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Nursing home report

Harmony Care at Giddings

Registered name: Giddings Nursing and Rehabilitation

GIDDINGS, TX · Medicare-certified · 84 beds

Needs attention
Special Focus candidateAbuse citationFor-profitChain member
Data as of September 1, 2026
1 of 5 overall

Harmony Care at Giddings has a 1-star overall rating, with a 1-star health inspection rating, a special focus candidate/flag, and $187,218 in fines in the last 24 months. Staffing is 2 stars and reported nurse staffing is 3.99 hours per resident per day, slightly below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.9886 hrs/resident/day

Quality measures

Last inspection: June 24, 2026Penalties, last 24 months: $187,218special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9886.

Staffing detail

Registered nurses
0.33
Licensed practical nurses
0.74
Nurse aides
2.91
Weekend nursing
3.68

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

—20.3%—

Residents with a fall causing major injury

0%2.6%Worsening

Residents with pressure ulcers (bedsores)

5.8%3.5%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

5.7%2.9%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.6%29.4%Worsening

Residents whose ability to walk got worse

—44.7%—

Long-stay residents on antianxiety or sleep medication

21.6%25.7%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

25.8%4.5%Improving

Residents with depressive symptoms

0%3.2%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—92.9%—

Long-stay residents given the pneumonia vaccine

97.3%100%Improving

Short-stay residents given the seasonal flu vaccine

—78.1%—

Short-stay residents given the pneumonia vaccine

—95.1%—

What the inspectors found

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: K

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited May 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to run its operations effectively and efficiently using its available resources. Cited December 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: J

The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited December 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 607 — 42 CFR §483.12 — S/S: J

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $12,618 was recorded.

  6. PENALTY

    A federal fine of $12,428 was recorded.

  7. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  8. PENALTY

    A federal fine of $19,120 was recorded.

  9. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  10. PENALTY

    A federal fine of $23,238 was recorded.

  11. PENALTY

    A federal fine of $35,750 was recorded.

  12. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  13. PENALTY

    A federal fine of $58,380 was recorded.

  14. PENALTY

    A federal fine of $89,815 was recorded.

  15. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  16. PENALTY

    A federal fine of $92,982 was recorded.

  17. PENALTY

    A federal payment denial was recorded.

  18. PENALTY

    A federal fine of $91,250 was recorded.

  19. PENALTY

    A federal fine of $8,172 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $195,390 in total fines · 1 payment denial.

  • Federal fine

    Feb 26, 2026

    $12,618
  • Federal fine

    Jan 7, 2026

    $23,238
  • Federal fine

    Dec 17, 2025

    $58,380
  • Medicare/Medicaid payment denial

    May 20, 2025

    27 days
  • Federal fine

    May 20, 2025

    $92,982
  • Federal fine

    May 31, 2024

    $8,172

Operator & ownership

Recent ownership change · Nov 1, 2024

Now operated by Harmony Care at Giddings, previously Giddings Residence and Rehabilitation Center.

Ownership
For profit - Partnership
Chain
Part of HARMONY CARE GROUP · 6 homes · 1.6 stars avg
Occupancy
37.5 residents on an average day (45% of 84 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years

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.