HARMONY CARE AT FLORESVILLE
HARMONY CARE AT FLORESVILLE is a 144-bed nursing home in FLORESVILLE, Texas. CMS has certified it for Medicare and Medicaid since 1995-04-01. It averages 92.3 residents a day.
What harm was found in the violations cited at HARMONY CARE AT FLORESVILLE?
CMS lists 40 health-inspection deficiencies for HARMONY CARE AT FLORESVILLE, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-12.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-12 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D |
| 2026-05-08 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-05-08 | F0583, F0695, F0813, F0880 | Keep residents' personal and medical records private and confidential. / Provide safe and appropriate respiratory care for a resident when needed. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program. | D |
| 2026-05-08 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B |
| 2025-09-12 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D |
| 2025-03-21 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-03-21 | F0578, F0641, F0655, F0656, F0695, F0761, F0812 | 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. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2025-03-21 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | B |
| 2025-01-31 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-01-31 | 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. | E |
| 2025-01-31 | F0558, F0583, F0656 | Reasonably accommodate the needs and preferences of each resident. / Keep residents' personal and medical records private and confidential. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-08-08 | F0693 | 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. | E |
| 2024-08-08 | F0583, F0761 | Keep residents' personal and medical records private and confidential. / 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 |
| 2024-05-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-05-15 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-02-16 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-02-16 | F0644, F0645, F0655, F0656, F0680, F0690, F0757, F0761, F0812, F0912, F0921 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure the activities program is directed by a qualified professional. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2023-12-07 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
Why was HARMONY CARE AT FLORESVILLE fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-03-21 | Fine | $60,452 |
| 2025-01-31 | Fine | $18,185 |
| 2024-05-15 | Fine | $8,429 |
How is HARMONY CARE AT FLORESVILLE staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.89674 | 3.38539 |
| Total nursing staff turnover (%) | 50.8 | 55.3 |
| Average number of residents per day | 92.3 | 75.8 |
Who owns HARMONY CARE AT FLORESVILLE, and what chain is it in?
HARMONY CARE AT FLORESVILLE is registered with CMS as For profit - Corporation, operates under the legal business name FRIO HOSPITAL DISTRICT and belongs to the HARMONY CARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | FRIO HOSPITAL DISTRICT | since 12/25/2024 |
| 5% OR GREATER MORTGAGE INTEREST | ELITE HC INVESTORS LLC, FLORESVILLE HOLDINGS, LLC, BODANSKY, HERSHEL, WEISS, CHAIM | since 12/25/2024 |
| CORPORATE OFFICER | RUFF, MICHAEL | since 12/25/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | ELITE HC HOLDINGS LLC, FLORESVILLE OPERATING BH, LLC, BODANSKY, HERSHEL, CURRIER, DARYL, HELLER, YESHAYA, RUEHLE, ELIZABETH, WEISS, CHAIM | since 01/06/2025 |
| ADP OF THE SNF | ELITE HC INVESTORS LLC, FLORESVILLE HOLDINGS, LLC, FLORESVILLE OPERATING BH, LLC, BODANSKY, HERSHEL, CURRIER, DARYL, RUEHLE, ELIZABETH, WEISS, CHAIM | since 01/06/2025 |
Were you or a family member harmed at HARMONY CARE AT FLORESVILLE?