ElderGrade
B

80/100

Above average

Harbor Lakes Nursing And Rehabilitation Center

1300 2Nd St, Granbury, TX 76048

CMS 5/5 stars #1 of 4 in Hood County (817) 408-3800
Certified beds
142
Occupancy
65%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.38 total nurse hours per resident per day (national median 3.77)
  • 0.39 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 39% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.30 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.39 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.87 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 38.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 16 citations

Last standard health inspection: September 11, 2025 (11 months ago).

D Sep 11, 2025 F0755

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

F Aug 15, 2024 F0812 From a complaint

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E Aug 15, 2024 F0657 From a complaint

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.

No actual harm, potential for more than minimal harm

E Aug 15, 2024 F0804 From a complaint

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E Aug 15, 2024 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Aug 15, 2024 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Aug 15, 2024 F0655 From a complaint

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

No actual harm, potential for more than minimal harm

D Aug 15, 2024 F0759 From a complaint

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of HMG HEALTHCARE, which operates 33 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
STRAMECKI, ANTHONY Individual CORPORATE DIRECTOR
CIBC BANK USA Organization OPERATIONAL/MANAGERIAL CONTROL
HMG PARK MANOR OF HARBOR LAKES LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BALSAMO, KRYSTAL Individual OPERATIONAL/MANAGERIAL CONTROL
CROSBY, CALVIN Individual OPERATIONAL/MANAGERIAL CONTROL
CULP, ROLAND Individual OPERATIONAL/MANAGERIAL CONTROL
DASPIT, LAURENCE Individual OPERATIONAL/MANAGERIAL CONTROL
DOHN, WILLIAM Individual OPERATIONAL/MANAGERIAL CONTROL
DYER, BRITTNEY Individual OPERATIONAL/MANAGERIAL CONTROL
HARRISON, DEON Individual OPERATIONAL/MANAGERIAL CONTROL
MURRELL, EDWARD Individual OPERATIONAL/MANAGERIAL CONTROL
PICO, ANA Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Harbor Lakes Nursing And Rehabilitation Center

What is the ElderGrade for Harbor Lakes Nursing And Rehabilitation Center? +

Harbor Lakes Nursing And Rehabilitation Center holds an ElderGrade of B (80 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Harbor Lakes Nursing And Rehabilitation Center? +

Residents receive an average of 3.30 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Harbor Lakes Nursing And Rehabilitation Center been cited for harming residents? +

No. None of the 16 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Harbor Lakes Nursing And Rehabilitation Center accept Medicaid? +

Yes, Harbor Lakes Nursing And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.