Nursing homes › Texas › Harmony Care at Floresville
1811 Sixth St, Floresville, TX 78114 · 8303932561 · 144 certified beds
Per CMS filings, this facility is affiliated with Harmony Care Group, a group operating 6 facilities in 1 states. Group record: average rating 2.0/5, 2 abuse citation icons, 2 facilities on the Special Focus list, $839,437 in federal fines. This facility rates the same as its group average (2.0/5).
Total nurse staffing: 2.90 (Texas median: 3.27). RN hours: 0.30. Weekend total: 2.54. Nursing staff turnover: 51%.
All-time on record: 39 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-06-05 |
| 2026-05-08 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2026-06-05 |
| 2026-05-08 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2026-06-05 |
| 2026-05-08 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | complaint | corrected 2026-06-05 |
| 2026-05-08 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2026-06-05 |
| 2026-05-08 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Health | No revisit needed |
| 2025-09-12 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | complaint | corrected 2025-09-27 |
| 2025-03-21 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-12 |
| 2025-03-21 | 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 | Health | corrected 2025-04-01 |
| 2025-03-21 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-12 |
| 2025-03-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-04-12 |
| 2025-03-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-04-12 |
| 2025-03-21 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-04-12 |
| 2025-03-21 | 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 | Health | corrected 2025-04-12 |
| 2025-03-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-04-12 |
| 2025-03-21 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | B | Health | corrected 2025-04-12 |
| 2025-01-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-01-13 |
| 2025-01-31 | 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 | complaint | corrected 2025-02-28 |
| 2025-01-31 | Reasonably accommodate the needs and preferences of each resident. | D | complaint | corrected 2025-02-28 |
| 2025-01-31 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2025-02-28 |
| 2025-01-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-02-28 |
| 2024-08-08 | 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 | complaint | corrected 2024-09-06 |
| 2024-08-08 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-09-06 |
| 2024-08-08 | 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 | complaint | corrected 2024-09-06 |
| 2024-05-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-06-07 |
| 2024-05-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-06-07 |
| 2024-02-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2024-03-18 |
| 2024-02-16 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | complaint | corrected 2024-03-18 |
| 2024-02-16 | PASARR screening for Mental disorders or Intellectual Disabilities | D | complaint | corrected 2024-03-18 |
| 2024-02-16 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | complaint | corrected 2024-03-18 |
| 2024-02-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-03-18 |
| 2024-02-16 | Ensure the activities program is directed by a qualified professional. | D | complaint | corrected 2024-03-18 |
| 2024-02-16 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2024-03-18 |
| 2024-02-16 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | corrected 2024-03-18 |
| 2024-02-16 | 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 | complaint | corrected 2024-03-18 |
| 2024-02-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2024-03-18 |
| 2024-02-16 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | complaint | corrected 2024-03-18 |
| 2024-02-16 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2024-03-18 |
| 2023-12-07 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | complaint | corrected 2024-01-03 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-21 | Fine | $60,452 |
| 2025-01-31 | Fine | $18,185 |
| 2024-05-15 | Fine | $8,429 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 12/25/2024 |
| RUFF, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 12/25/2024 |
| ELITE HC HOLDINGS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/08/2025 |
| FLORESVILLE OPERATING BH, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 01/06/2025 |
| BODANSKY, HERSHEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/08/2025 |
| CURRIER, DARYL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/25/2024 |
| HELLER, YESHAYA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/2025 |
| RUEHLE, ELIZABETH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/25/2024 |
| WEISS, CHAIM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/06/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675469. Corrections: data@carerecords.org.