The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: F
Nursing home report
GRANBURY REHAB & NURSING
GRANBURY, TX · Medicare-certified · 95 beds
In good standing
For-profitChain member
4 of 5 overall
Granbury Rehab & Nursing has a 4-star overall rating, with strong quality measures but weaker staffing at 2 stars and reported nurse staffing below the federal benchmark (3.02 vs. 4.1 hours per resident per day). Its health inspection rating is 3 stars, with $0 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.0187 hrs/resident/day
Quality measures
Last inspection: December 2, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0187.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.78
- Nurse aides
- 1.61
- Weekend nursing
- 2.55
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 54%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.8%2.5%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
0%2.7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.4%1.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5%24.1%Worsening
Residents whose ability to walk got worse
3.3%42.4%Worsening
Long-stay residents on antianxiety or sleep medication
19.7%19.6%No change
Short-stay residents newly given an antipsychotic
0%1.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.4%17.1%Worsening
Residents with depressive symptoms
10.4%4.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%97.5%Worsening
What the inspectors found
The home failed to ensure residents had reasonable access to and privacy when using communication methods. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 576 — 42 CFR §483.10 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 82.6 residents on an average day (87% of 95 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.