Granbury Rehab & Nursing

2124 Paluxy Hwy · Granbury, TX · 76048 · 8172797600

95 certified beds For profit - Limited Liability company Chain: Creative Solutions in Healthcare

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 51
Serious harm & abuse 20% 100
Staffing 20% 57
Federal penalties 15% 100
Trend 10% 38
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.023.48 min · 4.1 strong
RN hours / resident-day0.620.55–0.75
Weekend hours / resident-day2.55≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)none

Inspection citations (17 in the current record)

  • Potential for harm · E December 2, 2025

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected December 3, 2025 · Resident Rights

  • Potential for harm · D December 2, 2025

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 2, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected December 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E December 2, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E December 2, 2025

    Ensure the activities program is directed by a qualified professional.

    Corrected December 3, 2025 · Quality of Life and Care

  • Potential for harm · D December 2, 2025

    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 3, 2025 · Pharmacy Service

  • Potential for harm · F December 2, 2025

    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.

    Corrected December 3, 2025 · Nutrition and Dietary

  • Potential for harm · E December 2, 2025

    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.

    Corrected December 3, 2025 · Nutrition and Dietary

  • Potential for harm · E December 2, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 3, 2025 · Nutrition and Dietary

  • Potential for harm · D December 2, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 3, 2025 · Infection Control

  • Potential for harm · E August 1, 2024

    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.

    Corrected August 30, 2024 · Resident Rights

  • Potential for harm · F August 1, 2024

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected August 30, 2024 · Resident Rights

  • Potential for harm · E August 1, 2024

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected August 30, 2024 · Nutrition and Dietary

  • Potential for harm · E August 1, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 30, 2024 · Nutrition and Dietary

  • Potential for harm · E June 14, 2023

    Ensure each resident receives an accurate assessment.

    Corrected July 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 14, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected July 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · F June 14, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 7, 2023 · Nutrition and Dietary

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.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455929 · certified since July 9, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.