Texas › Hood County › Granbury
Harbor Lakes Nursing and Rehabilitation Center
1300 2nd St, 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 142 beds, Harbor Lakes Nursing and Rehabilitation Center serves Granbury in Hood County, Texas and has taken Medicare and Medicaid residents since 2008.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 2 and quality measures 5.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (1, 9, 6 by cycle, most recent first), none at the actual-harm level. That is 11.3 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 38.5%.
Compared with county, state and nation
| Measure | This facility | Hood Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 28 | 25 | 28.7 |
| Citations per 100 beds | 11.3 | 22.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 38.5% | 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
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Sep 2025, 15 Aug 2024.
Severity mix: D ×9 E ×5 F ×1 B ×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 |
|---|---|---|---|---|---|
| 11 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 Sep 2025 |
| 15 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 9 Sep 2024 |
| 15 Aug 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 | 9 Sep 2024 |
| 15 Aug 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 9 Sep 2024 |
| 15 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 9 Sep 2024 |
| 15 Aug 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 9 Sep 2024 |
| 15 Aug 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 9 Sep 2024 |
| 15 Aug 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 9 Sep 2024 |
| 15 Aug 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. | D | Complaint investigation | 9 Sep 2024 |
| 15 Aug 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | B | Complaint investigation | 9 Sep 2024 |
| 3 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 | 2 Aug 2024 |
| 29 Jun 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 30 Jun 2023 |
| 29 Jun 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 Jun 2023 |
| 29 Jun 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 30 Jun 2023 |
| 29 Jun 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Jun 2023 |
| 29 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Jun 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 38.5%, RNs 33.3%; 0 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 | 4.6% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.9% | 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, corporation. Legal business name: Winnie-Stowell Hospital District. Chain: Hmg Healthcare (31 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cibc Bank USA | Operational/managerial control | NOT APPLICABLE | 04/01/2021 |
| Hmg Park Manor of Harbor Lakes LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2021 |
| Cibc Bank USA | Adp of the snf | NOT APPLICABLE | 04/01/2021 |
| Hmg Services LLC | Adp of the snf | NOT APPLICABLE | 04/01/2021 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| 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 |
| 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 Harbor Lakes Nursing and Rehabilitation Center been cited for?
16 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 Harbor Lakes Nursing and Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Harbor Lakes Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Harbor Lakes Nursing and Rehabilitation Center?
It is part of the Hmg Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Cibc Bank USA and Hmg Park Manor of Harbor Lakes LLC. Individual owners and managers are not listed on this site.
When was Harbor Lakes Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 11 Sep 2025; the most recent standard health survey was 11 Sep 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.