Harmony Care at Floresville

1811 6th St, Floresville, TX 78114 · (830) 393-2561
For profit - Corporation · 144 certified beds

Harmony Care at Floresville has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 6 citations (the Texas average is 9.4). It was fined 3 times in the last three years, $87,066 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 8, 2026 found 6 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 8, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep residents' personal and medical records private and confidential.May 8, 2026 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.May 8, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have a policy regarding use and storage of foods brought to residents by family and other visitors.May 8, 2026 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 8, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.May 8, 2026 · F0912 · Level of harm: Potential for minimal harm · Residents affected: Some

Complaint inspections, last three years

Inspections after complaints found 31 citations.

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.July 30, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.June 12, 2026 · F0640 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.May 8, 2026 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.May 8, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 8, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a policy regarding use and storage of foods brought to residents by family and other visitors.May 8, 2026 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 8, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.September 12, 2025 · F0802 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.January 31, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.January 31, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 31, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 31, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.January 31, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep residents' personal and medical records private and confidential.August 8, 2024 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.August 8, 2024 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.August 8, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 15, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 15, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.February 16, 2024 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• PASARR screening for Mental disorders or Intellectual DisabilitiesFebruary 16, 2024 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFebruary 16, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 16, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the activities program is directed by a qualified professional.February 16, 2024 · F0680 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 16, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident’s drug regimen must be free from unnecessary drugs.February 16, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.February 16, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 16, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 16, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.February 16, 2024 · F0912 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.February 16, 2024 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.December 7, 2023 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $60,452March 21, 2025
• Fine of $18,185January 31, 2025
• Fine of $8,429May 15, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home