Home›Browse›Texas›Marble Falls›Granite Mesa Health Center

Nursing homeFAID #14590

Granite Mesa Health Center

1401 MAX COPELAND DR, MARBLE FALLS, TX, 78654

(830) 693-0022

124 licensed beds

CMS rates Granite Mesa Health Center 2 out of 5 overall. Federal inspectors issued 26 citations across 14 inspections in the last three years, with $59,345 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Granite Mesa Health Center

Address

1401 Max Copeland Dr

Marble Falls, TX 78654

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Public record summary

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Bed capacity

124

CMS facility ID

676220

Care type

Nursing home

County

Burnet

Facility name

Granite Mesa Health Center

Street address

1401 MAX COPELAND DR

City / state / ZIP

Marble Falls, TX 78654

Phone

(830) 693-0022

Website

ensignservices.net

About this facility — Granite Mesa Health Center

Granite Mesa Health Center is a Medicare/Medicaid-certified skilled nursing facility in Marble Falls, Texas. It is licensed for 124 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Marble Falls and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited Granite Mesa Health Center 26 times across 14 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $59,345 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Guadalupe County Hospital Board

Direct owner — 100% stake — since 2017

Burnam, Soon

Officer — since 2017

Copeland Healthcare, Inc

Operational control · Additional disclosable party — since 2017

Ensign Services Inc

Additional disclosable party — since 2016

Gann, Kody

Officer — since 2021

Keetch, Chad

Officer — since 2011

National Health Investors, Inc.

Additional disclosable party — since 2017

Syed, Asif

Governing body · Operational control · Additional disclosable party — since 2019

Texas Nhi Investors, Llc

Additional disclosable party — since 2017

Thompson, Amber

Governing body · Operational control · Additional disclosable party — since 2021

Regulatory standing

Federal court records

3 naming this facility · 11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2009-06-02

CMS overall rating

2 of 5 stars

Health deficiencies

10 at the last standard inspection

Federal fines

$59,345 total

Last standard inspection

2025-12-31

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$394 per day (≈ $11,980/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

59% Medicaid · 10% Medicare · 32% private/other

Occupancy

64% (fiscal year 2023)

Vs. state median

42% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

124

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-07-11Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-06-21

2026-01-16Health inspectionComplaint-triggered1 citation

F-0583

D · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2026-02-03

9 earlier / fire-safety inspections (24 citations)

2025-12-31Health inspection7 citations

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-01-20

F-0565

D · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2026-01-20

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-01-20

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-01-20

F-0692

D · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-01-20

F-0812

D · No harm foundFood safety

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

Corrected 2026-01-20

F-0842

D · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-20

2025-11-30Health inspectionComplaint-triggered1 citation

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-12-17

2025-04-09Health inspectionComplaint-triggered1 citation

F-0695

D · No harm foundFrom a complaint

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

Corrected 2025-05-13

2025-01-27Health inspectionComplaint-triggered1 citation

F-0600

J · Immediate jeopardyFrom a complaint

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

Corrected 2025-02-14

2024-10-02Health inspection4 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-24

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-10-24

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-10-24

F-0727

F · No harm found

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.

Corrected 2024-10-24

2024-09-26Health inspectionComplaint-triggered2 citations

F-0602

E · No harm foundFrom a complaint

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

Corrected 2024-09-30

F-0755

E · No harm foundFrom a complaint

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

Corrected 2024-09-30

2024-04-16Health inspectionComplaint-triggered2 citations

F-0584

D · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-04-19

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-04-19

2023-08-02Health inspection5 citations

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-08-10

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-08-10

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-08-10

F-0695

D · No harm found

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

Corrected 2023-08-10

F-0758

D · No harm found

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-08-10

2023-08-02Fire-safety inspection1 citation

K-0222

E · No harm found

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.

Corrected 2023-11-03

Federal penalties

2025-01-27Fine$59,345

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676220.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 30% of nursing homes in the state

State median: 33

Federal fines, 3 years

$59,345

More than 79% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 65% of nursing homes in the state

State median: 3.3

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 10 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	25.6%	15.8%	13.5%	Worse than state
Lose too much weight	0.8%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.7%	0.8%	1.5%	Better than state
Have depressive symptoms	3.8%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	9.9%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	16.1%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	13.4%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	2.5%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	15.4%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	9.3%	9.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	2.40	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	3.65	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.1%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	1.1%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	94.7%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	16.3%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	22.4%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0641 2 inspections. Ensure each resident receives an accurate assessment.
F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0677 2 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.

What its owners also hold

Guadalupe County Hospital Board has an ownership stake on file at 27 nursing homes, averaging 2.2 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Baylor Scott & White Medical Center - Marble Falls, about 5.3 miles. CMS rating 4 of 5.
Mid Coast Medical Center - Central, about 27 miles.
Ascension Seton Cedar Park, about 27 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

The Brixton At Horseshoe Bay, Horseshoe Bay, about 5.4 miles. CMS rating 4 of 5.
Avir At Burnet, Burnet, about 12 miles. CMS rating 3 of 5.
Avir At Kingsland, Kingsland, about 13 miles. CMS rating 2 of 5.
Bertram Nursing and Rehabilitation, Bertram, about 17 miles. CMS rating 5 of 5.
Avir At Johnson City, Johnson City, about 23 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

4.6171 ratings on Google

★★★★★James Berg · 2026-05-20 · via Google
“I had to transfer my father from a skilled nursing facility in Washington state to Granite Mesa so I could be close to him. He is 86 years old and was in bad shape. I cannot say enough about this facility! The management, the nurses, physical therapist, Dr’s, the cleaners, facility staff were unbelievable! Super nice people with big hearts! After one year in their care, we were able to send him…”

★★★★★Kimberley Johnson · 2026-07-07 · via Google
“We have had two positive experiences with Granite Mesa. My mother‘s husband spent the last year of his life there in 2022-2023, and was well cared for. Most of the staff knew him and my mother by name and were very good to them. She visited daily, and never had negative things to report. I also visited frequently. They care for the patient, and treat them like family. Recently, my mother went to …”

★★★★★Sheila Tobey · 2025-12-11 · via Google
“I can’t say enough good things about our experience at Granite Mesa. My Dad is 90 years old and had been hospitalized with Covid and Flu Type A. He left the hospital with severe malnutrition, very low protein levels. No one really expected him to survive. After moving him to Granite Mesa the tables turned! His rehab people PT Perla and OT Sherilyn had their work cut out for them. Any time Dad sto…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 26 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered