Texas › Lee County › Giddings
Harmony Care At Giddings
1181 N Williamson St, Giddings, TX 78942
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 84 beds, Harmony Care At Giddings serves Giddings in Lee County, Texas and has taken Medicare and Medicaid residents since 1996.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 50 health deficiencies across the three most recent survey cycles (23, 20, 7 by cycle, most recent first), 9 of them at the actual-harm or immediate-jeopardy level. That is 59.5 per 100 beds, more than the state median of 22.5.
CMS lists 6 penalties in the period covered: fines totalling $193K and 1 payment denial.
Reported nurse staffing is 4.0 hours per resident per day (0.3 RN), close to the Texas median of 3.3.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Lee Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 50 | 50 | 25 | 28.7 |
| Citations per 100 beds | 59.5 | 59.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.0 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | — | 30.3% | 52.1% | 45.8% |
| Fines listed | $193,468 | $193,468 | $16,801 | — |
County and state figures are medians across facilities (2 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: 17 Jul 2025, 31 May 2024.
Severity mix: J ×6 K ×2 G ×1 D ×24 E ×13 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 |
|---|---|---|---|---|---|
| 24 Jun 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 20 Jul 2026 |
| 24 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 20 Jul 2026 |
| 22 May 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 29 May 2026 |
| 22 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 29 May 2026 |
| 22 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 29 May 2026 |
| 22 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 May 2026 |
| 22 May 2026 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Complaint investigation | 29 May 2026 |
| 26 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 7 Jan 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 6 Feb 2026 |
| 7 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 6 Feb 2026 |
| 7 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Feb 2026 |
| 17 Dec 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 18 Dec 2025 |
| 17 Dec 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | Complaint investigation | 18 Dec 2025 |
| 17 Dec 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | J | Complaint investigation | 18 Dec 2025 |
| 17 Dec 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint investigation | 18 Dec 2025 |
| 17 Jul 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 18 Jul 2025 |
| 17 Jul 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 18 Jul 2025 |
| 20 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | K | Complaint investigation | 24 Jun 2025 |
| 20 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K | Complaint investigation | 17 Jul 2025 |
| 20 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 24 Jun 2025 |
| 28 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Apr 2025 |
| 10 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 11 Feb 2025 |
| 10 Feb 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 11 Feb 2025 |
| 10 Feb 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 11 Feb 2025 |
| 10 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Feb 2025 |
| 10 Feb 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 11 Feb 2025 |
| 12 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 15 Oct 2024 |
| 12 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Oct 2024 |
| 31 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 1 Jun 2024 |
| 31 May 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 31 May 2024 |
| 31 May 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 3 Jun 2024 |
| 31 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 5 Jun 2024 |
| 31 May 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. | E | Standard survey | 5 Jun 2024 |
| 31 May 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 4 Jun 2024 |
| 31 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 1 Jun 2024 |
| 31 May 2024 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard survey | 5 Jun 2024 |
| 31 May 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 5 Jun 2024 |
| 17 Jan 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 19 Jan 2024 |
| 3 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Jan 2024 |
| 14 Oct 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. | E | Complaint investigation | 30 Oct 2023 |
| 29 Sep 2023 | 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 | Complaint investigation | 2 Nov 2023 |
| 30 Mar 2023 | F0727 | 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. | F | Standard survey | 15 May 2023 |
| 30 Mar 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 May 2023 |
| 30 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Feb 2026 | Fine | $12,428 | |
| 7 Jan 2026 | Fine | $23,238 | |
| 17 Dec 2025 | Fine | $58,380 | |
| 20 May 2025 | Payment denial | — | 27 days |
| 20 May 2025 | Fine | $91,250 | |
| 31 May 2024 | Fine | $8,172 |
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 | 29.9% | 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 | 3.2% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.3% | 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, partnership. Legal business name: Frio Hospital District. Chain: Harmony Care Group (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Frio Hospital District | 5% or greater direct ownership interest | 100% | 11/01/2024 |
| Elite Hc Investors LLC | 5% or greater mortgage interest | NOT APPLICABLE | 11/01/2024 |
| Giddings Holdings Bh LLC | 5% or greater mortgage interest | NOT APPLICABLE | 11/01/2024 |
| Elite Hc Holdings LLC | Operational/managerial control | NOT APPLICABLE | 11/15/2024 |
| Giddings Operating Bh, LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2024 |
| Elite Hc Investors LLC | Adp of the snf | NOT APPLICABLE | 11/15/2024 |
| Giddings Holdings Bh LLC | Adp of the snf | NOT APPLICABLE | 11/15/2024 |
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 Lee County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Giddings | Giddings | 102 | 1 | 1 | 1 | 39 | 38.2 | $40K | 12 May 2026 |
All 2 facilities in Lee County
Questions and answers
How many deficiencies has Harmony Care At Giddings been cited for?
50 health deficiencies across the three most recent survey cycles, 9 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Harmony Care At Giddings been fined?
Yes. CMS lists fines totalling $193K in the period covered, plus 1 payment denial.
How does staffing at Harmony Care At Giddings compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Harmony Care At Giddings?
It is part of the Harmony Care Group chain. Ownership type is for-profit, partnership. Organisations in the CMS ownership record include Frio Hospital District, Elite Hc Holdings LLC and Giddings Operating Bh, LLC. Individual owners and managers are not listed on this site.
When was Harmony Care At Giddings last inspected?
The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 17 Jul 2025.
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.