Granbury Rehab & Nursing

In the surveyor’s words

From the most serious findings on record at Granbury Rehab & Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Dec 2, 2025

  Based on observation, interview and record review, the facility failed to make sure that its menus are followed and document any substitutions made to the menus on 4 of 4 halls reviewed for food and nutrition services. The facility failed to ensure residents who ate from the kitchen received all food items according to the menu or an approved alternative during lunch meal on 9/15/2025. This failure could place residents that eat out of the kitchen at risk of poor intake, chemical imbalance and/or weight loss.Findings included:Resident #54Record review of Resident #54's electronic face sheet dated 9/16/2025 reflected she was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses to include: unspecified severe protein-calorie malnutrition (significant loss of body weight… […]

• No harm, potential for more than minimal, widespreadF803Sep 18, 2025

  Based on observation, interview and record review, the facility failed to make sure that its menus are followed and document any substitutions made to the menus on 4 of 4 halls reviewed for food and nutrition services. The facility failed to ensure residents who ate from the kitchen received all food items according to the menu or an approved alternative during lunch meal on 9/15/2025. This failure could place residents that eat out of the kitchen at risk of poor intake, chemical imbalance and/or weight loss.Findings included:Resident #54Record review of Resident #54's electronic face sheet dated 9/16/2025 reflected she was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses to include: unspecified severe protein-calorie malnutrition (significant loss of body weight… […]

• No harm, potential for more than minimal, widespreadF576Aug 1, 2024

  Based on interview, the facility failed to ensure the residents' right to receive their mail for seven of seven (confidential) residents interviewed regarding personal mail. The facility failed to distribute mail to residents on Saturdays. This failure could place residents at risk of not receiving mail in a timely manner and could result in a decline in resident's psychosocial well-being and quality of life. Findings include: During a confidential group interview on 07/31/24 at 9:52 am, 7 of 7 residents stated that mail was only delivered Monday through Friday, when the facility's business office was opened and not on weekends. They stated they would like to receive their mail on Saturday when facility receives it. […]

• No harm, potential for more than minimal, widespreadF812Jun 14, 2023

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed, in that: The facility failed to ensure open items in the freezer, refrigerator, and dry food storage were dated and labeled and free from expired foods. These failures could place residents at risk for food borne illness and cross-contamination. Findings included: Record Review of facility MDS Resident 672 dated [DATE] revealed, there were 76 out of 76 residents that ate from the kitchen. During observation on [DATE] at 10:25 AM, of 1 of 1 dry storage contained: 1. One 5-gallon bucket labeled Beef Broth was open to elements with the lid placed to the side. 2. […]

• No harm, potential for more than minimal, widespreadF802Apr 28, 2022

  Based on observation, interview, and record review the facility failed to employ sufficient staff with the appropriate competencies, skills set and accreditations to carry out the functions of the food and nutrition service department for 1 of 8 dietary staff (Dietary Cook) reviewed for dietary support personnel. The facility failed to ensure that dietary staff (Dietary Cook) had a current Food Handler Certificate. This failure could place residents at risk of not having their nutritional needs met and place them at risk for food born illnesses due to lack of dietary staff training. Findings include: Record review of Dietary Cook's employee file revealed no Food Handler certificate. […]