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HomeTexasHarmony Care at Floresville

Harmony Care at Floresville

1811 Sixth St, Floresville, TX 781148303932561WebsiteGoogle Maps
4.9on Google(110 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
1/5
Quality
3/5
Beds
144
certified
3 fine(s) totaling $87,066

How Harmony Care at Floresville Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
3/5
TX average
2.8/5
Close to state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.90 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.30 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
50.8%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Reported nursing time is 2.90 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.30 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
32
deficiency citations
Inspected Mar 21, 2025
Most recent cycle
7
deficiency citations
Inspected May 8, 2026
The most recent cycle recorded 25 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Wilson County 65+
8,177
16.2% of county
County Population
50,381
Wilson County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Harmony Care at Floresville is a 2-star Medicare and Medicaid certified nursing home in Floresville, Texas with 144 certified beds. It has been operating since 1995. Its overall CMS rating is 2 out of 5.

Beds
144
Avg Residents/Day
92.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 1, 1995
Sprinklers
Yes
Council
Resident
County
Wilson
Last Inspection
May 8, 2026
Deficiencies (Cycle 1)
7
Weighted Score
78.8
Infection Citations
0

Deficiency Citations (39)

F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 8, 2026Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: May 8, 2026Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: May 8, 2026Corrected: NoCycle: 1
F0813Potential for Harm

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey: May 8, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 8, 2026Corrected: NoCycle: 1
F0912Minimal Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey: May 8, 2026Corrected: NoCycle: 1
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: Sep 12, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0578Potential for Harm

Honor 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.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0921Minimal Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Mar 21, 2025Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jan 31, 2025Corrected: NoCycle: 2
F0727Potential for Harm

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.

Survey: Jan 31, 2025Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jan 31, 2025Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Jan 31, 2025Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 31, 2025Corrected: NoCycle: 2
F0693Potential for Harm

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.

Survey: Aug 8, 2024Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 8, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Aug 8, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 15, 2024Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 15, 2024Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 16, 2024Corrected: NoCycle: 3
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Feb 16, 2024Corrected: NoCycle: 3
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Feb 16, 2024Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Feb 16, 2024Corrected: NoCycle: 3

+ 9 more deficiencies

Total Fines
$87,066
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineMay 15, 2024
$8,429
FineJan 31, 2025
$18,185
FineMar 21, 2025
$60,452

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.94 hrs
National avg: 2.32 hrs
LPN0.65 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.69 hrs
Total Nursing2.90 hrs
National avg: 3.86 hrs
Weekend Total2.54 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
50.8%
RN Turnover
71.4%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (20)

NameRoleTypeOwnership %Since
FRIO HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 25, 2024
ELITE HC INVESTORS LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/ADec 25, 2024
FLORESVILLE HOLDINGS, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/ADec 25, 2024
BODANSKY, HERSHEL5% OR GREATER MORTGAGE INTERESTIndividualN/ADec 25, 2024
WEISS, CHAIM5% OR GREATER MORTGAGE INTERESTIndividualN/ADec 25, 2024
RUFF, MICHAELCORPORATE OFFICERIndividualN/ADec 25, 2024
ELITE HC HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 8, 2025
FLORESVILLE OPERATING BH, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 6, 2025
BODANSKY, HERSHELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 8, 2025
CURRIER, DARYLOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 25, 2024
HELLER, YESHAYAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 6, 2025
RUEHLE, ELIZABETHOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 25, 2024
WEISS, CHAIMOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 6, 2025
ELITE HC INVESTORS LLCADP OF THE SNFOrganizationN/AJan 7, 2025
FLORESVILLE HOLDINGS, LLCADP OF THE SNFOrganizationN/AJan 6, 2025
FLORESVILLE OPERATING BH, LLCADP OF THE SNFOrganizationN/AJan 7, 2025
BODANSKY, HERSHELADP OF THE SNFIndividualN/AJan 8, 2025
CURRIER, DARYLADP OF THE SNFIndividualN/ADec 25, 2024
RUEHLE, ELIZABETHADP OF THE SNFIndividualN/ADec 25, 2024
WEISS, CHAIMADP OF THE SNFIndividualN/AJan 8, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Harmony Care at Floresville and nearby alternatives.

All Texas facilities
Harmony Care at Floresville
Floresville, TXCurrent facility
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $87,066
Frank M. Tejeda Texas State Veterans Home
Floresville, TX2,640 ft
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
Prairie Meadows Rehabilitation and Healthcare Cent
Floresville, TX3,168 ft
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $43,522
Country Care Manor
La Vernia, TX15.0 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $22,143
Bluebonnet Nursing and Rehabilitation
Karnes City, TX22.2 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $125,523
Southeast Nursing & Rehabilitation Center
San Antonio, TX23.0 mi
CMS
2/5
Health
1/5
Staffing
2/5
Recorded fines: $204,738
Pecan Valley Rehabilitation and Healthcare
San Antonio, TX23.4 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Harmony Care at Floresville
Floresville, TX · Current facility
—2/53/51/5$87,066
Frank M. Tejeda Texas State Veterans Home
Floresville, TX
2,640 ft5/54/54/5None recorded
Prairie Meadows Rehabilitation and Healthcare Cent
Floresville, TX
3,168 ft1/51/53/5$43,522
Country Care Manor
La Vernia, TX
15.0 mi4/54/52/5$22,143
Bluebonnet Nursing and Rehabilitation
Karnes City, TX
22.2 mi1/51/51/5$125,523
Southeast Nursing & Rehabilitation Center
San Antonio, TX
23.0 mi2/51/52/5$204,738
Pecan Valley Rehabilitation and Healthcare
San Antonio, TX
23.4 mi3/53/51/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Harmony Care at Floresville?▾
Harmony Care at Floresville has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Harmony Care at Floresville cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Harmony Care at Floresville participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Harmony Care at Floresville had any health inspection violations?▾
Harmony Care at Floresville had 7 deficiency citations in its most recent health inspection (May 8, 2026). The current CMS dataset records 3 fine(s) totaling $87,066.
What are the staffing levels at Harmony Care at Floresville?▾
Harmony Care at Floresville provides 2.90 total nursing staff hours per resident per day, including 0.30 RN hours, 0.65 LPN hours, and 1.94 nurse aide hours. The total staff turnover rate is 50.8%.
How many beds does Harmony Care at Floresville have?▾
Harmony Care at Floresville has 144 certified beds with an average of 92.3 residents per day, resulting in approximately 64% occupancy. The facility is For profit - Corporation owned and is part of the Harmony Care Group chain.
Are there other nursing homes near Harmony Care at Floresville?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 2 in Floresville. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Harmony Care at Floresville?▾
On Google Maps, Harmony Care at Floresville has a rating of 4.9 out of 5 based on 110 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Harmony Care Group

This chain operates 6 facilities. View all →