Nursing HomeInspections

Harmony Care at Giddings

Nursing home in Giddings, TX

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

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Public-record details

Address
1181 N Williamson St, Giddings, TX 78942
Phone
(979) 542-3611
Listed under
For-profit
Medicare CCN
675564
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
84
Average residents per day
38
Ownership
For-profit, partnership
Legal business name
Frio Hospital District
Chain
Harmony Care Group (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1996
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 675564. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 17, 2025. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 30, 2023 to Jun 24, 2026): 31 from complaint inspections, 9 at the “actual harm” level or higher, including 8 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jun 24, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 24, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
May 22, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 22, 2026Provide 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
May 22, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
May 22, 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
May 22, 2026Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · complaint inspection		F
Potential for more than minimal harm, widespread
Feb 26, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Jan 7, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 7, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 7, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Dec 17, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 50. 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 5 fines totalling $193,468 and 1 denial of Medicare payment for new admissions in the last three years.

Feb 26, 2026Fine: $12,428
Jan 7, 2026Fine: $23,238
Dec 17, 2025Fine: $58,380
May 20, 2025Fine: $91,250
May 20, 2025Payment denial for 27 days from Jun 21, 2025
May 31, 2024Fine: $8,172

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
3.99 hours
Registered nurse (RN) time per resident per day
0.33 hours
Nurse aide time per resident per day
2.91 hours
Total nurse staffing on weekends
3.68 hours

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 Giddings

Avir at Giddings1400 N Main St · Giddings, TX 78942 · (979) 542-1755 · For-profit39 health citations in 3 inspection cycles · last standard inspection Apr 23, 2026 · $39,701 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Giddings →