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
1 of 5 overall
Trinity Nursing & Rehab of Granbury has an overall rating of 1 out of 5 stars, with 1-star staffing and quality ratings and a 2-star health inspection rating. It reports 3.16 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $66,367 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1601 hrs/resident/day
Quality measures
Last inspection: December 5, 2025Penalties, last 24 months: $66,367recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1601.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 1.18
- Nurse aides
- 1.56
- Weekend nursing
- 2.67
Hours per resident per day.
Total staff turnover: 74%
Registered nurse turnover: 67%
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%24%Worsening
Residents with a fall causing major injury
6.7%2.6%Improving
Residents with pressure ulcers (bedsores)
12%10.3%Improving
Residents with a urinary tract infection
0%0%No change
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
22.6%36.7%Worsening
Residents whose ability to walk got worse
—54%—
Long-stay residents on antianxiety or sleep medication
18.9%21.2%Worsening
Short-stay residents newly given an antipsychotic
—8.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
2.8%11.1%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
97.8%94.7%Worsening
Short-stay residents given the pneumonia vaccine
—44.9%—
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 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
The home failed to properly label and securely store medications and biologicals. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(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
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 47.7 residents on an average day (53% 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.