Granbury Care Center
301 SOUTH PARK STREET, 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 - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 174 · avg 117 residents/day
- Total nursing staff turnover
- 59.2% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 85.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $37,260 total
State licensing & capacity
- License number
- 308556
- Service type
- Medicare/medicaid
- Licensed capacity
- 174 beds
- Bed type breakdown
- 174 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- June 18, 1976
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Creative Solutions In Healthcare At Granbury, Llc
- Administrator
- Tiffany M Warner
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (18 on record)
- Creative Solutions in Healthcare at Granbury Llc
Adp of The Snf · since 2025
- Lydia Messina
Adp of The Snf · since 2025
- Kris h Wusterhausen
Adp of The Snf · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
- Sean Bowers
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
April 2022 (4 years ago) · acquired from Granbury Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 36)
- J0678·Sep 12, 2025Complaint
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- E0657·Jul 3, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E0656·Jul 3, 2025Complaint
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.
- E0686·May 2, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0689·Mar 24, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0880·Jan 10, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Dec 4, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0804·Dec 4, 2024
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Federal penalties
By year
- 20251 fine · $16K
- 20241 fine · $21K
Most recent events
- Sep 12, 2025Fine · $16K
- Feb 21, 2024Fine · $21K
Largest single fine on record: $21K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Dec 4, 2024. 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
Granbury Care Center is a 174-bed nursing home in Granbury, Hood County, accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with 1-star staffing and 2-star health inspections. Two CMS fines totaling $37,260 have been issued. The facility is operating at roughly 67% of licensed beds. It is managed by Creative Solutions In Healthcare and licensed to West Wharton County Hospital District.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star. Each resident receives about 178 minutes of nursing care per day — roughly 63 minutes less than at a 4-star-staffing facility in Texas. That 1-star staffing rating places this facility among the bottom 38% of Texas nursing homes on staffing. Of those 178 minutes, only 14 are provided by a registered nurse; Texas 4-star facilities average 37 RN minutes per resident per day.
RN turnover is very high: approximately 9 in 10 registered nurses left in the past year. A long-stay resident will likely cycle through multiple primary RN caregivers. Total nursing staff turnover of 59.2% sits just above Texas's 75th-percentile cutoff of 60% — meaning turnover here exceeds roughly three-quarters of nursing homes in the state.
CMS has recorded 2 fines totaling $37,260 since the facility's current data period. The state median for fines among Texas facilities that receive any is $20,699; this facility's total is roughly 80% above that median. About 30% of Texas nursing homes have no fines at all.
One administrator has turned over in the past year, which CareWitness flags as elevated. Leadership continuity affects how consistently care policies are applied.
The facility is operating at roughly 67% of its 174 licensed beds — 116 residents on an average day. That occupancy level, alongside the other signals in this record, is noted here for context.
The short-stay quality-of-care rating is 1 star; the long-stay rating is 4 stars. Those two numbers describe different resident populations — people here for short-term recovery after a hospital stay versus people living here permanently — and they point in opposite directions.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.69 per resident per day here, below the already-low weekday figure — ask how many nurses and aides are scheduled on a typical Saturday night.
Why RN turnover is so high
Nearly 9 in 10 registered nurses left in the past year; ask what drove that departure rate and how many RN positions are currently filled versus vacant.
Impact of the administrator change
One administrator turned over in the past year — ask how long the current administrator has been in place and whether any care policies changed during the transition.
What the two CMS fines covered
CMS issued two fines totaling $37,260; ask what deficiencies triggered each fine and what corrections were made.
Reason for lower occupancy
The facility is at roughly 67% of licensed capacity — ask whether beds are vacant by choice, due to staffing limits, or because of reduced referrals.
Short-stay care outcomes
The short-stay quality rating is 1 star while the long-stay rating is 4 stars — ask how the facility tracks rehospitalization rates and functional improvement for short-term residents.
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.