The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
HARBOR LAKES NURSING AND REHABILITATION CENTER
GRANBURY, TX · Medicare-certified · 142 beds
In good standing
For-profitChain member
5 of 5 overall
5 of 5 stars overall. Harbor Lakes Nursing and Rehabilitation Center has 5-star health inspection and quality ratings, no fines in the last 24 months, and a 3-star staffing rating with reported nurse staffing below the federal benchmark (3.37 vs 4.1 hours per resident per day).
Facility ratings
Health inspections
Staffing
3.3684 hrs/resident/day
Quality measures
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3684.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.91
- Nurse aides
- 2.05
- Weekend nursing
- 2.96
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 33%
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
7.7%4.2%Improving
Residents with a fall causing major injury
5.2%7.2%Worsening
Residents with pressure ulcers (bedsores)
5.3%2.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%1.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10%3.8%Improving
Residents whose ability to walk got worse
24%2.8%Improving
Long-stay residents on antianxiety or sleep medication
9.8%20.4%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.8%2.9%Improving
Residents with depressive symptoms
0%0%No change
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
—99.5%—
Short-stay residents given the pneumonia vaccine
99.5%100%Improving
What the inspectors found
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — 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
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of HMG HEALTHCARE · 33 homes · 3.3 stars avg
- Occupancy
- 91.1 residents on an average day (64% of 142 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 18 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.