For profit - Corporation · 144 certified beds · CMS number 675469
Harmony Care at Floresville, Floresville, TX
CMS records 41 health deficiencies at Harmony Care at Floresville in Floresville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 8, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $87,066 in the last three years.
- 41deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $87,066fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Harmony Care at Floresville as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Harmony Care at Floresville may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection May 8, 2026. CMS counts 9 health deficiencies and 11 fire safety deficiencies in this cycle.
Jul 30, 2026 · Complaint inspection
1 deficiency, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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 No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 21, 2026
Jun 12, 2026 · Complaint inspection
1 deficiency, highest D
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 5, 2026
May 8, 2026 · Standard + complaint inspection
6 deficiencies, highest E
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- No revisit needed
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 5, 2026
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 5, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 5, 2026
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 5, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 5, 2026
Sep 12, 2025 · Complaint inspection
1 deficiency, highest D
F802 · Enough kitchen and dining support staff
Requirement cited (CMS): Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 27, 2025
Previous cycle: 14 deficiencies (standard inspection Mar 21, 2025)
Standard inspection Mar 21, 2025. CMS counts 14 health deficiencies and 6 fire safety deficiencies in this cycle.
Mar 21, 2025 · Standard inspection
9 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Apr 12, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 12, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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 No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2025
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 12, 2025
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 1, 2025
Jan 31, 2025 · Complaint inspection
5 deficiencies, highest J
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Jan 13, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
Earlier cycle: 18 deficiencies (standard inspection Feb 16, 2024)
Standard inspection Feb 16, 2024. CMS counts 18 health deficiencies and 6 fire safety deficiencies in this cycle.
Aug 8, 2024 · Complaint inspection
3 deficiencies, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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 No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 6, 2024
F693 · Feeding tube use and care
Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 6, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 6, 2024
May 15, 2024 · Complaint inspection
2 deficiencies, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jun 7, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
Feb 16, 2024 · Standard + complaint inspection
12 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 18, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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 No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F680 · Qualified activities director
Requirement cited (CMS): Ensure the activities program is directed by a qualified professional.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 18, 2024
Dec 7, 2023 · Complaint inspection
1 deficiency, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 3, 2024
Tags cited in more than one inspection
10 tags cited on more than one inspection date at Harmony Care at Floresville; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F761 Drug labeling and secure storage | 4 | Jul 30, 2026; Mar 21, 2025; Aug 8, 2024; Feb 16, 2024 |
| F583 Personal privacy and confidential records | 3 | May 8, 2026; Jan 31, 2025; Aug 8, 2024 |
| F656 Comprehensive person-centered care plan | 3 | Mar 21, 2025; Jan 31, 2025; Feb 16, 2024 |
| F812 Food safety and sanitation | 3 | May 8, 2026; Mar 21, 2025; Feb 16, 2024 |
| F921 Safe, functional, sanitary building | 3 | Mar 21, 2025; Feb 16, 2024; Dec 7, 2023 |
| F655 Baseline care plan within 48 hours | 2 | Mar 21, 2025; Feb 16, 2024 |
| F689 Accident prevention and supervision | 2 | Jan 31, 2025 (PNC); May 15, 2024 |
| F695 Respiratory and oxygen care | 2 | May 8, 2026; Mar 21, 2025 |
| F880 Infection prevention and control program | 2 | May 8, 2026; Mar 21, 2025 |
| F912 Minimum bedroom size | 2 | May 8, 2026; Feb 16, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 21, 2025 | Fine | $60,452 |
| Jan 31, 2025 | Fine | $18,185 |
| May 15, 2024 | Fine | $8,429 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.90 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.30 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.54 h
- Nursing staff turnover
- 50.8% (Texas median 52.1%)
- Administrators who left
- not reported
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Harmony Care at Floresville, copied as published; Texas medians are ours.
Facility details
- Address
- 1811 6th St, Floresville, TX 78114
- Phone
- (830) 393-2561
- County
- Wilson
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Harmony Care Group
- Certified beds
- 144
- Average residents per day
- 92.3
- In Medicare/Medicaid since
- Apr 1, 1995
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are medications stored and secured on each unit? (F761, cited 4 times)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
Other nursing homes in Floresville and the same chain
- Prairie Meadows Rehabilitation and Healthcare Cent
Floresville · 27 deficiencies - Frank M. Tejeda Texas State Veterans Home
Floresville · 22 deficiencies - Harmony Care at Beaumont
Beaumont · 77 deficiencies - Giddings Nursing and Rehabilitation
Giddings · 50 deficiencies - Harmony Care at Brookshire
Brookshire · 46 deficiencies - Golfcrest Nursing and Rehabilitation
Houston · 24 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.