Nursing home · SNF / NF

Granbury Care Center

Federal · CMSActive CMS certificationCCN 455915Government CMS overall

301 South Park Street, Granbury, TX 76048 · Operated by West Wharton County Hospital District · Chain Creative Solutions in Healthcare

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

174

Avg residents / day

140

Inspections

Citations

Harm-level

Fines

$38k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 174 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 140.4 CMS, MDS-derived
CMS Certification Number: 455915
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 14, 1991
Ownership type: Government - Hospital district
Operator (legal business name): West Wharton County Hospital District
CMS chain: Creative Solutions in Healthcare 150 facilities
Phone: (817) 573-3726
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest Jul 30, 2026

Citations

38 health · 7 fire

Harm or worse

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K1	L·
Actual harm	G·	H·	I·
Potential harm	D16	E25	F2
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$37,501

Payment denials

Latest

Sep 12, 2025

Date	Domain	Survey types	Citations	Most severe	Open
Jul 30, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Mar 30, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Feb 19, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Feb 19, 2026	Health	Health Complaint, Health Standard	8	Potential harm	—	Open →
Sep 12, 2025	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Jul 3, 2025	Health	Health Complaint	2	Potential harm	—	Open →
May 2, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Mar 24, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jan 10, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 4, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Dec 4, 2024	Health	Health Standard	5	Potential harm	—	Open →
Oct 16, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jul 29, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jul 23, 2024	Health	Health Complaint	1	Potential harm	—	Open →
May 5, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 21, 2024	Health	Health Complaint	5	Immediate jeopardy	—	Open →
Jan 11, 2024	Health	Infection Control	0	No citations	—	Open →
Nov 16, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Nov 16, 2023	Health	Health Complaint, Health Standard	5	Potential harm	—	Open →
Oct 3, 2023	Health	Health Complaint	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Sep 12, 2025	Civil money penalty (fine)	$16,394	—	455915\|Fine\|135932
Feb 21, 2024	Civil money penalty (fine)	$21,107	—	455915\|Fine\|112370

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K1	L·
Actual harm	G·	H·	I·
Potential harm	D16	E25	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 30, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 31, 2026	Complaint
Mar 30, 2026	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 1, 2026	Complaint
Feb 19, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 3, 2026
Feb 19, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 20, 2026
Feb 19, 2026	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 20, 2026
Feb 19, 2026	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 20, 2026
Feb 19, 2026	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 20, 2026
Feb 19, 2026	F-0700	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 20, 2026
Feb 19, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Feb 20, 2026	Complaint
Feb 19, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Feb 20, 2026
Feb 19, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 20, 2026
Feb 19, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 20, 2026
Feb 19, 2026	F-0909	Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 20, 2026
Sep 12, 2025	F-0678	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Aug 28, 2025	Complaint
Jul 3, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 4, 2025	Complaint
Jul 3, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 4, 2025	Complaint
May 2, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 27, 2025	Complaint
Mar 24, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 25, 2025	Complaint
Jan 10, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 11, 2025	Complaint
Dec 4, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 5, 2024
Dec 4, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 5, 2024
Dec 4, 2024	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 5, 2024
Dec 4, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Dec 5, 2024
Dec 4, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Dec 5, 2024
Dec 4, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Dec 5, 2024
Dec 4, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Dec 5, 2024
Oct 16, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 17, 2024	Complaint
Oct 16, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 17, 2024	Complaint
Jul 29, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Jul 27, 2024	Complaint
Jul 29, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 30, 2024	Complaint
Jul 23, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 24, 2024	Complaint
May 5, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 6, 2024	Complaint
Feb 21, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Feb 22, 2024	Complaint
Feb 21, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 22, 2024	Complaint
Feb 21, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 22, 2024	Complaint
Feb 21, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 22, 2024	Complaint
Feb 21, 2024	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Feb 22, 2024	Complaint
Nov 16, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 17, 2023
Nov 16, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 17, 2023
Nov 16, 2023	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 17, 2023
Nov 16, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 17, 2023
Nov 16, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 17, 2023	Complaint
Nov 16, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 17, 2023
Nov 16, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Nov 17, 2023
Oct 3, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 4, 2023	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

West Wharton County Hospital District

CMS legal business name of the certified provider. Operates 101 facilities.

VerifiedLinked by exact legal name

CMS chain

Creative Solutions in Healthcare

150 facilities in 1 states. CMS chain ID 169.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

Organizations

Individuals

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Sean Bowers	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jul 1, 2024
Alfred Cisneros	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 18, 2008
Travis Cobb	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Oct 5, 2022
Stephen Cooper	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 11, 2022
Sherrie Hardin	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 4, 2024
Richard Kerzee	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Sep 24, 2007
Patricia Korenek	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 5, 2018
Paul Soechting	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 22, 2024
Joe Strack	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Feb 11, 2022
Creative Solutions in Healthcare at Granbury LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Gary Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Malisa Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2022
Linda Huggins	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2022
Zachary Willig	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2022
Johnny Thompson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2024
Creative Solutions in Healthcare at Granbury LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 30, 2025
Gary Blake	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2022
Lydia Messina	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 15, 2025
Kris Wusterhausen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2025

Other facilities operated by West Wharton County Hospital District

All 100 →

Facility	Beds	Last inspection	Citations (window)	Fines
Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon	222	Jul 24, 2026	595 IJ1 harm	$198k
Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate	172	Aug 14, 2026	639 IJ3 harm	$484k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	144	Jul 2, 2026	531 IJ	$8,160
Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon	120	May 13, 2026	352 IJ	$26k
Sterling Hills Rehabilitation and Healthcare Cente 705 NE Georgia Ave, Sweetwater, TX 79556 CCN 455509	96	Mar 26, 2026	17	—
Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536	200	Aug 7, 2026	44	—
Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570	109	Jun 24, 2026	19	—
Concho Health & Rehabilitation Center 613 Eaker St, Eden, TX 76837 CCN 455737	66	Aug 11, 2026	28	—

Same chain in Texas

All 149 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon	222	Jul 24, 2026	595 IJ1 harm	$198k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	144	Jul 2, 2026	531 IJ	$8,160
Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471	187	Jul 2, 2026	836 IJ	$123k
Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493	120	Aug 24, 2026	832 IJ	$40k
Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon	90	Aug 7, 2026	774 IJ2 harm	$66k
Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536	200	Aug 7, 2026	44	—
Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569	140	Apr 28, 2026	401 IJ1 harm1 open	$82k
Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570	109	Jun 24, 2026	19	—

Coordinates as published by CMS.

Address: 301 South Park Street, Granbury, TX 76048
ZIP: 76048
County: Hood County FIPS 48221
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Avir at Granbury 600 Reunion Ct., Granbury, TX 76048 CCN 675084	2 km	90	Jul 16, 2026	482 IJ1 open	$66k
Granbury Rehab & Nursing 2124 Paluxy Hwy, Granbury, TX 76048 CCN 455929	2.6 km	95	Jun 25, 2026	28	—
Harbor Lakes Nursing and Rehabilitation Center 1300 2nd St, Granbury, TX 76048 CCN 676185	3.1 km	142	Sep 11, 2025	23	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455915	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455915	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455915

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Granbury Care Center

Federal certification

State license

Penalties

All disclosed roles

Other facilities operated by West Wharton County Hospital District

Same chain in Texas

Nearby nursing homes

Granbury Care Center

Federal certification

State license

Penalties

All disclosed roles

Other facilities operated by West Wharton County Hospital District

Same chain in Texas

Nearby nursing homes