Ellery Care
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Avir At Granbury

600 Reunion Ct., Granbury, TX 76048 · Hood County

For-profit · 90 certified beds · 55% occupancy · (817) 573-3773

Deciding as a family?

Avir At Granbury reviews: what the government record shows

The U.S. government (CMS) rates Avir At Granbury 1 out of 5 stars overall, much below average. Its nurse staffing is 5% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
1 of 5 stars
Nurse staffing
3.12 hrs/resident/day (-5% vs TX median)
Antipsychotic drug use
25.3% of long-stay residents (TX median 8.3%)
Falls with major injury
4.5% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$66,367
Inspection findings
28 cited, 2 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Nurse staffing of 3.12 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $66,367 in federal fines in roughly the last three years.
  • !Pressure-ulcer (bedsore) rate of 11.6% is well above the Texas median of 3.3%.
  • !Gives antipsychotic drugs to 25.3% of long-stay residents, well above the norm.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·Can we see the most recent inspection report and the plan of correction?
  • ·How often are residents repositioned, and who checks skin daily?
  • ·For any resident on an antipsychotic, is there a documented diagnosis and a plan to reduce it?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Avir At Granbury

Is Avir At Granbury a good nursing home?

Avir At Granbury in Granbury, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Avir At Granbury staffed?

Avir At Granbury reports 3.12 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Avir At Granbury been fined or flagged for abuse?

Avir At Granbury has paid approximately $66,367 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.12 nurse hours per resident per day. 5% below the Texas median of 3.27.

Total nurse
3.12 hrs
RN
0.25 hrs
LPN
0.93 hrs
Aide
1.93 hrs

Nursing staff turnover: 69.6% · RN turnover: 80%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

28
total findings
2
immediate jeopardy
0
caused actual harm
17
from complaints
  • Potential for harmTag F0727 · Dec 5, 2025ComplaintCorrected Dec 12, 2025

    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.

    Nursing and Physician Services Deficiencies

  • Potential for harmTag F0656 · Apr 23, 2026ComplaintCorrected May 13, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0641 · Jun 4, 2025Corrected Jun 27, 2025

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0761 · Jun 4, 2025Corrected Jun 27, 2025

    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.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0812 · Jun 4, 2025Corrected Jun 27, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0849 · Jun 4, 2025Corrected Jun 27, 2025

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Administration Deficiencies

  • Potential for harmTag F0645 · Apr 23, 2026ComplaintCorrected May 15, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0605 · Jun 4, 2025Corrected Jun 27, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0695 · Jun 4, 2025Corrected Jun 27, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0804 · Jun 4, 2025Corrected Jun 27, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Nutrition and Dietary Deficiencies

Showing the 10 most recent and serious of 28 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

25.3%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is far above both the Texas and national norm. It is worth asking the staff directly why, and whether every prescription has a documented medical reason and a plan to reduce it.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
4.5%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
11.6%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$66,367
Number of fines
1
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - limited liability company). It is independently operated, not part of a multi-facility chain.