nursing home in Granbury, TX
Granbury Rehab & Nursing
2124 Paluxy Hwy, Granbury, TX 76048 · (817) 279-7600
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Granbury Rehab & Nursing at a glance
Granbury Rehab & Nursing is a 95-bed for-profit nursing home in Granbury, Texas (Hood County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (December 2, 2025) found 14 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 52.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 95
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- July 9, 1991
- Resident/family council
- Resident
- County
- Hood County
- CMS Certification Number
- 455929
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.03 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.52 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.64 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.59 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 52.8% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 53.8% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 76 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 95 | 113 | 107 | |
| Average residents per day | 78 | 76 | 86 | |
| Occupancy | 82.3% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.1% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 2.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 17.1% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.4% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 0.5% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 6.5% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.5% | 18% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 16.7% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.7% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 21 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 25, 2026 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 5, 2026 |
| June 25, 2026 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0728 | D Potential harm, isolated | Corrected August 5, 2026 |
| June 25, 2026 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected August 5, 2026 |
| June 2, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected June 30, 2026 |
| December 2, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | F Potential harm, widespread | Corrected December 3, 2025 |
| December 2, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected December 3, 2025 |
| December 2, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected December 3, 2025 |
| December 2, 2025 Standard | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected December 3, 2025 |
| December 2, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected December 3, 2025 |
| December 2, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 3, 2025 |
| December 2, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected December 3, 2025 |
| December 2, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected December 3, 2025 |
| December 2, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 3, 2025 |
| December 2, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 3, 2025 |
| August 1, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected August 30, 2024 |
| August 1, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 1, 2024 Fire safety | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Tag K0751 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 1, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected August 30, 2024 |
| August 1, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected August 30, 2024 |
| August 1, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected August 30, 2024 |
| August 1, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | D Potential harm, isolated | Corrected August 30, 2024 |
| August 1, 2024 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | F Potential harm, widespread | Corrected August 30, 2024 |
| August 1, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0575 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 1, 2024 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 1, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 30, 2024 |
| June 14, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 7, 2023 |
| June 14, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected July 14, 2023 |
| June 14, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 14, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BYROM, DAVID Individual | corporate director | NOT APPLICABLE | 09/01/2014 |
| BYROM, DAVID Individual | corporate officer | NOT APPLICABLE | 09/01/2014 |
| ADVANCED HCS LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2014 |
| BYROM, DAVID Individual | operational/managerial control | NOT APPLICABLE | 09/01/2014 |
| CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY Organization | operational/managerial control | NOT APPLICABLE | 09/01/2014 |
| LICHTSCHEIN, TEDDY Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| MEISNER, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| SCHEINER, ELIEZER Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| BYROM, DAVID Individual | w-2 managing employee | NOT APPLICABLE | 09/01/2014 |
Other nursing homes near Granbury Rehab & Nursing
Granbury Care Center
301 South Park Street, Granbury, TX 76048 · 1.6 mi
Government · 174 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average- ★★★★★1Much below average
Harbor Lakes Nursing and Rehabilitation Center
1300 2nd St, Granbury, TX 76048 · 2.9 mi
For-profit · 142 beds · Part of Hmg Healthcare
★★★★★5Much above averageGlen Rose Nursing and Rehab Center
1019 Holden St, Glen Rose, TX 76043 · 13.1 mi
Government · 118 beds
★★★★★5Much above averageCherokee Rose Nursing & Rehabilitation
203 East Gibbs Boulevard, Glen Rose, TX 76043 · 13.6 mi
For-profit · 102 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageWillow Park Rehabilitation and Care Center
300 Crowne Point Blvd, Willow Park, TX 76087 · 19.3 mi
For-profit · 125 beds · Part of Nexion Health
★★★★★2Below average
Frequently asked questions
What is Granbury Rehab & Nursing's rating?
Granbury Rehab & Nursing has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Granbury Rehab & Nursing receive?
Its most recent standard health inspection found 14 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Granbury Rehab & Nursing accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Granbury Rehab & Nursing?
It is for profit - limited liability company and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Granbury Rehab & Nursing and how do I contact it?
Granbury Rehab & Nursing is at 2124 Paluxy Hwy, Granbury, TX 76048. Phone: (817) 279-7600.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.