The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Granite Mesa Health Center
Marble Falls, TX · Medicare-certified · 124 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
Granite Mesa Health Center in Marble Falls, TX has an overall rating of 2 out of 5 stars. Its staffing rating is 1 out of 5, with reported nurse staffing at 3.16 hours per resident per day below the 4.1-hour federal benchmark, and it had $59,345 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1639 hrs/resident/day
Quality measures
Last inspection: July 11, 2026Penalties, last 24 months: $59,345recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1639.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 0.82
- Nurse aides
- 1.93
- Weekend nursing
- 2.54
Hours per resident per day.
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
7.4%8.6%Worsening
Residents with a fall causing major injury
8.5%11.4%Worsening
Residents with pressure ulcers (bedsores)
0%2.1%Worsening
Residents with a urinary tract infection
0%1.3%Worsening
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
37.5%19%Improving
Residents whose ability to walk got worse
17.1%20.6%Worsening
Long-stay residents on antianxiety or sleep medication
12.1%12.5%No change
Short-stay residents newly given an antipsychotic
0%1.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.3%18%Worsening
Residents with depressive symptoms
1.9%8.8%Worsening
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
—99.4%—
Short-stay residents given the pneumonia vaccine
100%97.7%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — 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 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $59,345 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $59,345 in total fines.
- $59,345
Federal fine
Jan 27, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 344 homes · 3.2 stars avg
- Occupancy
- 96.8 residents on an average day (78% of 124 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 17 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.