Texas › Lamb County › Amherst
Harmonee House
1400 Main St, Amherst, TX 79312
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 35 beds, Harmonee House serves Amherst in Lamb County, Texas and has taken Medicare and Medicaid residents since 2014.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 4.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (7, 8, 5 by cycle, most recent first), none at the actual-harm level. That is 57.1 per 100 beds, more than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Compared with county, state and nation
| Measure | This facility | Lamb Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 23 | 25 | 28.7 |
| Citations per 100 beds | 57.1 | 47.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | — | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | — | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | — | 58.6% | 52.1% | 45.8% |
| Fines listed | $0 | $15,672 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 11 Sep 2024, 8 Aug 2023.
Severity mix: D ×15 E ×1 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Dec 2025 | F0846 | Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | F | Complaint investigation | 20 Oct 2025 |
| 11 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Oct 2024 |
| 11 Sep 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 16 Oct 2024 |
| 11 Sep 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 11 Oct 2024 |
| 11 Sep 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 11 Oct 2024 |
| 11 Sep 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Oct 2024 |
| 11 Sep 2024 | F0761 | 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. | D | Standard survey | 11 Oct 2024 |
| 8 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Sep 2023 |
| 8 Aug 2023 | F0578 | 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. | D | Standard survey | 22 Sep 2023 |
| 8 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 Sep 2023 |
| 8 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Sep 2023 |
| 8 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Sep 2023 |
| 8 Aug 2023 | F0761 | 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. | D | Standard survey | 22 Sep 2023 |
| 8 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 Sep 2023 |
| 8 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Sep 2023 |
| 13 Jul 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Aug 2022 |
| 13 Jul 2022 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 15 Aug 2022 |
| 13 Jul 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Aug 2022 |
| 13 Jul 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Aug 2022 |
| 13 Jul 2022 | F0761 | 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. | D | Standard survey | 10 Aug 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 3.0% | 2.8% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lamb County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Runningwater Draw Care Center Inc | Olton | 75 | 3 | 3 | 1 | 23 | 30.7 | $16K | 7 May 2026 |
| Sunset Valley Rehabilitation and Healthcare Center | Littlefield | 80 | 1 | 2 | 2 | 38 | 47.5 | $44K | 26 Feb 2026 |
All 3 facilities in Lamb County
Questions and answers
How many deficiencies has Harmonee House been cited for?
20 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Harmonee House been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Harmonee House compare?
CMS does not report staffing hours for this facility.
Who operates Harmonee House?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Harmonee House last inspected?
The most recent survey or investigation in the CMS record is dated 1 Dec 2025; the most recent standard health survey was 11 Sep 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.