Harmony Care at Floresville
1811 Sixth St · Floresville, TX · 78114 · 8303932561
144 certified beds For profit - Corporation Chain: Harmony Care Group
Why this verdict
- Federal penalties on record: $78,637 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$78,637 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.27 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $87,066 |
Inspection citations (49 in the current record)
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Potential for harm · D September 12, 2025 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected September 27, 2025 · Nutrition and Dietary
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Potential for harm · D March 21, 2025
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 April 1, 2025 · Resident Rights
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Potential for harm · D March 21, 2025
Ensure each resident receives an accurate assessment.
Corrected April 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 12, 2025 · Quality of Life and Care
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Potential for harm · D March 21, 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.
Corrected April 12, 2025 · Pharmacy Service
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Potential for harm · D March 21, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 12, 2025 · Nutrition and Dietary
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Potential for harm · E March 21, 2025
Provide and implement an infection prevention and control program.
Corrected April 12, 2025 · Infection Control
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No harm found · B March 21, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 12, 2025 · Environmental
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Immediate jeopardy · J January 31, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 13, 2025 · Quality of Life and Care
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Potential for harm · D January 31, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D January 31, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D January 31, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 31, 2025 · found via complaint
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 February 28, 2025 · Nursing and Physician Services
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Potential for harm · D August 8, 2024 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected September 6, 2024 · Resident Rights
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Potential for harm · E August 8, 2024 · found via complaint
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.
Corrected September 6, 2024 · Quality of Life and Care
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Potential for harm · D August 8, 2024 · found via complaint
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 6, 2024 · Pharmacy Service
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Immediate jeopardy · J May 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 7, 2024 · Quality of Life and Care
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Potential for harm · D May 15, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 7, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 16, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 16, 2024 · found via complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 16, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 16, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 16, 2024 · found via complaint
Ensure the activities program is directed by a qualified professional.
Corrected March 18, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 21, 2025 | Fine | $60,452 |
| January 31, 2025 | Fine | $18,185 |
| May 15, 2024 | Fine | $8,429 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675469 · certified since April 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.