Nursing home report
FLORESVILLE, TX · Medicare-certified · 144 beds
Harmony Care at Floresville has a 3-star overall rating, with 2-star staffing and quality ratings. It reports 3.27 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has had $87,066 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.2739 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2739.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide effective staff training and communication for direct care workers. Cited January 2023 — widespread issue, potential for harm.
F-Tag 941 — 42 CFR §483.95 — S/S: F
The nursing home failed to make sure all staff got required training on its quality improvement program. Cited January 2023 — widespread issue, potential for harm.
F-Tag 944 — 42 CFR §483.95 — S/S: F
The nursing home failed to make sure staff were trained to follow compliance and ethics rules. Cited January 2023 — widespread issue, potential for harm.
F-Tag 946 — 42 CFR §483.95 — S/S: F
The home failed to ensure staff got the needed behavior health training based on the facility’s own needs. Cited January 2023 — widespread issue, potential for harm.
F-Tag 949 — 42 CFR §483.95 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $60,452 was recorded.
Health inspection found 9 health deficiencies.
A federal fine of $18,185 was recorded.
Health inspection found 5 health deficiencies.
A federal fine of $8,429 was recorded.
On record with Medicare: 3 fines · $87,066 in total fines.
Federal fine
Mar 21, 2025
Federal fine
Jan 31, 2025
Federal fine
May 15, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
