Harbor Lakes Nursing and Rehabilitation Center

1300 2nd St · Granbury, TX · 76048 · 8174083800

142 certified beds For profit - Corporation Chain: Hmg Healthcare

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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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.

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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 75
Serious harm & abuse 20% 100
Staffing 20% 62
Federal penalties 15% 100
Trend 10% 92
Context 5% 100

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

CMS ratings & staffing

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

Total nurse hours / resident-day3.373.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day2.96≈ weekday level
Nursing turnover / year34%median 45%
Fines (3-yr window)none

Inspection citations (16 in the current record)

  • Potential for harm · D September 11, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 22, 2025 · Pharmacy Service

  • Potential for harm · D August 15, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected September 9, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 15, 2024 · found via complaint

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

    Corrected September 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 15, 2024 · 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 September 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 15, 2024 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 9, 2024 · Pharmacy Service

  • Potential for harm · D August 15, 2024 · found via complaint

    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 September 9, 2024 · Pharmacy Service

  • Potential for harm · E August 15, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected September 9, 2024 · Nutrition and Dietary

  • Potential for harm · F August 15, 2024 · found via complaint

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

    Corrected September 9, 2024 · Nutrition and Dietary

  • Potential for harm · E August 15, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 9, 2024 · Infection Control

  • No harm found · B August 15, 2024 · found via complaint

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected September 9, 2024 · Nutrition and Dietary

  • Potential for harm · D July 3, 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 August 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 29, 2023

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected June 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 29, 2023

    Ensure each resident receives an accurate assessment.

    Corrected June 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 29, 2023

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

    Corrected June 30, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 29, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 30, 2023 · Pharmacy Service

  • Potential for harm · E June 29, 2023

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

    Corrected June 30, 2023 · Nutrition and Dietary

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676185 · certified since June 3, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.