Total staff
93
Employees
79
Contractors
14
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Harbor Lakes Nursing and Rehabilitation Center
Nursing Home · 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.
Harbor Lakes Nursing and Rehabilitation Center
Nursing Home · 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.
Harbor Lakes Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.
Harbor Lakes Nursing and Rehabilitation is a trusted nursing home in Granbury, TX, offering long-term care, skilled nursing, and rehabilitation. The community ensures older adults are treated well, especially with its nurturing and welcoming environment. With round-the-clock medical supervision, nutritious meals, and pain management, residents experience a worry-free retirement. Dedicated to residents’ welfare, personalized care plans are also provided for their unique needs and habits.
Light physical activities, fun events, and various games foster interactions and encourage residents to stay active. Thoughtfully furnished rooms and cozy communal spaces are also available, so residents can freely move around and connect with the community. Set near the Brazos River, restaurants, and shops, the community guarantees accessibility and convenience. Providing top-tier services and a clean setting, this nursing home is one of the leading choices 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 122nd 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 122nd 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 33m per day
Rank #122 / 289Nurse hours — State benchmarkedThis home is ranked 122nd 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
-2%
Standout metric
Nurse Aide is +7% 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.
| 24m per day | ▼ 8% 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 0m per day | ▲ 5% 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.
| 2h 10m per day | ▲ 7% 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 49m per day | ▼ 5% 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.
| 2m per day | ▼ 50% 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.
| 20m per day | ▼ 5% State avg: 21m per day · National avg: 29m per day |
Types of Care at Harbor Lakes Nursing and Rehabilitation Center
Nursing Home
Capacity and availability
This home usually has availability
Occupancy rate
51.8%
Rank #237 / 297Occupancy rate — State benchmarkedThis home is ranked 237th 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
75 days
Walk Score: 49 / 100 Rank #543 / 1392Walk Score — State benchmarkedThis home is ranked 543rd 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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.03:1
30% worse than Texas average
Avg staff/day
39
Average shift
8.4 hours
0% compared with Texas average
Total staff hours (quarter)
30,228
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
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
38
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 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
2%
600 contractor hours this quarter
Speech Language Pathologist: 4
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Occupational Therapy Aide: 1
Medical Director: 1
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 | 38 | 0 | 38 | 14,613 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 19 | 0 | 19 | 7,661 | 92 | 100% | 8.4 |
| Registered Nurse | 10 | 0 | 10 | 2,929 | 92 | 100% | 8.7 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,585 | 92 | 100% | 9 |
| Dietitian | 1 | 0 | 1 | 487 | 63 | 68% | 7.7 |
| Administrator | 1 | 0 | 1 | 465 | 62 | 67% | 7.5 |
| Nurse Practitioner | 2 | 0 | 2 | 447 | 59 | 64% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 443 | 59 | 64% | 7.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 182 | 26 | 28% | 6.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 111 | 19 | 21% | 5.8 |
| Qualified Social Worker | 0 | 2 | 2 | 103 | 23 | 25% | 4.5 |
| Speech Language Pathologist | 0 | 4 | 4 | 98 | 18 | 20% | 5.4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 77 | 20 | 22% | 3.5 |
| Medical Director | 0 | 1 | 1 | 30 | 12 | 13% | 2.5 |
38 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
100%
7 Medication Aide/Technician
% of Days
100%
1 Dietitian
% of Days
68%
1 Administrator
% of Days
67%
2 Nurse Practitioner
% of Days
64%
1 Mental Health Service Worker
% of Days
64%
3 Physical Therapy Assistant
% of Days
28%
1 Occupational Therapy Aide
% of Days
21%
2 Qualified Social Worker
% of Days
25%
4 Speech Language Pathologist
% of Days
20%
3 Respiratory Therapy Technician
% of Days
22%
1 Medical Director
% of Days
13%
Penalties and fines
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.
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.
6.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.5
24% better than Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.9
26% better 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
7.8%
Percent of long-stay residents whose need for help with daily activities has increased
7.8%
51% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
13.8%
Percent of long-stay residents whose ability to move independently worsened
13.8%
15% better 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
14.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.1%
10% better than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
20% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.2%
Percent of long-stay high risk residents with pressure ulcers
5.2%
18% 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
1.9%
Percent of long-stay residents who lose too much weight
1.9%
44% better than Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.0%
Percent of long-stay residents who have depressive symptoms
3.0%
6% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.6%
Percent of long-stay residents who received an antipsychotic medication
9.6%
22% worse than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
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.
0.55
Number of hospitalizations per 1,000 long-stay resident days.
0.55
74% better 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.
1.12
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.12
46% better than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
10% better 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%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.5%
13% better than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
13% better than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.3%
23% better than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
6% better than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
57.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
57.8%
8% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
65.3%
Rate of successful return to home or community from a skilled nursing facility.
65.3%
29% better than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
35% of new residents, usually for short-term rehab.
Typical stay
21 days
Private pay
60% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
5% of new residents, often for long-term daily care.
Typical stay
2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
90
Medicare
10
11.1% of residents
Medicaid
37
41.1% of residents
Private pay or other
43
47.8% 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 Harbor Lakes Nursing and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
51.8%
↑ 4.4pp vs 2023
Net Income
$523.1K
↑ ~$510.9K vs 2023
Total Payroll
$4.3M
↑ ~$136.0K vs 2023
Profit Margin
5.3%
↑ 5.2pp vs 2023
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$9.8M
Surplus of revenue
$523.1K
Governmental community
Operated by state authorities.
Home revenue
$9.8M Rank #179 / 297Revenue — State benchmarkedThis home is ranked 179th 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
$523.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #199 / 297Payroll — State benchmarkedThis home is ranked 199th 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.
$4.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #199 / 297Payroll — State benchmarkedThis home is ranked 199th 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.
$5.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.3M
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
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Harbor Lakes Nursing and Rehabilitation Center
2.8 miles from city center
Estimated distance in miles from Granbury's city center to Harbor Lakes Nursing and Rehabilitation Center's address, calculated via Google Maps.
Calculate Travel Distance to Harbor Lakes Nursing and Rehabilitation Center
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Financial Assistance for
Nursing Home in Texas
Harbor Lakes Nursing and Rehabilitation Center 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 Harbor Lakes Nursing and Rehabilitation Center
Is Harbor Lakes Nursing and Rehabilitation Center in a walkable area?
Harbor Lakes Nursing and Rehabilitation Center has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the address of Harbor Lakes Nursing and Rehabilitation Center?
Harbor Lakes Nursing and Rehabilitation Center is located at 1300 2nd St, Granbury, TX 76048.
What is the phone number of Harbor Lakes Nursing and Rehabilitation Center?
(817) 408-3800 will put you in contact with the team at Harbor Lakes Nursing and Rehabilitation Center.
Is Harbor Lakes Nursing and Rehabilitation Center Medicare or Medicaid certified?
Yes — Harbor Lakes Nursing and Rehabilitation Center is a CMS-certified provider of Medicare and Medicaid.
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