The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Trinity Nursing & Rehab of Granbury
Granbury, TX · Medicare-certified · 90 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Trinity Nursing & Rehab of Granbury has a 1-star overall rating, with 1-star staffing and quality measures and 2-star health inspections. It is flagged for the lowest overall rating, has nurse staffing below the federal benchmark (3.12 vs. 4.1 hours per resident per day), and had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1164 hrs/resident/day
Quality measures
Last inspection: April 23, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1164.
Staffing detail
- Registered nurses
- 0.25
- Licensed practical nurses
- 0.93
- Nurse aides
- 1.93
- Weekend nursing
- 2.65
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 80%
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
19.2%26.9%Worsening
Residents with a fall causing major injury
8.2%2.3%Improving
Residents with pressure ulcers (bedsores)
13.3%12.2%Improving
Residents with a urinary tract infection
0%2.3%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
34.1%23.5%Improving
Residents whose ability to walk got worse
—51.5%—
Long-stay residents on antianxiety or sleep medication
26.7%12.8%Improving
Short-stay residents newly given an antipsychotic
—11.1%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11%16.9%Worsening
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
93.9%90.9%Worsening
Short-stay residents given the pneumonia vaccine
—34.3%—
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
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 December 2025 — 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 develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited June 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 2 health deficiencies.
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 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $66,367 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $66,367 in total fines.
- $66,367
Federal fine
May 16, 2024
Operator & ownership
Recent ownership change · Feb 10, 2021
Now operated by City of Ennis, previously Trinity Nursing and Rehabilitation of Granbury LP.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
- Occupancy
- 49.1 residents on an average day (55% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.