For profit - Corporation · 142 certified beds · CMS number 676185

Harbor Lakes Nursing and Rehabilitation Center, Granbury, TX

CMS records 16 health deficiencies at Harbor Lakes Nursing and Rehabilitation Center in Granbury, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 11, 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 Harbor Lakes Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Harbor Lakes Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (1 deficiency)

Standard inspection Sep 11, 2025. CMS counts 1 health deficiency and 7 fire safety deficiencies in this cycle.

Sep 11, 2025 · Standard inspection

1 deficiency, highest D

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 22, 2025
Previous cycle: 9 deficiencies (standard inspection Aug 15, 2024)

Standard inspection Aug 15, 2024. CMS counts 9 health deficiencies and 0 fire safety deficiencies in this cycle.

Aug 15, 2024 · Standard + complaint inspection

9 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 Sep 9, 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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Sep 9, 2024

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 Sep 9, 2024

F802 · Enough kitchen and dining support staff

Requirement cited (CMS): Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Severity
B No actual harm, potential for minimal harm, pattern
Status
Correction date Sep 9, 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 Sep 9, 2024

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 Sep 9, 2024

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 9, 2024

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 Sep 9, 2024

F602 · Protecting residents' money and belongings

Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 9, 2024
Earlier cycle: 6 deficiencies (standard inspection Jun 29, 2023)

Standard inspection Jun 29, 2023. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.

Jul 3, 2024 · Complaint inspection

1 deficiency, highest D

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 Aug 2, 2024

Jun 29, 2023 · Standard inspection

5 deficiencies, highest E

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 30, 2023

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 30, 2023

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 Jun 30, 2023

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 Jun 30, 2023

F640 · Submitting assessment data on time

Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 30, 2023

Tags cited in more than one inspection

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

TagInspectionsDates
F755 Pharmacy services and a consultant pharmacist2Sep 11, 2025; Jun 29, 2023
F812 Food safety and sanitation2Aug 15, 2024; Jun 29, 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
3.30 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.39 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.87 h
Nursing staff turnover
38.5% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
5 of 5
Health inspection rating
5 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for Harbor Lakes Nursing and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
1300 2ND St, Granbury, TX 76048
Phone
(817) 408-3800
County
Hood
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
HMG Healthcare
Certified beds
142
Average residents per day
92.7
In Medicare/Medicaid since
Jun 3, 2008
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.

  • How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
  • How does the home keep track of residents' valuables and personal items? (F602, cited 1 time)
  • Who is responsible for completing and submitting resident assessment data? (F640, 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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