Avir at Granbury
600 Reunion Ct., Granbury, TX 76048 · 90 beds · For profit - Limited Liability company
The records flag: 2 citations at the most serious level.
These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.
Who's actually on the floor
Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.
Registered nurses only — hours per resident per day. Longer is better.
Registered nurse coverage drops about 45% at weekends.
Staff turnover: 70%
High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.
What inspectors found
State inspectors visit at least once a year and after complaints. Over the last three years this facility received 28 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.
| Severity | Citations |
|---|---|
| Immediate jeopardy | 2 |
| Potential for harm | 24 |
| No harm | 2 |
17 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.
Medicare has issued $66,367 in fines here over the past three years.
What happened to residents
Everything above this point describes how the facility is run — who is on shift, what inspectors found. These are outcomes: what Medicare recorded happening to the people actually living there, averaged over a year and set against the state.
| Over a year, the share of long-stay residents who… | Here | Texas |
|---|---|---|
| Falls causing major injury | 4.5% | 3.3% |
| Pressure ulcers (bedsores) | 11.6% | 3.8% |
| Given antipsychotic medication | 25.3% | 9.6% |
| Physically restrained | 0.0% | 0.0% |
| Urinary tract infections | 0.6% | 0.8% |
| Lost the ability to walk unaided | 51.5% | 14.0% |
Lower is better on every line. Covers 2025Q2-2026Q1.
Medicare adjusts these figures for how unwell residents were on arrival, so a home that takes on frailer people is not marked down for it. That adjustment is imperfect where a facility's residents are unusual, which is why the state figure sits beside each number instead of a rank or a score.
Disclosed affiliations
Medicare has not published ownership or affiliation information for this facility. That is a gap in the federal record, not a finding about the facility — the great majority of facilities do have entries, so it is a reasonable thing to ask about on a visit.
Other options nearby
Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.
| Facility | Miles | Rating | Nurse hrs | Weekend |
|---|---|---|---|---|
| Granbury Care Center | 1.2 | 1 | 0.30 | −22% |
| Harbor Lakes Nursing and Rehabilitation Center | 1.5 | 5 | 0.40 | −18% |
| Granbury Rehab & Nursing | 2.8 | 2 | 0.50 | −51% |
| Glen Rose Nursing and Rehab Center | 14.7 | 5 | 0.30 | −21% |
| Cherokee Rose Nursing and Rehabilitation | 15.2 | 3 | 0.31 | −34% |
| Willow Park Rehabilitation and Care Center | 17.1 | 2 | 0.24 | +23% |
| College Park Rehabilitation and Care Center | 19.8 | 4 | 0.25 | −38% |
| Holland Lake Rehabilitation and Wellness Center | 20.1 | 5 | 0.44 | −10% |
Worth asking on a visit
Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.
- Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
- Turnover here is about 70%. How long has the director of nursing been in post?
- Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
- Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?