Harmonee House
1400 Main St · Amherst, TX · 79312 · 8062463505
35 certified beds For profit - Corporation Part of a CCRC
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
-
Potential for harm · F December 1, 2025 · found via complaint
Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
Corrected October 20, 2025 · Administration
-
Potential for harm · D September 11, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected October 11, 2024 · Resident Rights
-
Potential for harm · D September 11, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 11, 2024 · Resident Rights
-
Potential for harm · D September 11, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 16, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E September 11, 2024
Provide activities to meet all resident's needs.
Corrected October 16, 2024 · Quality of Life and Care
-
Potential for harm · D September 11, 2024
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.
Corrected October 11, 2024 · Pharmacy Service
-
Potential for harm · F September 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 11, 2024 · Nutrition and Dietary
-
Potential for harm · D August 8, 2023
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.
Corrected September 22, 2023 · Resident Rights
-
Potential for harm · D August 8, 2023
Ensure each resident receives an accurate assessment.
Corrected September 22, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 8, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 22, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 8, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 22, 2023 · Quality of Life and Care
-
Potential for harm · D August 8, 2023
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.
Corrected September 22, 2023 · Pharmacy Service
-
Potential for harm · F August 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 22, 2023 · Nutrition and Dietary
-
Potential for harm · D August 8, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 22, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D August 8, 2023
Provide and implement an infection prevention and control program.
Corrected September 22, 2023 · Infection Control
-
Potential for harm · D July 13, 2022
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 15, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D July 13, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 15, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D July 13, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 15, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D July 13, 2022
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.
Corrected August 10, 2022 · Pharmacy Service
-
Potential for harm · F July 13, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 27, 2022 · Nutrition and Dietary
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676370 · certified since August 20, 2014. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.