Harbor Lakes Nursing and Rehabilitation Center
1300 2nd St, Granbury, TX 76048 · Hood County · 142 certified beds · avg 93 residents/day · certified since Jun 3, 2008
Part of chain: HMG HEALTHCARE (31 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (16)
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 |
|---|---|---|
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Aug 15, 2024 | 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. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Aug 15, 2024 | 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. · from a complaint |
| Aug 15, 2024 | 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 |
| Aug 15, 2024 | 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. · from a complaint |
| Aug 15, 2024 | B · Minimal risk, repeated | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jun 29, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 29, 2023 | 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 29, 2023 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Jun 29, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 29, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | E |
| 2024 | 10 | 0 | F |
| 2025 | 1 | 0 | D |
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) | 3.38 | 3.46 | 3.95 | top 44% in Texas; bottom 31% in the U.S. |
| Registered Nurse hours | 0.40 | 0.44 | 0.69 | top 48% in Texas; bottom 22% in the U.S. |
| Weekend total nurse staffing | 2.95 | 3.04 | 3.50 | top 47% in Texas; bottom 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.34 | 0.48 | top 40% in Texas; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 38.5 | 55.3 | 45.8 | top 17% in Texas; top 32% in the U.S. |
| RN turnover (%) | 33.3 | 54.6 | 42.9 | top 20% in Texas; top 33% 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 3.30, RN 0.39, weekend 2.87. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Balsamo, Krystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Balsamo, Krystal | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Cibc Bank USA | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Cibc Bank USA | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Crosby, Calvin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/24/2024 |
| Crosby, Calvin | Individual | ADP of the SNF | NOT APPLICABLE | 01/24/2024 |
| Culp, Roland | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Culp, Roland | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Daspit, Laurence | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Daspit, Laurence | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Dohn, William | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
| Dohn, William | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Dyer, Brittney | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/26/2022 |
| Dyer, Brittney | Individual | ADP of the SNF | NOT APPLICABLE | 09/26/2022 |
| Harrison, Deon | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/11/2023 |
| Harrison, Deon | Individual | ADP of the SNF | NOT APPLICABLE | 10/11/2023 |
| HMG Park Manor of Harbor Lakes LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2021 |
| HMG Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2021 |
| Murrell, Edward | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2018 |
| Pico, Ana | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 | Flags |
|---|---|---|---|---|---|
| Avir at Granbury | 1.5 mi | Granbury, TX | ★☆☆☆☆ | 2/5 | |
| Granbury Care Center | 1.9 mi | Granbury, TX | ★☆☆☆☆ | 2/5 | |
| Granbury Rehab & Nursing | 2.9 mi | Granbury, TX | ★★☆☆☆ | 3/5 | |
| Glen Rose Nursing and Rehab Center | 13.4 mi | Glen Rose, TX | ★★★★★ | 4/5 | |
| Cherokee Rose Nursing and Rehabilitation | 13.9 mi | Glen Rose, TX | ★★★☆☆ | 4/5 | |
| Willow Park Rehabilitation and Care Center | 18.4 mi | Willow Park, TX | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676185.