All states › Texas › Granbury › Avir at Granbury
600 Reunion Ct. Granbury, TX 76048 · Hood County
All 4 nursing homes in Granbury, TX (4 take Medicaid)
CMS certification number 675084 · See this home on Medicare Care Compare
Is Avir at Granbury a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Granbury as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.80 hours per resident per day at Avir at Granbury, below the Texas median of 3.30 (US median: 3.72). About 0.29 of those hours are from registered nurses. On weekends it falls to 2.46 hours, 12% below its all-week average. 75.6% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Avir at Granbury: Medicare and Medicaid
Avir at Granbury is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on July 16, 2026 and found 11 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 36 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 36 citations at Avir at Granbury across 8 inspection dates, 17 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 8, 2024 (complaint inspection). The most common areas cited were resident assessment and care planning (9) and nutrition and dietary (8). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, June 8, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
July 16, 2026 · 11 citations
FHave 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.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
EProvide and implement an infection prevention and control program.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
April 23, 2026 · 2 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DPASARR screening for Mental disorders or Intellectual Disabilities
December 5, 2025 · 1 citation · includes complaint inspection
FHave 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.
June 4, 2025 · 8 citations
EEnsure each resident receives an accurate assessment.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CPost nurse staffing information every day.
May 22, 2025 · 1 citation · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
June 8, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 16, 2024 · 8 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EHave 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.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
BEnsure resident rooms meet each resident's needs.
November 27, 2023 · 2 citations · includes complaint inspection
DEnsure 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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Questions to ask on a tour of Avir at Granbury
- Inspectors cited the home at the immediate-jeopardy level on June 8, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 4, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 75.6% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $66,367 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 16, 2024 | Fine | $66,367 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 1/5 |
Add this rating badge to your websiteFree. Shows Avir at Granbury's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Avir at Granbury
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.9 mi
Lake Granbury Medical Center GranburyEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 6m for patients treated and sent home
-
14.6 mi
Glen Rose Medical Center Glen RoseEmergency roomMedian ER visit 1h 44m for patients treated and sent home
-
20.4 mi
Weatherford Regional Medical Center WeatherfordEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 16m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avir at Granbury › All nursing homes in Granbury ›
Compare Avir at Granbury with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Harbor Lakes Nursing and Rehabilitation Center · Granbury · 5 stars · 1.5 mi
- Granbury Rehab & Nursing · Granbury · 2 stars · 2.8 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.