The nursing home failed to protect residents from abuse and neglect by others. Cited January 2025 — isolated incident, immediate jeopardy to residents.
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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
2 of 5 overall
Granite Mesa Health Center in Marble Falls, TX has a 2 out of 5 overall rating. Its staffing is 1 out of 5, below the federal benchmark of 3, and it has a recent federal penalty with $59,345 in fines in the last 24 months; health inspection is 3 out of 5 and quality measures are 4 out of 5.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: January 16, 2026Penalties, last 24 months: $59,345recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
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
10.2%6%Improving
Residents with a fall causing major injury
4.3%10.1%Worsening
Residents with pressure ulcers (bedsores)
1.9%2.1%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.6%1.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
41.7%28.8%Improving
Residents whose ability to walk got worse
—17.1%—
Long-stay residents on antianxiety or sleep medication
10.6%12.1%Worsening
Short-stay residents newly given an antipsychotic
1.7%1.2%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.5%15.6%Worsening
Residents with depressive symptoms
3.6%4.7%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
98.8%100%Improving
What the inspectors found
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.
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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.
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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.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited October 2024 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Recent history
- 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 · 338 homes · 3.2 stars avg
- Occupancy
- 96.3 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.