For profit - Partnership · 84 certified beds · CMS number 675564
Giddings Nursing and Rehabilitation, Giddings, TX
CMS records 50 health deficiencies at Giddings Nursing and Rehabilitation in Giddings, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 17, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 8 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 5 fines totaling $195,390 and 1 payment denial in the last three years.
- Special Focus Facility candidate (CMS)
- CMS abuse icon
- 8 immediate jeopardy (J/K/L) citations
- A tag cited in 4 inspections
- 50deficiencies, 3 cycles (TX median 25)
- 23in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $195,390fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Giddings Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Giddings Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (23 deficiencies)
Standard inspection Jul 17, 2025. CMS counts 23 health deficiencies and 12 fire safety deficiencies in this cycle.
Jun 24, 2026 · Complaint inspection
2 deficiencies, highest E
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 Jul 20, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 20, 2026
May 22, 2026 · Complaint inspection
5 deficiencies, highest F
F835 · Effective administration
Requirement cited (CMS): Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 29, 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 May 29, 2026
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 May 29, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 29, 2026
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 29, 2026
Feb 26, 2026 · Complaint inspection
1 deficiency, 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
- Past non-compliance (fixed before the inspection)
Jan 7, 2026 · Complaint inspection
3 deficiencies, highest G
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 6, 2026
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 Feb 6, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Feb 6, 2026
Dec 17, 2025 · Complaint inspection
4 deficiencies, highest J
F835 · Effective administration
Requirement cited (CMS): Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 18, 2025
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 18, 2025
F627 · Permitted transfers, discharge planning, and return rights
Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 18, 2025
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 18, 2025
Jul 17, 2025 · Standard inspection
8 deficiencies, highest F
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 18, 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 Jul 18, 2025
F851 · Reporting staffing data to CMS
Requirement cited (CMS): Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jul 18, 2025
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 18, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 18, 2025
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 18, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 18, 2025
F557 · Respect and personal belongings
Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 18, 2025
Previous cycle: 20 deficiencies (standard inspection May 31, 2024)
Standard inspection May 31, 2024. CMS counts 20 health deficiencies and 6 fire safety deficiencies in this cycle.
May 20, 2025 · Complaint inspection
3 deficiencies, highest K
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 17, 2025
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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jun 24, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 24, 2025
Mar 28, 2025 · Complaint inspection
1 deficiency, highest D
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 Apr 30, 2025
Feb 10, 2025 · Complaint inspection
5 deficiencies, highest D
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 Feb 11, 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 11, 2025
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 11, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 11, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 11, 2025
Sep 12, 2024 · Complaint inspection
2 deficiencies, highest D
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 Oct 15, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 15, 2024
May 31, 2024 · Standard + complaint inspection
9 deficiencies, highest J
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 4, 2024
F851 · Reporting staffing data to CMS
Requirement cited (CMS): Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 31, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 5, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 5, 2024
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 1, 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 Jun 5, 2024
F635 · Doctor's orders at admission
Requirement cited (CMS): Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 5, 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 1, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 3, 2024
Earlier cycle: 7 deficiencies (standard inspection Mar 30, 2023)
Standard inspection Mar 30, 2023. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.
Jan 17, 2024 · Complaint inspection
1 deficiency, highest E
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 19, 2024
Jan 3, 2024 · Complaint inspection
1 deficiency, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 8, 2024
Oct 14, 2023 · Complaint inspection
1 deficiency, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 30, 2023
Sep 29, 2023 · Complaint inspection
1 deficiency, highest D
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 2, 2023
Mar 30, 2023 · Standard inspection
3 deficiencies, highest F
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 May 15, 2023
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 15, 2023
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 2023
Tags cited in more than one inspection
13 tags cited on more than one inspection date at Giddings Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 4 | May 22, 2026; Feb 26, 2026 (PNC); May 31, 2024; Jan 3, 2024 |
| F609 Reporting suspected abuse and crimes | 3 | May 22, 2026; Jan 7, 2026; May 31, 2024 |
| F656 Comprehensive person-centered care plan | 3 | May 20, 2025; Feb 10, 2025; Sep 12, 2024 |
| F880 Infection prevention and control program | 3 | Jul 17, 2025; Mar 28, 2025; Mar 30, 2023 |
| F550 Dignity and the right to exercise rights | 2 | Feb 10, 2025; Sep 12, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | May 31, 2024; Jan 17, 2024 |
| F610 Investigating and responding to allegations | 2 | Jan 7, 2026; Feb 10, 2025 |
| F677 Help with daily care | 2 | Jun 24, 2026; Jul 17, 2025 |
| F761 Drug labeling and secure storage | 2 | May 31, 2024; Oct 14, 2023 |
| F812 Food safety and sanitation | 2 | May 22, 2026; Jul 17, 2025 |
| F835 Effective administration | 2 | May 22, 2026; Dec 17, 2025 |
| F851 Reporting staffing data to CMS | 2 | Jul 17, 2025; May 31, 2024 |
| F925 Pest control | 2 | Jul 17, 2025; May 31, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 26, 2026 | Fine | $12,618 |
| Jan 7, 2026 | Fine | $23,238 |
| Dec 17, 2025 | Fine | $58,380 |
| May 20, 2025 | Fine | $92,982 |
| May 20, 2025 | Payment Denial | 27 days from Jun 21, 2025 |
| May 31, 2024 | Fine | $8,172 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.99 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.33 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.68 h
- Nursing staff turnover
- not reported
- Administrators who left
- not reported
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Giddings Nursing and Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 1181 N Williamson St, Giddings, TX 78942
- Phone
- (979) 542-3611
- County
- Lee
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Chain (CMS)
- Harmony Care Group
- Certified beds
- 84
- Average residents per day
- 37.5
- In Medicare/Medicaid since
- Mar 1, 1996
- 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 does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
Other nursing homes in Giddings and the same chain
- Avir at Giddings
Giddings · 39 deficiencies - Harmony Care at Beaumont
Beaumont · 77 deficiencies - Harmony Care at Brookshire
Brookshire · 46 deficiencies - Harmony Care at Floresville
Floresville · 41 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.