Avir At Granbury
600 REUNION CT., Granbury, TX, 76048
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Slp Operations
- Certified beds
- 90 · avg 45 residents/day
- Total nursing staff turnover
- 71.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 80% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $66,367 total
State licensing & capacity
- License number
- 312626
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 19 Medicare-only · 71 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Parker County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 600 Reunion Court Opco Llc
- Administrator
- Sondra Sauernheimer
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (8 on record)
- Slp Granbury, Llc`
Adp of The Snf · since 2025
- Joshua Leonard
Operational/managerial Control · since 2024
- Darren Boswell
Adp of The Snf · since 2023
- wm 41 Lake Jackson re Llc
Adp of The Snf · since 2023
- Sondra Sauernheimer
Operational/managerial Control · since 2022
- Melchor Acosta
Operational/managerial Control · since 2022
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 26)
- F0727·Dec 5, 2025Complaint
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E0849·Jun 4, 2025
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- E0812·Jun 4, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0804·Jun 4, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0761·Jun 4, 2025
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.
- C0732·Jun 4, 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0695·Jun 4, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0641·Jun 4, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20241 fine · $66K
Most recent events
- May 16, 2024Fine · $66K
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Jun 4, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Granbury is a 90-bed nursing home in Granbury, Texas, licensed since 1971 and currently operating at about 50% of capacity. CMS rates it 1 star overall — the lowest rating on a 5-star scale — with 1-star ratings in staffing, health inspections quality, and quality measures. A single CMS fine of $66,367 was issued in the past cycle. The facility is managed by 600 Reunion Court Opco LLC under a license held by Parker County Hospital District.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 184 minutes of total nursing care per day, approximately 57 minutes less than at a 4-star-staffing facility in Texas. Of those minutes, only 26 involve a registered nurse — well below what a higher-staffed facility would provide.
About 7 in 10 nursing staff left in the past year, and 8 in 10 registered nurses did the same. A long-stay resident will likely go through two or three primary caregivers. Texas nursing homes at the 75th percentile see 60% annual turnover; this facility's 71% overall and 80% RN turnover sit above that mark.
CMS issued one fine totaling $66,367 in the most recent reporting cycle. The state median fine across Texas nursing homes that received any fine is about $20,700 — this facility's single fine runs more than three times that figure.
The facility is operating at roughly 50% of its 90 licensed beds, with about 45 residents per day. This is paired with 1-star ratings across staffing and quality measures.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reasons for low occupancy
The facility is running at about 50% of licensed capacity — ask what is driving that and whether bed closures or staffing shortages are a factor.
Staffing levels on nights and weekends
Reported weekend nursing hours are 2.66 per resident per day, below the already-low weekday figure of 3.07 — ask how many nurses and aides are on duty overnight and on weekends.
What drove the $66,367 fine
CMS issued one fine totaling $66,367 in the most recent cycle — ask what the citation was for and what changes were made in response.
RN turnover and continuity of care
Eight in 10 registered nurses left in the past year — ask how many RNs are currently employed and how long they have been at this facility.
Management company's role
Day-to-day operations are run by 600 Reunion Court Opco LLC while the license is held by Parker County Hospital District — ask which entity makes staffing and care decisions.
Resident Council access and activity
The facility has a Resident Council but no Family Council — ask how families can raise concerns and how often the Resident Council meets.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.