Government - Hospital district · 90 certified beds · CMS number 675084
Avir at Granbury, Granbury, TX
CMS records 36 health deficiencies at Avir at Granbury in Granbury, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 16, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $66,367 in the last three years.
- 36deficiencies, 3 cycles (TX median 25)
- 14in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $66,367fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Granbury as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Granbury may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (14 deficiencies)
Standard inspection Jul 16, 2026. CMS counts 14 health deficiencies and 4 fire safety deficiencies in this cycle.
Jul 16, 2026 · Standard inspection
11 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 21, 2026
F868 · Quality committee membership and meetings
Requirement cited (CMS): Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 21, 2026
F867 · Quality monitoring and improvement projects
Requirement cited (CMS): Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 21, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 21, 2026
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 21, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 17, 2026
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 18, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 17, 2026
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 17, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 17, 2026
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 17, 2026
Apr 23, 2026 · Complaint inspection
2 deficiencies, highest E
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 13, 2026
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2026
Dec 5, 2025 · Complaint inspection
1 deficiency, highest F
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 12, 2025
Previous cycle: 9 deficiencies (standard inspection Jun 4, 2025)
Standard inspection Jun 4, 2025. CMS counts 9 health deficiencies and 7 fire safety deficiencies in this cycle.
Jun 4, 2025 · Standard inspection
8 deficiencies, highest E
F849 · Hospice services
Requirement cited (CMS): Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 27, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 27, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 27, 2025
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jun 27, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 27, 2025
F605 · Limits on psychotropic drugs and chemical restraints
Requirement cited (CMS): Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2025
May 22, 2025 · Complaint inspection
1 deficiency, highest E
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 13, 2025
Earlier cycle: 13 deficiencies (standard inspection May 16, 2024)
Standard inspection May 16, 2024. CMS counts 13 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 8, 2024 · Complaint inspection
3 deficiencies, highest J
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 9, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jun 9, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jun 9, 2024
May 16, 2024 · Standard + complaint inspection
8 deficiencies, highest E
F910 · Rooms suited to care and comfort
Requirement cited (CMS): Ensure resident rooms meet each resident's needs.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F661 · Discharge summary
Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
Nov 27, 2023 · Complaint inspection
2 deficiencies, highest D
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 11, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 11, 2024
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Avir at Granbury; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 3 | Jul 16, 2026; Apr 23, 2026; May 16, 2024 |
| F727 RN coverage and director of nursing | 3 | Jul 16, 2026; Dec 5, 2025; May 16, 2024 |
| F761 Drug labeling and secure storage | 3 | Jul 16, 2026; Jun 4, 2025; Nov 27, 2023 |
| F812 Food safety and sanitation | 3 | Jul 16, 2026; Jun 4, 2025; May 16, 2024 |
| F641 Accurate resident assessments | 2 | Jul 16, 2026; Jun 4, 2025 |
| F803 Menus that meet nutritional needs | 2 | Jul 16, 2026; May 16, 2024 |
| F804 Palatable, attractive food at safe temperatures | 2 | Jun 4, 2025; May 22, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 16, 2024 | Fine | $66,367 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.12 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.25 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.65 h
- Nursing staff turnover
- 69.6% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 1 of 5
CMS figures for Avir at Granbury, copied as published; Texas medians are ours.
Facility details
- Address
- 600 Reunion Ct., Granbury, TX 76048
- Phone
- (817) 573-3773
- County
- Hood
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 90
- Average residents per day
- 49.1
- In Medicare/Medicaid since
- Oct 2, 1992
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- When is a registered nurse in the building, and how long has the director of nursing been here? (F727, cited 3 times)
- How are medications stored and secured on each unit? (F761, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
Other nursing homes in Granbury
- Granbury Care Center
Granbury · 38 deficiencies - Granbury Rehab & Nursing
Granbury · 21 deficiencies - Harbor Lakes Nursing and Rehabilitation Center
Granbury · 16 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.