Nursing home report
FLORESVILLE, TX · Medicare-certified · 144 beds
HARMONY CARE AT FLORESVILLE has a 2 out of 5 overall rating. The biggest concerns are 1 out of 5 staffing, nurse staffing below the federal benchmark (2.90 vs 4.1 hours per resident per day), $78,637 in fines in the last 24 months with a recent federal penalty, and recent citations for accident prevention, food safety, and infection control.
Health inspections
Staffing
2.8967 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8967.
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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — limited pattern, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited January 2025 — limited pattern, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: E
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited August 2024 — limited pattern, potential for harm.
F-Tag 693 — 42 CFR §483.25 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 6 health deficiencies.
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
Now operated by Frio Hospital District, previously Dewitt Medical District.
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.
