Granbury Care Center
301 S Park St · Granbury, TX · 76048 · 8175733726
174 certified beds Government - Hospital district Chain: Creative Solutions in Healthcare Hospital-based
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.73 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.73 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.47 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $37,501 |
Inspection citations (40 in the current record)
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Potential for harm · D March 30, 2026 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected April 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 19, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D February 19, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 19, 2026
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
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.
Corrected February 20, 2026 · Pharmacy Service
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Potential for harm · E February 19, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 20, 2026 · Nutrition and Dietary
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Potential for harm · E February 19, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 19, 2026
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected February 20, 2026 · Environmental
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Potential for harm · E February 19, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected February 20, 2026 · Pharmacy Service
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Immediate jeopardy · J September 12, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · E July 3, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 3, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 2, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 27, 2025 · Quality of Life and Care
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Potential for harm · E March 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D January 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 11, 2025 · Infection Control
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Potential for harm · E December 4, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 5, 2024 · Resident Rights
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Potential for harm · E December 4, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 4, 2024
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.
Corrected December 5, 2024 · Pharmacy Service
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Potential for harm · E December 4, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 5, 2024 · Nutrition and Dietary
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Potential for harm · E December 4, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 5, 2024 · Nutrition and Dietary
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Potential for harm · D October 16, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 16, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 17, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 29, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 27, 2024 · Resident Rights
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Potential for harm · D July 29, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 23, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected July 24, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 12, 2025 | Fine | $16,394 |
| February 21, 2024 | Fine | $21,107 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455915 · certified since February 14, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.