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Harbor Lakes Nursing and Rehabilitation Center

All states › Texas › Granbury › Harbor Lakes Nursing and Rehabilitation Center

1300 2nd St Granbury, TX 76048 · Hood County

(817) 408-3800

All 4 nursing homes in Granbury, TX (4 take Medicaid)

Accepts Medicare Accepts Medicaid 142 certified beds For profit

CMS certification number 676185 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Harbor Lakes Nursing and Rehabilitation Center 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 Harbor Lakes Nursing and Rehabilitation Center as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Texas average of 2.8. Inspectors issued 16 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 out of 5.

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 3.23 hours per resident per day at Harbor Lakes Nursing and Rehabilitation Center, about the same as the Texas median of 3.30 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.73 hours, 15% below its all-week average. Ask how weekends are staffed. 32.9% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.

Nursing care per resident per day 3.23 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.31 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.73 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 32.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds142
Residents per day 93 About 66% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJune 2008
Part of a chainHmg Healthcare
Legal business nameWINNIE-STOWELL HOSPITAL DISTRICT

Paying for care at Harbor Lakes Nursing and Rehabilitation Center: Medicare and Medicaid

Harbor Lakes Nursing and Rehabilitation Center 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.

Health inspections

The most recent standard inspection was on September 11, 2025 and found 1 deficiency. In total, inspectors issued 16 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 16 citations at Harbor Lakes Nursing and Rehabilitation Center across 4 inspection dates, 10 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 15 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident assessment and care planning (6) and nutrition and dietary (4). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, August 15, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

September 11, 2025 · 1 citation

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Sep 22, 2025)

August 15, 2024 · 9 citations · includes complaint inspection

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Sep 9, 2024)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Sep 9, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (Sep 9, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Sep 9, 2024)

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Deficient, Provider has date of correction (Sep 9, 2024)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Complaint inspection · Deficient, Provider has date of correction (Sep 9, 2024)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Complaint inspection · Deficient, Provider has date of correction (Sep 9, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Sep 9, 2024)

BProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Potential for minimal harm · Nutrition and Dietary Deficiencies · Tag F0802 · Complaint inspection · Deficient, Provider has date of correction (Sep 9, 2024)

July 3, 2024 · 1 citation · includes complaint inspection

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Aug 2, 2024)

June 29, 2023 · 5 citations

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jun 30, 2023)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 30, 2023)

DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0640 · Deficient, Provider has date of correction (Jun 30, 2023)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jun 30, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 30, 2023)

Questions to ask on a tour of Harbor Lakes Nursing and Rehabilitation Center

  1. CMS cited the home under its abuse and neglect rules on August 15, 2024. How are staff trained, and how are concerns reported?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 2/5 5/5
August 2026 5/5 5/5 2/5 5/5
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Location

Hospitals near Harbor Lakes Nursing and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Avir at Granbury Granbury · 1.5 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 90 beds · Medicaid
Granbury Care Center Granbury · 1.9 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 174 beds · Medicaid
Granbury Rehab & Nursing Granbury · 2.9 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 95 beds · Medicaid
Glen Rose Nursing and Rehab Center Glen Rose · 13.4 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 118 beds · Medicaid
Cherokee Rose Nursing and Rehabilitation Glen Rose · 13.9 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 102 beds · Medicaid

More nursing homes near Harbor Lakes Nursing and Rehabilitation Center ›   All nursing homes in Granbury ›

Compare Harbor Lakes Nursing and Rehabilitation Center with the 3 closest homes side by side ›

Other Hmg Healthcare nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 31 Hmg Healthcare nursing homes ›

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.

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https://www.nursinghomesineachstate.com/texas/granbury/harbor-lakes-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.