Trinity Nursing & Rehab of Granbury

600 Reunion Court · Granbury, TX · 76048 · 8175733773

90 certified beds For profit - Limited Liability company Chain: Avir Health Group

  • 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

2 immediate-jeopardy citations 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.

74% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 78
Staffing 20% 48
Federal penalties 15% 63
Trend 10% 85
Context 5% 100

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: 1 of 5

Total nurse hours / resident-day3.163.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day2.67≈ weekday level
Nursing turnover / year74%median 45%
Fines (3-yr window)1 · $66,367

Inspection citations (28 in the current record)

  • Potential for harm · D April 23, 2026 · found via complaint

    PASARR screening for Mental disorders or Intellectual Disabilities

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · E April 23, 2026 · 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.

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · F December 5, 2025 · found via complaint

    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 December 12, 2025 · Nursing and Physician Services

  • Potential for harm · D June 4, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 4, 2025

    Ensure each resident receives an accurate assessment.

    Corrected June 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 4, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 27, 2025 · Quality of Life and Care

  • Potential for harm · E June 4, 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 June 27, 2025 · Pharmacy Service

  • Potential for harm · D June 4, 2025

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

    Corrected June 27, 2025 · Nutrition and Dietary

  • Potential for harm · E June 4, 2025

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

    Corrected June 27, 2025 · Nutrition and Dietary

  • Potential for harm · E June 4, 2025

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected June 27, 2025 · Administration

  • No harm found · C June 4, 2025

    Post nurse staffing information every day.

    Corrected June 27, 2025 · Nursing and Physician Services

  • Potential for harm · E May 22, 2025 · found via complaint

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

    Corrected June 13, 2025 · Nutrition and Dietary

  • Immediate jeopardy · J June 8, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

  • Immediate jeopardy · J June 8, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 9, 2024 · Quality of Life and Care

  • Potential for harm · D June 8, 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 June 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 16, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected June 7, 2024 · Resident Rights

  • Potential for harm · D May 16, 2024 · found via complaint

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected June 7, 2024 · Resident Rights

  • Potential for harm · E May 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 June 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 16, 2024 · found via complaint

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected June 7, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E May 16, 2024 · found via complaint

    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 June 7, 2024 · Nursing and Physician Services

  • Potential for harm · E May 16, 2024 · found via complaint

    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 June 7, 2024 · Nutrition and Dietary

  • Potential for harm · E May 16, 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 June 7, 2024 · Nutrition and Dietary

  • No harm found · B May 16, 2024 · found via complaint

    Ensure resident rooms meet each resident's needs.

    Corrected June 7, 2024 · Environmental

  • Potential for harm · D November 27, 2023 · 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 January 11, 2024 · Pharmacy Service

  • Potential for harm · D November 27, 2023 · found via complaint

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

    Corrected January 11, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 16, 2024Fine$66,367

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675084 · certified since October 2, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.