All states › Texas › Marble Falls › Granite Mesa Health Center
1401 Max Copeland Dr Marble Falls, TX 78654 · Burnet County
CMS certification number 676220 · See this home on Medicare Care Compare
Is Granite Mesa Health 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 Granite Mesa Health Center as of October 2026.
CMS rates it 2 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 3.43 hours per resident per day at Granite Mesa Health Center, above the Texas median of 3.30 (US median: 3.72). About 0.40 of those hours are from registered nurses. On weekends it falls to 2.76 hours, 19% below its all-week average. Ask how weekends are staffed.
About this nursing home
Paying for care at Granite Mesa Health Center: Medicare and Medicaid
Granite Mesa Health 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 December 31, 2025 and found 7 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 25 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 25 citations at Granite Mesa Health Center across 10 inspection dates, 9 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 27, 2025 (complaint inspection). The most common areas cited were quality of life and care (8) and resident assessment and care planning (6). 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, January 27, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
July 11, 2026 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 16, 2026 · 1 citation · includes complaint inspection
DKeep residents' personal and medical records private and confidential.
December 31, 2025 · 7 citations
EReasonably accommodate the needs and preferences of each resident.
EEnsure each resident receives an accurate assessment.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide enough food/fluids to maintain a resident's health.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 30, 2025 · 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.
April 9, 2025 · 1 citation · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
January 27, 2025 · 1 citation, 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.
October 2, 2024 · 4 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 a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure each resident receives an accurate assessment.
EProvide activities to meet all resident's needs.
September 26, 2024 · 2 citations · includes complaint inspection
EProtect each resident from the wrongful use of the resident's belongings or money.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
April 16, 2024 · 2 citations · includes complaint inspection
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
August 2, 2023 · 5 citations
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Questions to ask on a tour of Granite Mesa Health Center
- Inspectors cited the home at the immediate-jeopardy level on January 27, 2025 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 January 27, 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?
- Weekend staffing is 19% 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
1 penalty in the last three years, including $59,345 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 27, 2025 | Fine | $59,345 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 4/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 4/5 |
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Location
Hospitals near Granite Mesa Health 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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5.2 mi
Baylor Scott & White Medical Center - Marble Falls Marble FallsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 40m for patients treated and sent home
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10.6 mi
Seton Highland Lakes BurnetEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 1h 56m 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 Granite Mesa Health Center › All nursing homes in Marble Falls ›
Compare Granite Mesa Health Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Brixton at Horseshoe Bay · Horseshoe Bay · 4 stars · 5.4 mi
Other The Ensign Group nursing homes in Texas
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- River Pointe of Trinity Healthcare and Rehabilitation · Trinity · 5 stars
- Golden Palms Rehabilitation and Retirement · Harlingen · 5 stars
- Beacon Harbor Healthcare and Rehabilitation · Rockwall · 5 stars
- Crestwood Health and Rehabilitation Center · Wills Point · 5 stars
- Legend Oaks Healthcare and Rehabilitation - Ennis · Ennis · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group 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.