Granbury Care Center
Granbury Care Center in Granbury, TX — inspection on March 30, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
completed because she was behind performing those assessments.
She stated not completing the
MDS assessment should have been completed on 03/25/2026.
During a follow-up interview on
comprehensive assessments.
She stated the facility had two MDS Coordinators and she expected them to come to her when they were behind on those assessments so she could help complete them.
She stated she and the Regional Reimbursement Nurse would sign off on the assessments when the MDS Coordinators had completed them.
She stated she did not have a process for monitoring that the comprehensive assessments were completed timely because the ADMN monitored them.
She stated her expectation would be for the MDS assessments to be completed per policy.
She stated the care plan had been done because the facility used the comprehensive care plan as the baseline care plan and the care areas had already been added onto the care plan.
She stated not having the MDS assessment completed could cause a delay in the residents not receiving all of the services needed to care for them.
She stated she captured care areas on Resident #5's care plan so she did not feel any delay happened with his care due to the comprehensive assessment not being completed timely.
During an interview on 03/30/2026 at 4:32 p.m., the ADMN stated the MDS Coordinator nurses were responsible for completing comprehensive assessments and an RN signed the assessments.
She stated the Regional Reimbursement Nurse, and the DON would sign them.
The ADMN stated the Regional Reimbursement Nurse would monitor facilities on Fridays if there had been situations that required her to be monitoring the comprehensive MDS assessments and she would now add this facility onto her list to check.
The ADMN stated she would now be asking in the morning meeting if those comprehensive assessments had been done and would be looking daily to see that they were.
She did not state how she had been monitoring that the assessments were completed prior to that day.
She stated the assessments should be completed timely per the RAI manual, and she did not know why Resident #5's admission assessment had not been completed.
She stated completing those comprehensive assessments was important for accuracy in providing proper care for the residents.
Record review of the facility's undated policy titled Resident Assessment, reflected: A comprehensive assessment will be completed within 14 days of admission.The results of the assessment are used to develop, review, and revise the resident's comprehensive plan of care.Each assessment must be conducted or coordinated by a registered nurse who signs and certifies the completion of the assessment.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Granbury, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Granbury Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.