Total staff
59
Employees
59
Contractors
0
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Avir at Granbury
Nursing Home, Hospice Care & Palliative Care · Granbury, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Avir at Granbury
Nursing Home, Hospice Care & Palliative Care · Granbury, TX
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Avir at Granbury accepts Medicare, Medicaid, and private pay.
Avir at Granbury is a nursing home in Granbury, TX, offering skilled nursing and rehabilitation. The community ensures older adults are well-cared for, especially with its supportive and welcoming environment. With 24-hour care, therapy services, and nutritious meals, residents receive high-quality services to live comfortably in retirement. Through a resident-centered approach, the community strives to meet residents’ unique needs and preferences.
Fitness programs, celebrations, and recreational activities encourage residents to live and have fun. A beauty/barber shop and spacious gathering areas also help residents relax and connect with friends. Nestled in the peaceful residential area of Granbury, the community ensures residents have a laid-back lifestyle. This nursing home continuously provides high standards of care and top-notch amenities, making it one of the finest options for senior living in Texas.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 140th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 140th out of 289 homes in Texas. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 32m per day
Rank #140 / 289Nurse hours — State benchmarkedThis home is ranked 140th out of 289 homes in Texas. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 289 Texas SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Texas avg
-3%
Standout metric
LPN / LVN is +16% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ■ Avg State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 6m per day | ▲ 16% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 33m per day | ▼ 23% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 32m per day | ▼ 15% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 14% State avg: 21m per day · National avg: 29m per day |
Types of Care at Avir at Granbury
Nursing Home
Hospice Care
Palliative Care
Capacity and availability
This home usually has availability
Occupancy rate
42.1%
Rank #261 / 297Occupancy rate — State benchmarkedThis home is ranked 261st out of 297 homes in Texas. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 297. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
363 days
Walk Score: 20 / 100 Rank #1094 / 1392Walk Score — State benchmarkedThis home is ranked 1094th out of 1392 homes in Texas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Texas SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.16:1
22% worse than Texas average
Avg staff/day
21
Average shift
8.8 hours
9% better than Texas average
Total staff hours (quarter)
16,925
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 24 | 0 | 24 | 6,635 | 92 | 100% | 9.3 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,678 | 92 | 100% | 10.2 |
| Physical Therapy Aide | 3 | 0 | 3 | 951 | 67 | 73% | 7.2 |
| Registered Nurse | 4 | 0 | 4 | 727 | 59 | 64% | 10.4 |
| Nurse Practitioner | 2 | 0 | 2 | 560 | 65 | 71% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 526 | 61 | 66% | 8.6 |
| Administrator | 2 | 0 | 2 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 507 | 65 | 71% | 7.8 |
| Dietitian | 1 | 0 | 1 | 498 | 60 | 65% | 8.3 |
| Qualified Social Worker | 2 | 0 | 2 | 370 | 63 | 68% | 5.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 333 | 54 | 59% | 6.2 |
| Speech Language Pathologist | 1 | 0 | 1 | 280 | 62 | 67% | 4.5 |
| Nurse Aide in Training | 1 | 0 | 1 | 186 | 17 | 18% | 11 |
| Physical Therapy Assistant | 1 | 0 | 1 | 95 | 58 | 63% | 1.6 |
| Medication Aide/Technician | 1 | 0 | 1 | 45 | 7 | 8% | 6.4 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 23 | 4 | 4% | 5.6 |
24 Certified Nursing Assistant
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
3 Physical Therapy Aide
% of Days
73%
4 Registered Nurse
% of Days
64%
2 Nurse Practitioner
% of Days
71%
1 Clinical Nurse Specialist
% of Days
66%
2 Administrator
% of Days
70%
1 RN Director of Nursing
% of Days
71%
1 Dietitian
% of Days
65%
2 Qualified Social Worker
% of Days
68%
1 Mental Health Service Worker
% of Days
59%
1 Speech Language Pathologist
% of Days
67%
1 Nurse Aide in Training
% of Days
18%
1 Physical Therapy Assistant
% of Days
63%
1 Medication Aide/Technician
% of Days
8%
1 Respiratory Therapy Technician
% of Days
4%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$66K Rank #215 / 294Federal fines — State benchmarkedThis home is ranked 215th out of 294 homes in Texas. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 294 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
17% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$66K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 16, 2024 · $66K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2024
$66K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.7
60% worse than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.3
27% worse than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
23.5%
Percent of long-stay residents whose need for help with daily activities has increased
23.5%
45% worse than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
26.0%
Percent of long-stay residents whose ability to move independently worsened
26.0%
60% worse than Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.6%
26% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
97% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.7%
Percent of long-stay high risk residents with pressure ulcers
9.7%
118% worse than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.3%
Percent of long-stay residents who lose too much weight
3.3%
6% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
15.7%
Percent of long-stay residents who received an antipsychotic medication
15.7%
100% worse than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
4.08
Number of hospitalizations per 1,000 long-stay resident days.
4.08
92% worse than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.27
10% worse than Texas averageTexas average: 2.07
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.8%
14% worse than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
16% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
50% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
34% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51
Medicare
5
9.8% of residents
Medicaid
40
78.4% of residents
Private pay or other
6
11.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Avir at Granbury based on CMS SNF Cost Reports.
Occupancy Rate
42.1%
↓ 1.5pp vs 2022
Net Income
$28.6K
↓ ~$105.5K vs 2022
Total Payroll
$2.5M
↑ ~$240.3K vs 2022
Profit Margin
0.6%
↓ 2.4pp vs 2022
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$4.9M
Surplus of revenue
$28.6K
Governmental community
Operated by state authorities.
Home revenue
$4.9M Rank #273 / 297Revenue — State benchmarkedThis home is ranked 273rd out of 297 homes in Texas. Shows this facility's annual revenue compared to the Texas SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Surplus of revenue
$28.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #276 / 297Payroll — State benchmarkedThis home is ranked 276th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #276 / 297Payroll — State benchmarkedThis home is ranked 276th out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.9M
What does this home offer?
Housing Options: Private Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Avir at Granbury
0.8 miles from city center
Estimated distance in miles from Granbury's city center to Avir at Granbury's address, calculated via Google Maps.
Calculate Travel Distance to Avir at Granbury
Add your location
Financial Assistance for
Nursing Home in Texas
Avir at Granbury is located in Granbury, Texas.
Here are the financial assistance programs available to residents in Texas.
Compare Nursing Home around Granbury
The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
| Harbor Lakes Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Granbury | 142 | 51.8% | -18% | 3.55 | +41% | -2% | $0 | 19 | 4.8 | - | 91 | 49 | Hmg Park Manor Of Harbor Lakes LLC | $9.8M | $4.3M | 43.7% | 676185 | ||||
| Avir at Granbury |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
PC Palliative Care | Granbury | 104 | 42.1% | -34% | 3.54 | -11% | -3% | $66.4k | 25 | 4.2 | 2 | 48 | 20 | Slp Granbury, LLC` | $4.9M | $2.5M | 51% | 675084 | ||||
| Granbury Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Granbury | 174 | 76.7% | +21% | 3.57 | -15% | -2% | $21.1k | 38 | 2.2 | 2 | 121 | 60 | Creative Solutions In Healthcare At Granbury LLC | $13.0M | $6.9M | 53.4% | 455915 |
Frequently Asked Questions about Avir at Granbury
Is Avir at Granbury in a walkable area?
Avir at Granbury has a walk score of 20. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the address of Avir at Granbury?
Avir at Granbury is located at 600 Reunion Ct, Granbury, TX 76048.
What is the phone number of Avir at Granbury?
(817) 573-3773 will put you in contact with the team at Avir at Granbury.
Is Avir at Granbury Medicare or Medicaid certified?
Yes — Avir at Granbury is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Contact Us
Published on
Updated on
Feedback
Write a review for Avir at Granbury
Rate your overall experience with this community
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Need Help?
Let us help you or a loved one find the perfect senior home.
