Skip to the page
Get started free

Data / Nursing homes / Texas / Harmony Care at Floresville

Harmony Care at Floresville, Floresville, TX: 2 star rating, fined $87,066 across 3 fines

Harmony Care at Floresville in Floresville, TX is owned by Frio Hospital District, is rated 2 of 5 stars by Medicare, and was fined $87,066 across 3 fines in the three years to October 1, 2026. CMS lists 41 health citations from inspections in that time, the latest survey on July 30, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
1811 6th St, Floresville, TX 78114
Overall rating
2 of 5 stars
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5
Certified beds
144
Residents per day
87 on average
Ownership type
For profit, corporation
Legal business name
Frio Hospital District
Chain
Harmony Care Group, 6 facilities
Fines
$87,066 across 3 fines, three years to October 1, 2026
Payment denials
0
Health citations
41, of which 2 with actual harm or immediate jeopardy
Latest survey
July 30, 2026
CMS Certification Number
675469
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 21, 2025Fine$60,452Not listeddata.cms.gov
January 31, 2025Fine$18,185Not listeddata.cms.gov
May 15, 2024Fine$8,429Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 30, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 21, 2026data.cms.gov
June 12, 2026F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2026data.cms.gov
May 8, 2026F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B: pattern, minimal harm potentialNo revisit neededdata.cms.gov
May 8, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 8, 2026F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 8, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 8, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
May 8, 2026F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 5, 2026data.cms.gov
September 12, 2025F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 27, 2025data.cms.gov
March 21, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.B: pattern, minimal harm potentialCorrectedApril 12, 2025data.cms.gov
March 21, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 12, 2025data.cms.gov
March 21, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 12, 2025data.cms.gov
March 21, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 12, 2025data.cms.gov
March 21, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 12, 2025data.cms.gov
March 21, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 12, 2025data.cms.gov
March 21, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 12, 2025data.cms.gov
March 21, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 12, 2025data.cms.gov
March 21, 2025F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 1, 2025data.cms.gov
January 31, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceJanuary 13, 2025data.cms.gov
January 31, 2025F727Have 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 31, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 31, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 31, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
August 8, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 6, 2024data.cms.gov
August 8, 2024F693Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 6, 2024data.cms.gov
August 8, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 6, 2024data.cms.gov
May 15, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedJune 7, 2024data.cms.gov
May 15, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 7, 2024data.cms.gov
February 16, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F680Ensure the activities program is directed by a qualified professional.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
February 16, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 18, 2024data.cms.gov
December 7, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 6 individual or personal trusts (3 managers, 1 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Frio Hospital DistrictDirect owner100%December 25, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.