1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
1/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located in Granbury, Texas, Avir at Granbury is a nursing home that offers skilled nursing and rehabilitation. Currently, the community has 42.1% occupancy, with an average stay of 363 days, indicating a focus on long-term care. Housekeeping services, on-site medical care, and beauty services are also offered to support residents’ daily living. Licensed practical nurses, certified nursing assistants, and registered nurses are part of the care team.
Social events and recreational activities foster socialization. Private rooms are also provided in a single-story setting for residents’ comfort and privacy. Notably, the community was issued a federal penalty for violating regulatory standards. Avir at Granbury also accepts Medicare, Medicaid, and private pay, providing a variety of payment options.
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.
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.
This home is ranked 137th out of 273 homes in Texas for nurse hours. 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.
| 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.
| 25m per day | ▼ 5% 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 11m per day | ▲ 24% 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 34m per day | ▼ 22% 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 40m per day | ▼ 10% 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.
| 0m per day | ▼ 92% 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.
| 12m per day | ▼ 41% State avg: 21m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
22% fewer staff per resident than Texas average
9% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursHelps with daily care and mobility.
All 24 CNA Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
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 |
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)
17% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 16, 2024 · $66K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
23.5%
45% worse than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
26.0%
60% worse than Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
97% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
9.7%
118% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.3%
6% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
15.7%
100% worse than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.9%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
4.08
92% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.27
10% worse than Texas averageTexas average: 2.07
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.8%
14% worse than Texas averageTexas average: 90.4%
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.
16% of new residents, usually for short-term rehab.
50% of new residents, often for short stays.
34% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
51Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Avir at Granbury from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #265 / 280Payroll — State benchmarkedThis home is ranked 265th out of 280 homes in Texas for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #90 / 280Payroll % — State benchmarkedThis home is ranked 90th out of 280 homes in Texas for Payroll %. Shows payroll as a percentage of revenue versus the Texas average. Well-run Texas facilities typically land around 50–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Texas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Housing Options: Private Rooms
Building Type: Single-story
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Rehabilitative Support
Beauty Services
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under private pay (50% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
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The information below is reported by the Texas Health and Human Services Commission.
| Harbor Lakes Nursing and Rehabilitation Center | NH SNF | Granbury | 142
Facility
142
TX AVG
80
Rank
#82 / 976 |
64.2%
Facility
64.2%
TX AVG
67.5
Rank
#127 / 200 | -5% | 3.55
Facility
3.55
TX AVG
3.63
Rank
#121 / 273 | +41% | -2% | $0
Facility
$0
TX AVG
$81.8k
Rank
#1 / 278 | 19
Facility
19
TX AVG
25.9
Rank
#116 / 274 | 4.8
Facility
4.8
TX AVG
3.7
Rank
#240 / 274 | - | 91 | - |
49
Facility
49
TX AVG
41
Rank
#541 / 1389 | Hmg Park Manor Of Harbor Lakes LLC | $8.4MFiscal year ending 08/2024
Facility
$8.4MFiscal year ending 08/2024
TX AVG
$8.4M
Rank
#174 / 280 | $3.8MFiscal year ending 08/2024
Facility
$3.8MFiscal year ending 08/2024
TX AVG
$3.5M
Rank
#196 / 280 | 45.1%Fiscal year ending 08/2024
Facility
45.1%Fiscal year ending 08/2024
TX AVG
47%
Rank
#175 / 280 | 676185 | ||||
| Granbury Care Center | NH MC SNF | Granbury | 174
Facility
174
TX AVG
80
Rank
#32 / 976 |
70.2%
Facility
70.2%
TX AVG
67.5
Rank
#102 / 200 | +4% | 3.57
Facility
3.57
TX AVG
3.63
Rank
#121 / 273 | -15% | -2% | $37.5k
Facility
$37.5k
TX AVG
$81.8k
Rank
#178 / 278 | 38
Facility
38
TX AVG
25.9
Rank
#229 / 274 | 2.2
Facility
2.2
TX AVG
3.7
Rank
#38 / 274 | 2 | 122 | - |
60
Facility
60
TX AVG
41
Rank
#291 / 1389 | Creative Solutions In Healthcare At Granbury LLC | $10.4MFiscal year ending 03/2024
Facility
$10.4MFiscal year ending 03/2024
TX AVG
$8.4M
Rank
#100 / 280 | $6.9MFiscal year ending 03/2024
Facility
$6.9MFiscal year ending 03/2024
TX AVG
$3.5M
Rank
#63 / 280 | 67%Fiscal year ending 03/2024
Facility
67%Fiscal year ending 03/2024
TX AVG
47%
Rank
#76 / 280 | 455915 | ||||
| Avir at Granbury | NH HOS PC | Granbury | 90
Facility
90
TX AVG
80
Rank
#413 / 976 |
53.0%
Facility
53.0%
TX AVG
67.5
Rank
#164 / 200 | -22% | 3.54
Facility
3.54
TX AVG
3.63
Rank
#137 / 273 | -11% | -3% | $66.4k
Facility
$66.4k
TX AVG
$81.8k
Rank
#213 / 278 | 25
Facility
25
TX AVG
25.9
Rank
#170 / 274 | 4.2
Facility
4.2
TX AVG
3.7
Rank
#214 / 274 | 2 | 48 | - |
20
Facility
20
TX AVG
41
Rank
#1092 / 1389 | Slp Granbury, LLC` | $3.5MFiscal year ending 12/2023
Facility
$3.5MFiscal year ending 12/2023
TX AVG
$8.4M
Rank
#263 / 280 | $2.2MFiscal year ending 12/2023
Facility
$2.2MFiscal year ending 12/2023
TX AVG
$3.5M
Rank
#265 / 280 | 63.3%Fiscal year ending 12/2023
Facility
63.3%Fiscal year ending 12/2023
TX AVG
47%
Rank
#90 / 280 | 675084 |
Avir at Granbury is located in Granbury, Texas.
Here are the financial assistance programs available to residents in Texas.
Avir at Granbury has a walk score of 20. Car-dependent. Most errands require a car, with limited nearby walkable options.
Avir at Granbury's occupancy is 42.1%.
Avir at Granbury is registered as a for-profit.
Avir at Granbury is located at 600 Reunion Ct, Granbury, TX 76048.
(817) 573-3773 will put you in contact with the team at Avir at Granbury.
Yes — Avir at Granbury is a CMS-certified provider of Medicare and Medicaid.
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