Nursing Home Record

For profit - Limited Liability company · 95 certified beds · CMS number 455929

Granbury Rehab & Nursing, Granbury, TX

CMS records 21 health deficiencies at Granbury Rehab & Nursing in Granbury, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 2, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Granbury Rehab & Nursing as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Granbury Rehab & Nursing may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (14 deficiencies)

Standard inspection Dec 2, 2025. CMS counts 14 health deficiencies and 7 fire safety deficiencies in this cycle.

Jun 25, 2026 · Complaint inspection

3 deficiencies, highest D

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 5, 2026

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 Aug 5, 2026

F728 · Nurse aide training and competency

Requirement cited (CMS): Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 5, 2026

Jun 2, 2026 · Complaint inspection

1 deficiency, highest E

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 30, 2026

Dec 2, 2025 · Standard inspection

10 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 3, 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 Dec 3, 2025

F809 · Meal times and snacks

Requirement cited (CMS): Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 3, 2025

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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Dec 3, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 3, 2025

F680 · Qualified activities director

Requirement cited (CMS): Ensure the activities program is directed by a qualified professional.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 3, 2025

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 Dec 3, 2025

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 3, 2025

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 3, 2025

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 Dec 3, 2025
Previous cycle: 4 deficiencies (standard inspection Aug 1, 2024)

Standard inspection Aug 1, 2024. CMS counts 4 health deficiencies and 0 fire safety deficiencies in this cycle.

Aug 1, 2024 · Standard inspection

4 deficiencies, highest F

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 30, 2024

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 30, 2024

F576 · Phone, mail, and internet access

Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Aug 30, 2024

F575 · Posting agency and advocate contacts

Requirement cited (CMS): Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 30, 2024
Earlier cycle: 3 deficiencies (standard inspection Jun 14, 2023)

Standard inspection Jun 14, 2023. CMS counts 3 health deficiencies and 0 fire safety deficiencies in this cycle.

Jun 14, 2023 · Standard inspection

3 deficiencies, highest F

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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jul 7, 2023

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 14, 2023

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 Jul 14, 2023

Tags cited in more than one inspection

2 tags cited on more than one inspection date at Granbury Rehab & Nursing; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F812 Food safety and sanitation3Dec 2, 2025; Aug 1, 2024; Jun 14, 2023
F655 Baseline care plan within 48 hours2Dec 2, 2025; Jun 14, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.03 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.52 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.59 h
Nursing staff turnover
52.8% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
2 of 5
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Granbury Rehab & Nursing, copied as published; Texas medians are ours.

Facility details

Address
2124 Paluxy Hwy, Granbury, TX 76048
Phone
(817) 279-7600
County
Hood
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
95
Average residents per day
78.2
In Medicare/Medicaid since
Jul 9, 1991
Inside a hospital
No
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.

  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
  • Can a resident or their family review the baseline care plan during the first few days? (F655, cited 2 times)
  • Is there an active resident council or family council, and how often does it meet? (F565, cited 1 time)
  • Where are the ombudsman and state agency phone numbers posted in the building? (F575, cited 1 time)

Other nursing homes in Granbury and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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