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Nursing HomeMedicaid Top Rated

Harbor Lakes Nursing and Rehabilitation Center

Strong Medicare quality ratings; families often praise clean and well-maintained facility. Still worth an in-person visit.

1300 2nd St., Granbury, TX 76048142 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 94 Google reviews

5
4
3
2
1
Harbor Lakes Nursing and Rehabilitation Center Nursing Home in Granbury, TX — Street View
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What this means for your family

This facility is an excellent choice for rehabilitation, with many families praising the therapy team and the cleanliness of the building. However, if your loved one requires frequent assistance with mobility or call lights, you should closely monitor response times, as several reviewers have noted delays during busy shifts.

Google Reviews

Google Reviews

94 reviews analyzed
Families considering Harbor Lakes can expect a facility that is widely praised for its cleanliness, professional rehab therapy, and a nursing staff that many describe as compassionate and family-like. However, there are significant, recurring concerns regarding staffing shortages and slow response times to call lights, as well as isolated reports of serious medical neglect and billing disputes.

Quality Themes

Tap a score for details
Food8.0Staff8.0Clean9.0Activities7.0Meds4.0MemoryN/AComms7.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Compassionate and professional nursing staff
  • Effective and attentive rehabilitation therapy
  • Friendly and helpful administration

Concerns

  • Slow response times to call lights and patient needs (mentioned by 3 reviewers)
  • Staffing shortages affecting care delivery (mentioned by 3 reviewers)
  • Inconsistent attitude or professionalism among certain providers (NPs/CNAs) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(7)'19(27)'21(3)'23(11)'25(22)'26(3)

Distribution

5
69
4
5
3
3
2
3
1
10

How They Respond to Reviews

83%response rate
Good

The owner provides highly personalized, warm responses to 5-star reviews, often using the reviewer's name and referencing specific family members mentioned. For negative reviews, they use a consistent, professional template that avoids arguing and instead directs the reviewer to a specific manager via phone.

Questions for Your Tour

  • 1It's wonderful to see how clean and well-maintained the facility is; what specific cleaning protocols do you have in place to keep the rooms looking this great?
  • 2We noticed the administration team is very responsive to feedback; how does the leadership team work with families to address any concerns that might arise during a resident's stay?
  • 3What steps are being taken to ensure that call lights are answered promptly, especially during busier shifts or when the nursing team is stretched thin?
  • 4Could you walk us through your process for medication management to ensure everything is administered accurately and on schedule?
  • 5How do you ensure a consistent level of professional care and a positive attitude from all staff members, including CNAs and NPs, across every shift?
  • 6What kind of daily activities or social outings do you have planned to keep residents engaged and active within the community?

Personalized based on this facility's data


Key Review Excerpts

The quality of care provided there is absolutely exceptional. Every one of their nurses are the gold standard. They are professional, incredibly attentive, and highly competent in managing all medical needs.

Family member of a resident · 2025★★★★★

My grandma has lived in Harbor Lakes as a long-term resident for about a year and a half now. She is loved so well and the CNAs and nurses take excellent care of her.

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

The facility is clean, bright and smells good. They are never understaffed and I see administration and management rounding on the hallways.

Long-term resident's family · 2025★★★★★
Source: 94 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
54%
Registered nurses for medical care
Total Nursing
3.37hrs
82%
All nurses + aides combined
Staff Turnover
34%
Lower is better (< 30% = good)
RN Turnover
33%
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 · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
15.3%
TX
14.9%
Hood
26.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility4.9%
Better than Avg
Here
4.9%
US
14.4%
TX
16.1%
Hood
21.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
19.4%
TX
14.2%
Hood
15.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
15.4%
TX
9.4%
Hood
14.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
12.1%
TX
2.5%
Hood
4.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.0%
Better than Avg
Here
15.0%
US
19.5%
TX
18.4%
Hood
23.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.5%
Mixed vs Avgs
Here
99.5%
US
79.7%
TX
88.0%
Hood
99.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
81.8%
TX
89.2%
Hood
80.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Hood
4.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (9.1)
10 complaint-triggered

This facility has significant patterns of complaint-driven issues, with families reporting problems that triggered 10 of 23 total deficiencies across four surveys. The most recurring problems involve care planning and resident assessments, medication management, and food service quality and safety. While all deficiencies show correction dates, the frequency of family complaints about medication errors, inadequate care planning, and food safety suggests ongoing operational challenges that warrant careful consideration during any visit.

Sep 11, 2025Routine
8
0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0355ModerateCorrected

Smoke Deficiencies

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

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0923ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0222MinorCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Aug 15, 2024Complaint
9
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.

0657ModerateCorrected

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.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

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

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0655MinorCorrected

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

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761MinorCorrected

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.

0802MinorCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Jul 3, 2024Complaint
1
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.

Jun 29, 2023Routine
5
0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

0640MinorCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Winniestowell Hospital District

Organization Type

for profit

Management Company

HMG PARK MANOR OF HARBOR LAKES, LLC

Administrator

CALVIN CROSBY

Chain Affiliation

Chain Name

Hmg Healthcare

Chain Size

33 facilities nationwide

Chain avg rating: 3.3/5 · Rank 3 of 31 (Best)

Ownership & Management

Key personnel

Stramecki, AnthonyOfficer / DirectorCibc Bank USAManagerHmg Park Manor of Harbor Lakes LLCManagerBalsamo, KrystalManagerCrosby, CalvinManager
Source: Medicare provider data

Contact

References & Resources

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