See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Investigative

Avir at Granbury

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

600 Reunion Ct., Granbury, TX 7604890 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 24 Google reviews

5
4
3
2
1
Avir at Granbury Nursing Home in Granbury, TX — Street View
Street View

Watch Avir at Granbury

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (9 vs median 8.0)
  • High staff turnover (71%)
  • High RN turnover (80%)

Bottom 25% in Texas · Below recommended RN staffing · Very high staff turnover · Worst in SLP OPERATIONS chain · $66,367 in fines

Source: Medicare data

What this means for your family

This facility offers a lovely, small-scale atmosphere where staff members often treat residents like family. However, you should closely monitor the cleanliness of the rooms and ask specifically about the protocol for responding to call buttons, as recent reviews have flagged significant lapses in these areas.

Google Reviews

Google Reviews

24 reviews analyzed
Families may find a warm, family-like atmosphere with staff members who are praised for being attentive and caring. However, there are significant and recurring concerns regarding cleanliness and responsiveness to call buttons that should be investigated.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean2.0Activities5.0MedsN/AMemoryN/AComms7.0Value5.0

Strengths

  • Warm, family-like atmosphere
  • Attentive and caring nursing staff
  • Effective rehabilitation progress
  • Strong teamwork among employees

Concerns

  • Issues with facility cleanliness and hygiene (mentioned by 3 reviewers)
  • Slow response times to call buttons

Rating Trends

Tap a year to see what changed

2341.02020(1)4.42021(7)3.42022(5)1.02023(1)2.02024(4)4.32025(6)1.02026(1)

Distribution

5
14
4
0
3
0
2
0
1
9

How They Respond to Reviews

29%response rate
Generic

The owner uses highly repetitive, templated responses to address negative feedback, often relying on a standard script that directs users to a compliance line. While they occasionally attempt to personalize a response to clarify factual errors, the primary pattern is the use of copy-paste templates.

Questions for Your Tour

  • 1It’s wonderful to hear that so many people describe the atmosphere here as warm and family-like; how do you foster that sense of community among the 90 residents?
  • 2We want to make sure our loved one is always comfortable; what specific protocols do you have in place to ensure the facility stays clean and hygienic throughout the day?
  • 3When a resident uses their call button, what is the typical response time we can expect from the nursing team?
  • 4Since we've heard great things about the teamwork among your employees, how does that teamwork translate to the care provided during a medical emergency?
  • 5What kind of daily activities or social programs are available to keep residents engaged and active?
  • 6We noticed you are active in responding to feedback; how does the facility use resident and family input to improve staffing and care quality?

Personalized based on this facility's data


Key Review Excerpts

They provide great care because they know the residents. They are able to spot the little changes and react quickly to find a resolution.

Long-term resident's family · 2025★★★★★

Amazing staff, they truly care for their residents. Have seen amazing progress happen with their rehab residents.

Rehab patient's family · 2022☆☆☆☆

When my parent has been sitting in a chair for 4 hours and waiting for someone to answer their call button but no one does?? They wet themself and texted me to please call them and find out what is going one.

Long-term resident's family · 2023☆☆☆☆
Source: 24 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.41hrs
55%
Registered nurses for medical care
Total Nursing
3.16hrs
77%
All nurses + aides combined
Staff Turnover
74%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility54.0%
Worse than Avg
Here
54.0%
US
15.3%
TX
14.9%
Hood
11.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility35.8%
Worse than Avg
Here
35.8%
US
14.4%
TX
16.1%
Hood
10.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.4%
Worse than Avg
Here
24.4%
US
15.4%
TX
9.4%
Hood
7.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Hood
4.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
19.4%
TX
14.2%
Hood
14.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility11.5%
Worse than Avg
Here
11.5%
US
4.9%
TX
4.0%
Hood
3.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility44.9%
Worse than Avg
Here
44.9%
US
81.8%
TX
89.2%
Hood
98.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility8.3%
Worse than Avg
Here
8.3%
US
1.6%
TX
1.5%
Hood
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Near state avg (9.1)
15 complaint-triggered
$66,367 in fines

This facility shows concerning patterns with 36 deficiencies across multiple surveys, including families filing 15 complaints that triggered investigations. The most recurring problems involve nursing staffing issues, food service quality and safety, and medication management. While the facility reports correcting violations, serious issues like abuse protection failures and nursing coverage problems have persisted across different time periods, suggesting ongoing operational challenges that warrant careful consideration before placement.

Dec 5, 2025Complaint
1
0727ModerateCorrected

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.

Jun 4, 2025Routine
15
0041ModerateCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0761ModerateCorrected

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0849ModerateCorrected

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.

0211ModerateCorrected

Egress Deficiencies

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

0321ModerateCorrected

Smoke Deficiencies

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

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0920ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0605MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0804MinorCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

May 22, 2025Complaint
1
0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Jun 8, 2024Complaint
3
0600SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0684SevereCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0842MinorCorrected

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.

May 16, 2024Complaint
8
0656ModerateCorrected

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.

0727ModerateCorrected

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.

0803ModerateCorrected

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0578MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0661MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0910MinorCorrected

Environmental Deficiencies

Ensure resident rooms meet each resident's needs.

May 16, 2024Routine
1
0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal Penalties

Fine

May 16, 2024

$66,367

Ownership & Operations

Who Operates This Facility

Owner / Operator

Parker County Hospital District

Organization Type

for profit

Management Company

600 REUNION COURT OPCO LLC

Administrator

SONDRA SAUERNHEIMER

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 21 of 21 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

Call