Nursing HomeInspections

Harmony Care at Floresville

Nursing home in Floresville, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (830) 393-2561Send a messageMap ↗

Public-record details

Address
1811 6th St, Floresville, TX 78114
Phone
(830) 393-2561
Listed under
For-profit
Medicare CCN
675469
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
144
Average residents per day
92
Ownership
For-profit, corporation
Legal business name
Frio Hospital District
Chain
Harmony Care Group (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 1, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675469. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 8, 2026. CMS lists 40 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 7, 2023 to Jun 12, 2026): 30 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 12, 2026Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2026Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		B
Potential for minimal harm, pattern
May 8, 2026Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Sep 12, 2025Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 21, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		B
Potential for minimal harm, pattern
Mar 21, 2025Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 21, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 21, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 40. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $87,066 in the last three years.

Mar 21, 2025Fine: $60,452
Jan 31, 2025Fine: $18,185
May 15, 2024Fine: $8,429

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.90 hours
Registered nurse (RN) time per resident per day
0.30 hours
Nurse aide time per resident per day
1.94 hours
Total nurse staffing on weekends
2.54 hours
Nursing staff turnover (yearly)
51%
RN turnover (yearly)
71%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Floresville

Frank M. Tejeda Texas State Veterans Home200 Veterans Dr · Floresville, TX 78114 · (830) 216-9456 · Government-owned22 health citations in 3 inspection cycles · last standard inspection Mar 6, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)CMS abuse iconPrairie Meadows Rehabilitation and Healthcare Cent1615 Eleventh St · Floresville, TX 78114 · (830) 216-7090 · For-profit27 health citations in 3 inspection cycles · last standard inspection Aug 29, 2025 · $33,059 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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