All states › Texas › Granbury › Harbor Lakes Nursing and Rehabilitation Center
1300 2nd St Granbury, TX 76048 · Hood County
All 4 nursing homes in Granbury, TX (4 take Medicaid)
CMS certification number 676185 · See this home on Medicare Care Compare
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.
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.
About this nursing home
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.
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.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DProtect each resident from the wrongful use of the resident's belongings or money.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure medication error rates are not 5 percent or greater.
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.
BProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Questions to ask on a tour of Harbor Lakes Nursing and Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on August 15, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| 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.
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2.2 mi
Lake Granbury Medical Center GranburyEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 6m for patients treated and sent home
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13.3 mi
Glen Rose Medical Center Glen RoseEmergency roomMedian ER visit 1h 44m for patients treated and sent home
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20.4 mi
Texas Health Harris Methodist Hospital Cleburne CleburneEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 17m 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
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Other Hmg Healthcare nursing homes in Texas
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- Stonegate Nursing and Rehabilitation · Fort Worth · 5 stars
- Stallings Court Nursing and Rehabilitation · Nacogdoches · 5 stars
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.