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4/5
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.
4/5
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.
Aviva Granbury is a community enveloped in character. Offering independent living, assisted living, memory care, and respite care, this home proves itself to be at the forefront of senior care in Granbury, Texas. The vibrant atmosphere is fostered by highly trained and friendly staff who serve with the perfect balance of professionalism and compassion. Featuring top-notch apartments with vibrant interiors and senior-friendly design, seniors are sure to spend every day with ease. Not to mention the enriching experiences that the home offers, such as happy hours, fitness classes, nature-filled grounds for unwinding, gathering spaces, and much more. The home also serves freshly cooked meals that are sure to further elevate the mundane. In this community, seniors are certain to create new, meaningful memories for their golden years.
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 184th out of 289 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.
| 37m per day | ▲ 47% State avg: 25m 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.
| 47m per day | ▼ 17% 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 37m per day | ▼ 20% State avg: 2h 1m per day · National avg: 2h 20m 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 33m per day | ▼ 15% State avg: 3h 0m per day · National avg: 3h 27m 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.
| 3m per day | ▼ 17% 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.
| 10m per day | ▼ 50% State avg: 20m per day · National avg: 29m per day |
Higher than the Texas average: 63.5%AVIVA Granbury is administrated by Cheri Rose.
Key information about the people who lead and staff this community.
Texas average 7.4
Last Health inspection on Sep 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 17 citations resulted from standard inspections; and 3 of 17 came from combined inspections (standard and complaint).
100% better than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
24% fewer staff per resident than Texas average
0% compared with 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 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 17 LPN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
All 27 CNA Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
83 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 0 | 27 | 10,563 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,097 | 92 | 100% | 8.5 |
| Registered Nurse | 9 | 0 | 9 | 3,779 | 91 | 99% | 8 |
| Nurse Aide in Training | 13 | 0 | 13 | 1,667 | 75 | 82% | 7.3 |
| Physical Therapy Assistant | 3 | 0 | 3 | 951 | 76 | 83% | 6.7 |
| Speech Language Pathologist | 4 | 0 | 4 | 889 | 72 | 78% | 6.1 |
| RN Director of Nursing | 2 | 0 | 2 | 856 | 75 | 82% | 7.1 |
| Other Dietary Services Staff | 1 | 0 | 1 | 516 | 67 | 73% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 504 | 64 | 70% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 465 | 61 | 66% | 7.6 |
| Administrator | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 453 | 61 | 66% | 7.4 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 421 | 53 | 58% | 7.9 |
| Physical Therapy Aide | 1 | 0 | 1 | 407 | 58 | 63% | 7 |
| Medical Director | 0 | 2 | 2 | 72 | 9 | 10% | 8 |
| Diagnostic X-ray Services Staff | 0 | 3 | 3 | 11 | 6 | 7% | 1.6 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
2.2
74% better than Texas averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.5
47% better than Texas averageTexas average: 16.0
Percent of long-stay residents whose need for help with daily activities has increased
6.1%
62% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
1.9%
88% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
11% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
1.3%
70% better 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
1.8%
49% better than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
8.7%
202% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
3.2%
59% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
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%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better 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%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
33% of new residents, usually for short-term rehab.
55% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
79Residents 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 AVIVA Granbury from 2011–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #258 / 297Payroll — State benchmarkedThis home is ranked 258th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
40.0 miles from city center
Estimated distance in miles from Granbury's city center to AVIVA Granbury's address, calculated via Google Maps.
— 1.15 miles to nearest hospital (Texas Oncology-Granbury)
Add your location
AVIVA Granbury is located in Granbury, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| AVIVA Granbury |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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).
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Granbury | - | 16
Facility
16
TX AVG
80
Rank
#809 / 988 | - |
1
Facility
1
TX AVG
41
Rank
#1346 / 1391 | - |
| Sunrise of Fort Worth |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Fort Worth | - | 105
Facility
105
TX AVG
80
Rank
#341 / 988 | A- |
53
Facility
53
TX AVG
41
Rank
#433 / 1391 | - |
| Estates Healthcare & Rehab Center |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
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).
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). | Fort Worth (Hallmark-Camelot Highland Terrace) | - | 141
Facility
141
TX AVG
80
Rank
#84 / 988 | - |
51
Facility
51
TX AVG
41
Rank
#483 / 1391 | Semi-Private Rooms |
| Stonegate Nursing and Rehabilitation |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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). | Fort Worth | - | 134
Facility
134
TX AVG
80
Rank
#117 / 988 | A+ |
35
Facility
35
TX AVG
41
Rank
#849 / 1391 | - |
| Wedgewood Nursing Home |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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). | Fort Worth (Wedgwood) | - | 128
Facility
128
TX AVG
80
Rank
#152 / 988 | - |
29
Facility
29
TX AVG
41
Rank
#942 / 1391 | - |
The legal owner and operator of AVIVA Granbury is Granbury 2300 Opco Llc.
AVIVA Granbury has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TX state health department records, AVIVA Granbury's license number is 308748.
According to TX state health department records, AVIVA Granbury's license expires on November 17, 2025.
AVIVA Granbury's occupancy is 83%.
Cheri Rose is the administrator of AVIVA Granbury.
AVIVA Granbury has 16 beds.
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