nursing home in Floresville, TX

Harmony Care at Floresville

1811 6th St, Floresville, TX 78114 · (830) 393-2561

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★1
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Harmony Care at Floresville at a glance

Harmony Care at Floresville is a 144-bed for-profit nursing home in Floresville, Texas (Wilson County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 2.9 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (May 8, 2026) found 9 health citations. The Texas average is 9.4.

Federal regulators fined it 3 times in the past three years, totaling $87,066.

Nursing staff turnover is 50.8% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
144
Certified for
Medicare and Medicaid
Chain / affiliated entity
Harmony Care Group
Medicare-certified since
April 1, 1995
Resident/family council
Resident
County
Wilson County
CMS Certification Number
675469

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 54 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)4 / 53.2 / 53.3 / 5Better

Staffing

This facility2.90 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)2.90 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.30 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.94 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.54 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)50.8%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)71.4%54.6%42.9%Worse

Inspections

This facility9Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)999Average
Citations from complaint investigations (latest cycle) (lower is better)843Worse
Weighted health inspection score ⓘ (lower is better)84.810280.6Worse

Penalties

This facility3Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)311Worse
Total fines in the past 3 years (lower is better)$87,066$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)321Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds144113107
Average residents per day927686
Occupancy64.1%67.6%80.9%

Long-stay residents

This facility3.4%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.4%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)3.1%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)17.4%9.6%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.3%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)2.3%0.3%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)21.9%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)20%14%14.1%Worse
Long-stay residents who lose too much weight (lower is better)4.5%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)1%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)28.6%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)22.1%13.4%19%Worse
Long-stay residents given a flu vaccine (higher is better)98.8%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%96.6%93.6%Better

Short-stay residents

This facility1.8%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.8%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)74.3%88%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)96.5%88.9%82%Better

Inspection citations

State inspectors cited this home for 41 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".

DateCitationSeverityStatus
July 30, 2026
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected August 21, 2026
June 12, 2026
Complaint
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0640
D
Potential harm, isolated
Corrected July 5, 2026
May 8, 2026
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
F
Potential harm, widespread
Corrected June 5, 2026
May 8, 2026
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
F
Potential harm, widespread
Corrected June 20, 2026
May 8, 2026
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected June 5, 2026
May 8, 2026
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
F
Potential harm, widespread
Corrected June 5, 2026
May 8, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected June 5, 2026
May 8, 2026
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected June 5, 2026
May 8, 2026
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected June 5, 2026
May 8, 2026
Fire safety
Install proper backup exit lighting.
Egress Deficiencies · Tag K0281
E
Potential harm, pattern
Corrected June 20, 2026
May 8, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected June 20, 2026
May 8, 2026
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
D
Potential harm, isolated
Corrected June 5, 2026
May 8, 2026
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
No revisit needed
May 8, 2026
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected June 5, 2026
May 8, 2026
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected June 5, 2026
May 8, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected June 5, 2026
May 8, 2026
Complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Tag F0813
D
Potential harm, isolated
Corrected June 5, 2026
May 8, 2026
Complaint
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected June 5, 2026
May 8, 2026
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
B
No harm, pattern
No revisit needed
September 12, 2025
Complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Tag F0802
D
Potential harm, isolated
Corrected September 27, 2025
March 21, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
L
Immediate jeopardy, widespread
Corrected March 25, 2025
March 21, 2025
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
K
Immediate jeopardy, pattern
Corrected March 25, 2025
March 21, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected March 25, 2025
March 21, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected April 11, 2025
March 21, 2025
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
D
Potential harm, isolated
Corrected April 11, 2025
March 21, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected March 25, 2025
March 21, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected April 12, 2025
March 21, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected April 12, 2025
March 21, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected April 1, 2025
March 21, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected April 12, 2025
March 21, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected April 12, 2025
March 21, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected April 12, 2025
March 21, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected April 12, 2025
March 21, 2025
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected April 12, 2025
March 21, 2025
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
B
No harm, pattern
Corrected April 12, 2025
January 31, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected January 13, 2025
January 31, 2025
Complaint
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.
Nursing and Physician Services Deficiencies · Tag F0727
E
Potential harm, pattern
Corrected February 28, 2025
January 31, 2025
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected February 28, 2025
January 31, 2025
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected February 28, 2025
January 31, 2025
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected February 28, 2025
August 8, 2024
Complaint
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.
Quality of Life and Care Deficiencies · Tag F0693
E
Potential harm, pattern
Corrected September 6, 2024
August 8, 2024
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected September 6, 2024
August 8, 2024
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected September 6, 2024
May 15, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected June 7, 2024
May 15, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected June 7, 2024
February 16, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
E
Potential harm, pattern
Corrected March 18, 2024
February 16, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected March 18, 2024
February 16, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected March 18, 2024
February 16, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected March 18, 2024
February 16, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected March 18, 2024
February 16, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected March 18, 2024
February 16, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected March 18, 2024
February 16, 2024
Complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Tag F0680
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected March 18, 2024
February 16, 2024
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected March 18, 2024
December 7, 2023
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected January 3, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 3 federal penalties in the past three years, including $87,066 in fines.

DatePenaltyAmount / length
March 21, 2025Fine$60,452
January 31, 2025Fine$18,185
May 15, 2024Fine$8,429

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FRIO HOSPITAL DISTRICT
Organization
5% or greater direct ownership interest100%12/25/2024
BODANSKY, HERSHEL
Individual
5% or greater mortgage interestNOT APPLICABLE12/25/2024
ELITE HC INVESTORS LLC
Organization
5% or greater mortgage interestNOT APPLICABLE12/25/2024
FLORESVILLE HOLDINGS, LLC
Organization
5% or greater mortgage interestNOT APPLICABLE12/25/2024
WEISS, CHAIM
Individual
5% or greater mortgage interestNOT APPLICABLE12/25/2024
BODANSKY, HERSHEL
Individual
adp of the snfNOT APPLICABLE01/08/2025
CURRIER, DARYL
Individual
adp of the snfNOT APPLICABLE12/25/2024
ELITE HC INVESTORS LLC
Organization
adp of the snfNOT APPLICABLE01/07/2025
FLORESVILLE HOLDINGS, LLC
Organization
adp of the snfNOT APPLICABLE01/06/2025
FLORESVILLE OPERATING BH, LLC
Organization
adp of the snfNOT APPLICABLE01/07/2025
RUEHLE, ELIZABETH
Individual
adp of the snfNOT APPLICABLE12/25/2024
WEISS, CHAIM
Individual
adp of the snfNOT APPLICABLE01/08/2025
RUFF, MICHAEL
Individual
corporate officerNOT APPLICABLE12/25/2024
BODANSKY, HERSHEL
Individual
operational/managerial controlNOT APPLICABLE01/08/2025
CURRIER, DARYL
Individual
operational/managerial controlNOT APPLICABLE12/25/2024
ELITE HC HOLDINGS LLC
Organization
operational/managerial controlNOT APPLICABLE01/08/2025
FLORESVILLE OPERATING BH, LLC
Organization
operational/managerial controlNOT APPLICABLE01/06/2025
HELLER, YESHAYA
Individual
operational/managerial controlNOT APPLICABLE01/06/2025
RUEHLE, ELIZABETH
Individual
operational/managerial controlNOT APPLICABLE12/25/2024
WEISS, CHAIM
Individual
operational/managerial controlNOT APPLICABLE01/06/2025

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Frequently asked questions

What is Harmony Care at Floresville's rating?

Harmony Care at Floresville has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Harmony Care at Floresville receive?

Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Harmony Care at Floresville accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Harmony Care at Floresville?

It is for profit - corporation and part of Harmony Care Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Harmony Care at Floresville and how do I contact it?

Harmony Care at Floresville is at 1811 6th St, Floresville, TX 78114. Phone: (830) 393-2561.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.