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 20 Jan 2026 |
| 31 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 20 Jan 2026 |
| 31 Dec 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 20 Jan 2026 |
| 31 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 20 Jan 2026 |
| 31 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 20 Jan 2026 |
| 30 Nov 2025 | 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 Dec 2025 |
| 9 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 13 May 2025 |
| 27 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 14 Feb 2025 |
| 2 Oct 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. | F | Standard survey | 24 Oct 2024 |
| 2 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 24 Oct 2024 |
| 2 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 24 Oct 2024 |
| 2 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 24 Oct 2024 |
| 26 Sep 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 30 Sep 2024 |
| 26 Sep 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 30 Sep 2024 |
| 16 Apr 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 19 Apr 2024 |
| 16 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 19 Apr 2024 |
| 2 Aug 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 10 Aug 2023 |
| 2 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Aug 2023 |
| 2 Aug 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Aug 2023 |
| 2 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Aug 2023 |
| 2 Aug 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. | D | Standard survey | 10 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Jan 2025 | Fine | $59,345 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — 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 | 30.8% | 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 | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 10.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.7% | 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: Guadalupe County Hospital Board. Chain: The Ensign Group (342 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Guadalupe County Hospital Board | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| Copeland Healthcare, Inc | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| Copeland Healthcare, Inc | Adp of the snf | NOT APPLICABLE | 10/06/2025 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 05/01/2016 |
| National Health Investors, Inc. | Adp of the snf | NOT APPLICABLE | 04/01/2017 |
| Texas Nhi Investors, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2017 |
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 Burnet County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bertram Nursing and Rehabilitation | Bertram | 74 | 4 | 4 | 1 | 13 | 17.6 | $10K | 28 Jan 2026 |
| The Brixton At Horseshoe Bay | Horseshoe Bay | 120 | 4 | 4 | 3 | 10 | 8.3 | $85K | 26 Jun 2025 |
| Avir At Burnet | Burnet | 112 | 3 | 4 | 1 | 13 | 11.6 | — | 29 Apr 2026 |
All 4 facilities in Burnet County
Questions and answers
How many deficiencies has Granite Mesa Health Center been cited for?
24 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Granite Mesa Health Center been fined?
Yes. CMS lists fines totalling $59K in the period covered.
How does staffing at Granite Mesa Health Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Granite Mesa Health Center?
It is part of the The Ensign Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Guadalupe County Hospital Board and Copeland Healthcare, Inc. Individual owners and managers are not listed on this site.
When was Granite Mesa Health Center last inspected?
The most recent survey or investigation in the CMS record is dated 16 Jan 2026; the most recent standard health survey was 31 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.