Avir at Granbury
Granbury, Texas · CCN 675084
24 surveys since 2011, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 83
- Surveys
- 24
- Harm or worse
- 7
- Immediate jeopardy
- 6
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 90
- Ownership
- Government - Hospital district
- Chain
- Independent
- County
- Hood · rural
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 49 government-run facilities of 66–99 beds in Texas.
Last survey on record
Jul 16, 2026
116 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.12 | 3.24 |
| Registered-nurse hours per resident day | 0.25 | — |
| Annual nurse turnover | 69.6% | 54.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $66,367 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J25.1% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1641.0% | E1743.6% | F25.1% |
| No harm, potential for minimal | A— | B12.6% | C12.6% |
Most frequently cited here
In CMS’s current monthly file.
- F7274×
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.
- F8124×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F7613×
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.
- F6412×
Ensure each resident receives an accurate assessment.
In the surveyor’s words
From the most serious findings on record at Avir at Granbury, in the surveyor’s own words.
- Immediate jeopardy, isolatedF600Jun 8, 2024
Based on observation, interviews, and record reviews the facility failed to ensure residents were free from neglect for 1 of 3 residents (Resident #1) reviewed for abuse. When Resident #1 obtained a skin tear on 05/17/24 that reopened on 05/25/24, the facility failed to obtain treatment orders and provide wound care treatment. After the wound reopened on 5/25/24, the facility did not provide wound care until 5/30/34 when a family member changed the dressing. On 06/01/24 maggots were found in the wound and dressing. The facility did not obtain treatment orders until 06/02/24. An IJ was identified on 06/07/2024. The IJ template was provided to the facility on [DATE] at 5:13 p.m. […]
- Immediate jeopardy, isolatedF684Jun 8, 2024
Based on observation, interviews, and record reviews, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 (Resident #1) of 3 residents reviewed for quality of care. When Resident #1 obtained a skin tear on 05/17/24 that reopened on 05/25/24, the facility failed to obtain treatment orders and provide wound care treatment. After the wound reopened on 5/25/24, the facility did not provide wound care until 5/30/24 when a family member changed the dressing. On 06/01/24 maggots were found in the wound and dressing. The facility did not obtain treatment orders until 06/02/24. An IJ was identified on 06/07/2024. […]
- No harm, potential for more than minimal, widespreadF727Jul 16, 2026
Based on record review and interview, the facility failed to ensure the use of the services of a registered nurse for at least 8 consecutive hours a day, seven days a week for 5 (1/03/2026, 1/24/2026, 1/25/2026, 1/31/2026, and 3/13/2026) of 92 days reviewed for RN coverage. The facility failed to provide evidence that a Registered Nurse (RN) worked 8 consecutive hours a day, seven days a week on 1/03/2026, 1/24/2026, 1/25/2026, 1/31/2026, and 3/13/2026.This failure could place residents at risk of not having decisions made by a RN to manage residents' healthcare needs and in managing and monitoring the direct care staff. […]
- No harm, potential for more than minimal, widespreadF727Dec 5, 2025
Based on interview and record review the facility failed to ensure the use of the services of a registered nurse for at least 8 consecutive hours a day, seven days a week for 1 of 1((11/01/2025,11/02/2025,11/08/2025,11/29/2025, and 11/30/2025) month reviewed for RN coverage.The facility failed to provide evidence that a Registered Nurse (RN) worked 8 consecutive hours a day, seven days a week for 5 of 30 days (11/01/2025,11/02/2025,11/08/2025,11/29/2025, and 11/30/2025).This failure could place residents at risk of not having decisions made, that would have required an RN to make in the management of the residents' healthcare needs and in managing and monitoring the direct care staff. […]
- No harm, potential for more than minimal, widespreadF725Dec 9, 2021
Based on observation, interview and record review, the facility failed to have sufficient numbers of staff to provide nursing care to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for six of eight (Residents #1, #2, #3, #4, #5 and #6) residents reviewed for appropriate staff services. The Facility failed to ensure there was sufficient staffing to: A. Provide Resident #1 her scheduled wound care treatment on 12/05/21 in a timely manner and offer shower/bath as scheduled per her care plan and scheduled shower days for eighteen (18) of thirty-two (32) shower opportunities. B. Assess, orient and notify the physician of Resident #6's admission on 12/06/21 in a timely manner. C. […]
Read 27 findings in full →The most serious and the most recent: 27 of 83 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 16, 2026Standard11 findings
- Apr 23, 2026Complaint2 findings
- Dec 5, 2025Complaint1 finding
- Jun 4, 2025Standard8 findings
- May 22, 2025Complaint1 finding
- Jun 8, 2024Complaint3 findings · 2 harm
- May 16, 2024Standard and complaint8 findings
- Nov 27, 2023Complaint2 findings
Show the 16 earlier surveys
- Mar 29, 2023Standard3 findings
- Jan 7, 2022Standard and complaint6 findings
- Dec 9, 2021Complaint5 findings
- Dec 6, 2021Infection control6 findings
- Nov 16, 2021Complaint1 finding
- Oct 29, 2019Complaint1 finding
- May 10, 2019Standard and complaint1 finding
- Jun 28, 2018Standard5 findings
- Jun 16, 2017Standard5 findings · 4 harm
- May 11, 2016Standard1 finding
- Jul 16, 2015Standard4 findings
- Jun 19, 2014Standard3 findings
- Aug 23, 2013—1 finding
- Jul 5, 2013—1 finding · 1 harm
- Jul 27, 2012—2 findings
- Aug 4, 2011—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction