CareSentinel

Federal Nursing-Home Survey Record

HARMONY CARE AT FLORESVILLE

CCN 675469 · 1811 SIXTH ST, FLORESVILLE, TX, 78114 · Operated within the HARMONY CARE GROUP chain

Does HARMONY CARE AT FLORESVILLE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), HARMONY CARE AT FLORESVILLE (CCN 675469), in FLORESVILLE, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 10 deficiencies; the most serious carries scope/severity E. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $87,066 in civil money penalties on file against the facility. This page restates the federal record and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

CMS has $87,066 in civil money penalties on file against this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Civil money penalties on file

$87,066

CMS has $87,066 in civil money penalties on file against this facility.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 3  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-09-12
CURRENT CYCLE
F802S/S D

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

2025-03-21
CURRENT CYCLE
F880S/S E

Provide and implement an infection prevention and control program.

2025-03-21
CURRENT CYCLE
F812S/S D

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

2025-03-21
CURRENT CYCLE
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-03-21
CURRENT CYCLE
F578S/S D

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.

2025-03-21
CURRENT CYCLE
F695S/S D

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

2025-03-21
CURRENT CYCLE
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-03-21
CURRENT CYCLE
F761S/S D

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.

2025-03-21
CURRENT CYCLE
F641S/S D

Ensure each resident receives an accurate assessment.

2025-03-21
CURRENT CYCLE
F921S/S B

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2025-01-31
HISTORICAL
F689S/S J

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

2025-01-31
HISTORICAL
F727S/S E

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.

2025-01-31
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2025-01-31
HISTORICAL
F583S/S D

Keep residents' personal and medical records private and confidential.

2025-01-31
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-08-08
HISTORICAL
F693S/S E

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.

2024-08-08
HISTORICAL
F583S/S D

Keep residents' personal and medical records private and confidential.

2024-08-08
HISTORICAL
F761S/S D

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.

2024-05-15
HISTORICAL
F689S/S J

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

2024-05-15
HISTORICAL
F609S/S D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-02-16
HISTORICAL
F842S/S E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2024-02-16
HISTORICAL
F912S/S D

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

2024-02-16
HISTORICAL
F761S/S D

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.

2024-02-16
HISTORICAL
F921S/S D

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2024-02-16
HISTORICAL
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2024-02-16
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-02-16
HISTORICAL
F680S/S D

Ensure the activities program is directed by a qualified professional.

2024-02-16
HISTORICAL
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2024-02-16
HISTORICAL
F690S/S D

Provide 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
HISTORICAL
F812S/S D

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

2024-02-16
HISTORICAL
F644S/S D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

2024-02-16
HISTORICAL
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2023-12-07
HISTORICAL
F921S/S E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2023-01-18
HISTORICAL
F949S/S F

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

2023-01-18
HISTORICAL
F941S/S F

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

2023-01-18
HISTORICAL
F944S/S F

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

2023-01-18
HISTORICAL
F946S/S F

Provide training in compliance and ethics.

2023-01-18
HISTORICAL
F942S/S E

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

2023-01-18
HISTORICAL
F657S/S E

Develop 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
HISTORICAL
F802S/S E

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

2023-01-18
HISTORICAL
F912S/S E

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

2023-01-18
HISTORICAL
F680S/S E

Ensure the activities program is directed by a qualified professional.

2023-01-18
HISTORICAL
F583S/S E

Keep residents' personal and medical records private and confidential.

2023-01-18
HISTORICAL
F945S/S E

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

2023-01-18
HISTORICAL
F761S/S D

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.

2023-01-18
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2023-01-18
HISTORICAL
F695S/S D

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

2023-01-18
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2023-01-18
HISTORICAL
F851S/S C

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at HARMONY CARE AT FLORESVILLE?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…