Granite Mesa Health Center
1401 Max Copeland Dr · Marble Falls, TX · 78654 · 8306930022
124 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$59,345 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $59,345 |
Inspection citations (24 in the current record)
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Potential for harm · D January 16, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected February 3, 2026 · Resident Rights
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Potential for harm · E December 31, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · D December 31, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · E December 31, 2025
Ensure each resident receives an accurate assessment.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 31, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 31, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 20, 2026 · Nutrition and Dietary
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Potential for harm · D December 31, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 30, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 13, 2025 · Quality of Life and Care
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Immediate jeopardy · J January 27, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 2, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 24, 2024 · Resident Rights
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Potential for harm · E October 2, 2024
Ensure each resident receives an accurate assessment.
Corrected October 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 2, 2024
Provide activities to meet all resident's needs.
Corrected October 24, 2024 · Quality of Life and Care
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Potential for harm · F October 2, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected October 24, 2024 · Nursing and Physician Services
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Potential for harm · E September 26, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 26, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 30, 2024 · Pharmacy Service
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Potential for harm · D April 16, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · D April 16, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 19, 2024 · Quality of Life and Care
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Potential for harm · D August 2, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 2, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 10, 2023 · Quality of Life and Care
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Potential for harm · D August 2, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 10, 2023 · Quality of Life and Care
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Potential for harm · D August 2, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 10, 2023 · Quality of Life and Care
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Potential for harm · D August 2, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected August 10, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 27, 2025 | Fine | $59,345 |
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 676220 · certified since June 2, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.