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Harmony Care At Floresville

1811 Sixth St, Floresville, TX 78114 · Wilson County

For-profit · 144 certified beds · 64% occupancy · (830) 393-2561

The U.S. government (CMS) rates Harmony Care At Floresville 2 out of 5 stars overall — below average. Its nurse staffing is 11% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.

TX median 3.27

2.90 nurse hours per resident per day. 11% below the Texas median of 3.27.

Total nurse
2.90 hrs
RN
0.30 hrs
LPN
0.65 hrs
Aide
1.94 hrs

Nursing staff turnover: 50.8% · RN turnover: 71.4%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

39
total findings
2
immediate jeopardy
0
caused actual harm
29
from complaints
  • Potential for harmTag F0812 · May 8, 2026ComplaintCorrected Jun 5, 2026

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0583 · May 8, 2026ComplaintCorrected Jun 5, 2026

    Keep residents' personal and medical records private and confidential.

    Resident Rights Deficiencies

  • Potential for harmTag F0695 · May 8, 2026ComplaintCorrected Jun 5, 2026

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0813 · May 8, 2026ComplaintCorrected Jun 5, 2026

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0880 · May 8, 2026ComplaintCorrected Jun 5, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0802 · Sep 12, 2025ComplaintCorrected Sep 27, 2025

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

    Nutrition and Dietary Deficiencies

  • Minimal harmTag F0912 · May 8, 2026

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

    Environmental Deficiencies

  • Immediate jeopardyTag F0689 · Jan 31, 2025ComplaintCorrected Jan 13, 2025

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0880 · Mar 21, 2025Corrected Apr 12, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0727 · Jan 31, 2025ComplaintCorrected Feb 28, 2025

    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

Showing the 10 most recent and serious of 39 findings. See the full inspection history on Medicare.gov.

Ownership

Part of the Harmony Care Group chain (6 facilities), chain average overall rating 2★.