HARMONY CARE AT FLORESVILLE
1811 SIXTH ST, FLORESVILLE, TX 78114 · CCN 675469
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 144
- Avg residents/day
- 88.0
- Phone
- 8303932561
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-21 | 10 | 9.1 | 9.5 | +0.9 worse |
| 2 | 2024-02-16 | 22 | 9.4 | 9.8 | +12.6 worse |
| 3 | 2023-01-18 | 17 | 8.1 | 9.3 | +8.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.18 | — |
| RN staffing (reported) | 0.28 | — |
| Total nurse staffing (adjusted) | 3.70 | — |
Fines & penalties
- Total fines
- $87,066
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- HARMONY CARE GROUP
- Facilities in chain
- 6
- Chain avg overall
- 1.80 / 5
Inspection citations (49)2 immediate jeopardy
- DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-09-12 · Health · corrected 2025-09-27
Potential for more than minimal harm
- DF0578Honor 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.2025-03-21 · Health · corrected 2025-04-01
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-03-21 · Health · corrected 2025-04-12
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-03-21 · Health · corrected 2025-04-12
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-21 · Health · corrected 2025-04-12
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-21 · Health · corrected 2025-04-12
Potential for more than minimal harm
- DF0761Ensure 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.2025-03-21 · Health · corrected 2025-04-12
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-21 · Health · corrected 2025-04-12
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-21 · Health · corrected 2025-04-12
Potential for more than minimal harm
- BF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-03-21 · Health · corrected 2025-04-12
Potential for minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-31 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-01-31 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-31 · Health · corrected 2025-02-28
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-31 · Health · corrected 2025-01-13
Immediate jeopardy
- EF0727Have 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.2025-01-31 · Health · corrected 2025-02-28
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-08-08 · Health · corrected 2024-09-06
Potential for more than minimal harm
- EF0693Ensure 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.2024-08-08 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0761Ensure 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.2024-08-08 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-15 · Health · corrected 2024-06-07
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-15 · Health · corrected 2024-06-07
Immediate jeopardy
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0680Ensure the activities program is directed by a qualified professional.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0761Ensure 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.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-02-16 · Health · corrected 2024-03-18
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-12-07 · Health · corrected 2024-01-03
Potential for more than minimal harm
- EF0583Keep residents' personal and medical records private and confidential.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- EF0680Ensure the activities program is directed by a qualified professional.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0761Ensure 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.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-01-18 · Health · corrected 2023-02-28
Potential for minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- EF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- FF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- FF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- FF0946Provide training in compliance and ethics.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
- FF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2023-01-18 · Health · corrected 2023-02-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-12-25 |
| ELITE HC HOLDINGS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-08 |
| FLORESVILLE OPERATING BH, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| BODANSKY, HERSHEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-08 |
| CURRIER, DARYL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-25 |
| HELLER, YESHAYA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| RUEHLE, ELIZABETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-25 |
| WEISS, CHAIM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-06 |
| RUFF, MICHAEL | Individual | CORPORATE OFFICER | — | 2024-12-25 |
| ELITE HC INVESTORS LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-25 |
| FLORESVILLE HOLDINGS, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-25 |
| BODANSKY, HERSHEL | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-25 |
| WEISS, CHAIM | Individual | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-25 |
Other facilities in FLORESVILLE
| Name | Overall | Beds |
|---|---|---|
| FRANK M TEJEDA TEXAS STATE VETERANS HOME | ★★★★★ | 160 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.