Nursing home report
Giddings, TX · Medicare-certified · 84 beds
Harmony Care at Giddings has an overall 1-star rating, with 1-star health inspection and staffing ratings, though quality measures are 4 stars. It is a Special Focus Facility candidate/flagged for special focus, had $244,107 in fines over the last 24 months, and reported staffing of 3.34 hours per resident day versus the 4.1 federal benchmark.
Health inspections
Staffing
3.3444 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3444.
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 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.
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.
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.
F-Tag 689 — 42 CFR §483.25(d) — 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.
F-Tag 607 — 42 CFR §483.12 — S/S: J
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited December 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 627 — 42 CFR §483.15(c) — S/S: J
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $19,120 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $35,750 was recorded.
Health inspection found 3 health deficiencies.
A federal fine of $89,815 was recorded.
Health inspection found 4 health deficiencies.
A federal payment denial was recorded.
A federal fine of $91,250 was recorded.
A federal fine of $8,172 was recorded.
On record with Medicare: 5 fines · $244,107 in total fines · 1 payment denial.
Federal fine
Feb 26, 2026
Federal fine
Jan 7, 2026
Federal fine
Dec 17, 2025
Medicare/Medicaid payment denial
May 20, 2025
Federal fine
May 20, 2025
Federal fine
May 31, 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.
