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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasHarmony Care at Floresville

Harmony Care at Floresville

1811 Sixth St, Floresville, TX 781148303932561
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
1/5
Quality
2/5
Beds
144
certified
3 fine(s) totaling $87,066

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 144 certified beds with an average of 88 residents per day (61% occupancy)

• Last health inspection found 10 deficiencies (inspected Mar 21, 2025)

• Has been fined a total of $87,066 across 3 fine(s)

• Total nursing staff: 3.18 hours per resident per day

• Part of the Harmony Care Group chain (6 facilities)

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. The facility scored below average compared to Texas facilities.

Beds
144
Avg Residents/Day
88
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
Mar 21, 2025
Deficiencies (Cycle 1)
10
Weighted Score
78.8
Infection Citations
0

Deficiency Citations (49)

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
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: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 21, 2025Corrected: NoCycle: 1
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: 1
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: 1
F0695Potential for Harm

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

Survey: Mar 21, 2025Corrected: NoCycle: 1
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: 1
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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 21, 2025Corrected: NoCycle: 1
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: 1
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
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
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 8, 2024Corrected: 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
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
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: 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: 2
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: 2
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Feb 16, 2024Corrected: 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: Feb 16, 2024Corrected: 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: Feb 16, 2024Corrected: NoCycle: 2
F0680Potential for Harm

Ensure the activities program is directed by a qualified professional.

Survey: Feb 16, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Feb 16, 2024Corrected: NoCycle: 2
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Feb 16, 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: Feb 16, 2024Corrected: 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: Feb 16, 2024Corrected: NoCycle: 2
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: 2

+ 19 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 Aide2.08 hrs
National avg: 2.35 hrs
LPN0.82 hrs
National avg: 0.86 hrs
RN0.28 hrs
National avg: 0.68 hrs
Total Nursing3.18 hrs
National avg: 3.89 hrs
Weekend Total2.87 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
0.0%
RN Turnover
0.0%
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 (13)

NameRoleTypeOwnership %Since
FRIO HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Dec 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
RUFF, MICHAELCORPORATE OFFICERIndividualN/ADec 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

Nearby Nursing Homes

All Texas facilities

Frank M Tejeda Texas State Veterans Home

Floresville, TX · 160 beds

Government
Health
Staffing
Quality
2607 ft

Prairie Meadows Rehabilitation and Healthcare Cent

Floresville, TX · 120 beds

For profit$35,272 in fines
Health
Staffing
Quality
3002 ft

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 2/5. This facility is rated below average.
Has Harmony Care at Floresville had any health inspection violations?▾
Harmony Care at Floresville had 10 deficiency citations in its most recent health inspection (Mar 21, 2025). The facility has been fined a total of $87,066 across 3 fine(s).
What are the staffing levels at Harmony Care at Floresville?▾
Harmony Care at Floresville provides 3.18 total nursing staff hours per resident per day, including 0.28 RN hours, 0.82 LPN hours, and 2.08 nurse aide hours.
How many beds does Harmony Care at Floresville have?▾
Harmony Care at Floresville has 144 certified beds with an average of 88 residents per day, resulting in approximately 61% 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, there are 2 other nursing homes in Floresville, Texas with an average rating of 3.3/5. You can compare all facilities on the Floresville nursing homes page.

Part of Harmony Care Group

This chain operates 6 facilities. View all →