CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 4559292026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Granbury Rehab & Nursing

CMS lists this provider in Granbury, TX, with 95 certified beds, an overall rating of 2/5, and 28 citation rows in the current August 2026 release.

2124 Paluxy Hwy · Granbury, TX 76048 · Hood County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds95CMS provider file
Recent citation rows28current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Granbury Rehab & Nursing survey cycles in this release

CMS supplies 3 survey-cycle rows for Granbury Rehab & Nursing in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-12-02142024-08-017
Cycle 22024-08-0142023-06-140
Cycle 32023-06-1432022-04-280
02 / CITATION DETAIL

Granbury Rehab & Nursing citations in the current release

CMS reports 28 citation rows, including 0 with G–L codes and 0 with J–L codes.

0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-06-25 · HEALTHF0728Severity D · isolated; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Correction field: Deficient, Provider has date of correction · 2026-08-05 · complaint
2026-06-25 · HEALTHF0732Severity C · widespread; potential for minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2026-08-05 · complaint
2026-06-25 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2026-08-05 · complaint
2026-06-02 · HEALTHF0842Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2026-06-30 · complaint
2025-12-02 · HEALTHF0565Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Correction field: Deficient, Provider has date of correction · 2025-12-03
2025-12-02 · HEALTHF0607Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Correction field: Deficient, Provider has date of correction · 2025-12-03
2025-12-02 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Correction field: Deficient, Provider has date of correction · 2025-12-03
2025-12-02 · HEALTHF0656Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2025-12-03
2025-12-02 · HEALTHF0680Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

Correction field: Deficient, Provider has date of correction · 2025-12-03
2025-12-02 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Correction field: Deficient, Provider has date of correction · 2025-12-03
2025-12-02 · HEALTHF0803Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Correction field: Deficient, Provider has date of correction · 2025-12-03
2025-12-02 · HEALTHF0809Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Correction field: Deficient, Provider has date of correction · 2025-12-03
2025-12-02 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2025-12-03
2025-12-02 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-12-03
2024-08-01 · HEALTHF0575Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Correction field: Deficient, Provider has date of correction · 2024-08-30
2024-08-01 · HEALTHF0576Severity F · widespread; potential for more than minimal harm

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

Correction field: Deficient, Provider has date of correction · 2024-08-30
2024-08-01 · HEALTHF0806Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Correction field: Deficient, Provider has date of correction · 2024-08-30
2024-08-01 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2024-08-30
2024-08-01 · FIREK0211Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2024-08-30
2024-08-01 · FIREK0223Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2024-08-30
2024-08-01 · FIREK0321Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2024-08-30
2024-08-01 · FIREK0345Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2024-08-30
2024-08-01 · FIREK0355Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2024-08-30
2024-08-01 · FIREK0741Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2024-08-30
03 / ENFORCEMENT FILE

CMS penalties reported for Granbury Rehab & Nursing

The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Granbury Rehab & Nursing

CMS matched 9 ownership disclosure rows to Granbury Rehab & Nursing; names and roles are reported fields, not independently verified identities.

  • BYROM, DAVIDIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 09/01/2014
  • BYROM, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/01/2014
  • BYROM, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 09/01/2014
  • ADVANCED HCS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/01/2014
  • CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITYOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2014
  • BYROM, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/01/2014
  • LICHTSCHEIN, TEDDYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2021
  • MEISNER, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2021
  • SCHEINER, ELIEZERIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/01/2021

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Staffing hours and turnover for Granbury Rehab & Nursing

CMS reports 3.03 total nurse hours and 0.52 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.03per resident day
RN hours0.52per resident day
Weekend nurse hours2.59per resident day
Staff turnover52.8%CMS reported field
06 / LOCAL RECORDS

Facilities published near Granbury Rehab & Nursing

The local peer set contains 3 other published facility records near Granbury, TX, with separate bed, rating, and citation-row fields.

Open the Granbury ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.