MyLivingChoice

Avir at Paluxy

2124 Paluxy Hwy

4.5(113 ratings)· Granbury average: 4.4

Part of Avir Health Group · 126 communities · 4★ average

Avir at Paluxy, photo 11 / 5

Quick Facts

Total units
95
Medicare rating
4 of 5

CMS Care Compare

Ownership
For profit, Limited Liability company
Certified beds
95
Ownership change
Recently rebranded under new leadership and name
Rehab outcomes
Reviewers cite rehab helping residents return home

What Families Think

Families describe Avir at Paluxy, a skilled nursing and long-term care community in Granbury, Texas, as warm, clean, and attentive, with several reviewers highlighting successful rehab stays and compassionate hospice care. The community recently underwent a leadership and name change, which reviewers note kept the same trusted care staff in place.

The Good

  • Staff described as kind and compassionate
  • Facility kept clean and well-maintained
  • Reviewers report successful rehab leading to going home
  • Praised for hospice and end-of-life care
  • High 4.5 rating across 113 Google reviews

The Bad

  • No published pricing information available

AI-generated from reviews and community data.

Avir at Paluxy is a senior living community in Granbury, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.5 out of 5 across 113 reviews.

About Avir at Paluxy

Avir at Paluxy is a skilled nursing and long-term care facility in Granbury, Texas, with a licensed capacity of 95 residents. The community serves patients recovering from acute illness, those requiring ongoing nursing care, and individuals in hospice.

Families consistently praise the nursing and aide staff by name, noting their attentiveness and personal warmth. One family wrote that staff "hug her all the time, call her by her name." Activities, including bingo, live music, and exercise programs, are highlighted as engaging and well-led. Several families emphasize feeling confident in the clinical competence of the rehabilitation team and the compassion extended during end-of-life care. The facility atmosphere is described as clean and welcoming.

However, a significant minority of reviews report serious concerns: medication administration delays, insufficient rehabilitation protocols, equipment maintenance issues (broken toilets, damaged walls), and insufficient staffing for resident needs. These critical reviews suggest inconsistency in care quality and operational standards.

Avir at Paluxy holds a 4.5 out of 5 Google rating based on 113 reviews. The wide spread between five-star and one-star feedback indicates families should verify current conditions and staffing levels directly before admission.

Types of Care at Avir at Paluxy

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Chapel / Religious Services
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Help Me Choose

Reviews of Avir at Paluxy

4.5overall · 113 ratings combined

4.5★ on Google (113)

Elizabeth Bland

Jul 2026

via Google

I have worked in LTC for over 40 years, and I would highly recommend Avir at Paluxy for all your loved ones who need extra assistance with rehab or skilled services as well as any long-term care services. The staff are amazing and the teamwork displayed daily is wonderful. Come visit our facility and see for yourself.

Rick Phelps

Jul 2026

via Google

When I first learned that I was headed to a rehab and nursing facility, I was apprehensive to say the least. I have been here for six months now and I can say that everyone here is a rock star. My morning nurse, Amanda has been a God send as have Misty, Valentina, Brandon, Sherry and every nurse who has taken care of me. The nurses aides are also amazing. Kayla, Hayley, Liz, Courtney, Heather, Stephanie, Kareem, Rosa and Dalia have all worked very hard for me. The folks who work in the office are fantastic. Amy, Stephanie, Rindy and Melanie are all very hard working but not so hard working that they don’t remember to stop and give each resident a friendly smile and ask how you are doing. Same goes for Danelle who works in transportation and Jill, activities director. Physical therapy are the best in the business. I have been NPO for nearly a year. Madison, SLP has spent many hours working with me. Morgan, Maralee and Mike are the OTs. With them they have helped me develop a love for cooking while the PTs are just as impressive. Not that it is required, but just this morning, I was able to walk a mile with my upwalker, thanks to the other Madison. The DON Andi, and the two ADONs, Linda and Amanda, always have a smile and encouraging word for me. And the residents will always hold a special place in my heart. I call them grandma, auntie and cousin. My experience here has been wonderful. If you are looking for a place where your relative will feel important and loved, Avir at Paluxy is your answer.

Kyle Cowan

Jul 2026

via Google

Awsome service. Took care of what needed done right away. I would suggest them to anyone

Jennifer Norland

Jul 2026

via Google

Love the care shown by staff at this facility. Especially Sabrina Westbrook.

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Government Inspection History

5 inspection visits in the last three years, 24 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Dec 2, 2025Health Standard10 citations
  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 3, 2025

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 3, 2025

  • Ensure the activities program is directed by a qualified professional.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 3, 2025

  • Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 3, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 3, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 3, 2025

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 3, 2025

  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 3, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 3, 2025

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 3, 2025

Aug 1, 2024Fire Safety StandardHealth Standard11 citations
  • Ensure residents have reasonable access to and privacy in their use of communication methods.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 30, 2024

  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 30, 2024

  • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 30, 2024

  • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 30, 2024

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 30, 2024

  • Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 30, 2024

  • Have restrictions on the use of flammable curtains.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Aug 30, 2024

  • Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 30, 2024

  • Have approved installation, maintenance and testing program for fire alarm systems.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 30, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 30, 2024

  • Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 30, 2024

Feb 8, 2024Infection ControlNo citations
Jun 14, 2023Fire Safety StandardHealth Standard3 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 7, 2023

  • Ensure each resident receives an accurate assessment.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 14, 2023

  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 14, 2023

Apr 28, 2022Fire Safety StandardNo citations

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Avir at Paluxy offer?

Avir at Paluxy offers Skilled Nursing / Long Term Care.

Where is Avir at Paluxy located?

Avir at Paluxy is located at 2124 Paluxy Hwy in Granbury, Texas.

What do families say about Avir at Paluxy?

Families describe Avir at Paluxy, a skilled nursing and long-term care community in Granbury, Texas, as warm, clean, and attentive, with several reviewers highlighting successful rehab stays and compassionate hospice care. The community recently underwent a leadership and name change, which reviewers note kept the same trusted care staff in place.

How did Avir at Paluxy do on recent health and safety inspections?

Avir at Paluxy had 5 government inspection visits in the last three years, with 24 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Avir at Paluxy?

Submit the Request Information form on this page to connect with Avir at Paluxy and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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