Avir at Granbury
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 24 Google reviews

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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“Amazing staff, they truly care for their residents. Have seen amazing progress happen with their rehab residents.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
8
measures
1
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Complaint1
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, 2025Routine15
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
May 22, 2025Complaint1
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jun 8, 2024Complaint3
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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, 2024Complaint8
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.
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.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
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.
Environmental Deficiencies
Ensure resident rooms meet each resident's needs.
May 16, 2024Routine1
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
Parker County Hospital District
for profit
600 REUNION COURT OPCO LLC
SONDRA SAUERNHEIMER
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 21 of 21 (Worst)
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
24 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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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.
The Oaks of Granbury
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