Granbury Rehab & Nursing

Name: Granbury Rehab & Nursing
Address: 2124 Paluxy Hwy, Granbury, TX, 76048, US
Telephone: 8172797600

2124 Paluxy Hwy, Granbury, TX 76048 · Hood County · 95 certified beds · avg 78 residents/day · certified since Jul 9, 1991

Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.93

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 25, 2026	D · Potential for harm, one-off	The facility did not make sure its nurse aides were properly trained — aides working more than 4 months must be trained and competent, and newer aides must be enrolled in training. · from a complaint
Jun 25, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Jun 25, 2026	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint
Jun 2, 2026	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Dec 2, 2025	F · Potential for harm, facility-wide	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Dec 2, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Dec 2, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 2, 2025	E · Potential for harm, repeated	The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials.
Dec 2, 2025	E · Potential for harm, repeated	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times.
Dec 2, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 2, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Dec 2, 2025	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Dec 2, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 2, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 1, 2024	F · Potential for harm, facility-wide	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Aug 1, 2024	E · Potential for harm, repeated	The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency.
Aug 1, 2024	E · Potential for harm, repeated	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Aug 1, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 14, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 14, 2023	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 10).

Year	Citations	Worst severity that year
2023	3	F
2024	4	F
2025	10	F
2026	4	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.93	3.46	3.95	bottom 19% in Texas; bottom 11% in the U.S.
Registered Nurse hours	0.50	0.44	0.69	top 25% in Texas; bottom 38% in the U.S.
Weekend total nurse staffing	2.51	3.04	3.50	bottom 17% in Texas; bottom 10% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.34	0.48	bottom 36% in Texas; bottom 21% in the U.S.
Total nursing staff turnover (%)	52.8	55.3	45.8	bottom 48% in Texas; bottom 30% in the U.S.
RN turnover (%)	53.8	54.6	42.9	bottom 50% in Texas; bottom 30% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.03, RN 0.52, weekend 2.59. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Advanced HCS LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2014
Byrom, David	Individual	W-2 Managing Employee	NOT APPLICABLE	09/01/2014
Byrom, David	Individual	Corporate Director	NOT APPLICABLE	09/01/2014
Byrom, David	Individual	Corporate Officer	NOT APPLICABLE	09/01/2014
Byrom, David	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2014
Coryell County Memorial Hospital Authority	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2014
Lichtschein, Teddy	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Meisner, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021
Scheiner, Eliezer	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Where do you post your daily staffing numbers, and can I see today's?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Granbury Care Center	1.6 mi	Granbury, TX	★☆☆☆☆	2/5
Avir at Granbury	2.8 mi	Granbury, TX	★☆☆☆☆	2/5
Harbor Lakes Nursing and Rehabilitation Center	2.9 mi	Granbury, TX	★★★★★	5/5
Glen Rose Nursing and Rehab Center	13.1 mi	Glen Rose, TX	★★★★★	4/5
Cherokee Rose Nursing and Rehabilitation	13.6 mi	Glen Rose, TX	★★★☆☆	4/5
Willow Park Rehabilitation and Care Center	19.3 mi	Willow Park, TX	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Granbury →

Facility data as of CMS processing date 2026-08-01. CCN 455929.

The Care File

Visit checklist — Granbury Rehab & Nursing

2124 Paluxy Hwy, Granbury, TX 76048 · 8172797600

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What training and competency checks do your nurse aides go through, and how do you keep their skills current?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455929 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)