Nursing homes › Texas › Harmony Care at Giddings
1181 N Williamson St, Giddings, TX 78942 · (979) 542-3611 · 84 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Harmony Care Group, a group operating 6 facilities in 1 state. Group record: average rating 1.6/5, 2 abuse citation icons, 2 facilities on the Special Focus list, $764,243 in federal fines. This facility rates below its group average (1.6/5).
Total nurse staffing: 3.99 (Texas median: 3.27). RN hours: 0.33. Weekend total: 3.68.
In the downloaded CMS dataset: 50 deficiency citations, including 8 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2026-07-20 |
| 2026-06-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2026-07-20 |
| 2026-05-22 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | complaint | corrected 2026-05-29 |
| 2026-05-22 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2026-05-29 |
| 2026-05-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2026-05-29 |
| 2026-05-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-05-29 |
| 2026-05-22 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | complaint | corrected 2026-05-29 |
| 2026-02-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | Past Non-Compliance |
| 2026-01-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2026-02-06 |
| 2026-01-07 | Respond appropriately to all alleged violations. | E | complaint | corrected 2026-02-06 |
| 2026-01-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2026-02-06 |
| 2025-12-17 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | complaint | corrected 2025-12-18 |
| 2025-12-17 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | complaint | corrected 2025-12-18 |
| 2025-12-17 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | J | complaint | corrected 2025-12-18 |
| 2025-12-17 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | complaint | corrected 2025-12-18 |
| 2025-07-17 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2025-07-18 |
| 2025-07-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-07-18 |
| 2025-07-17 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-07-18 |
| 2025-07-17 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Health | corrected 2025-07-18 |
| 2025-07-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2025-07-18 |
| 2025-07-17 | Provide activities to meet all resident's needs. | D | Health | corrected 2025-07-18 |
| 2025-07-17 | Dispose of garbage and refuse properly. | D | Health | corrected 2025-07-18 |
| 2025-07-17 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Health | corrected 2025-07-18 |
| 2025-05-20 | 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 | corrected 2025-06-24 |
| 2025-05-20 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K | complaint | corrected 2025-07-17 |
| 2025-05-20 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2025-06-24 |
| 2025-03-28 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-04-30 |
| 2025-02-10 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-02-11 |
| 2025-02-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2025-02-11 |
| 2025-02-10 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-02-11 |
| 2025-02-10 | 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 2025-02-11 |
| 2025-02-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | complaint | corrected 2025-02-11 |
| 2024-09-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-10-15 |
| 2024-09-12 | 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 2024-10-15 |
| 2024-05-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Health | corrected 2024-06-01 |
| 2024-05-31 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2024-05-31 |
| 2024-05-31 | 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 | Health | corrected 2024-06-03 |
| 2024-05-31 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2024-06-05 |
| 2024-05-31 | 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 | Health | corrected 2024-06-05 |
| 2024-05-31 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | complaint | corrected 2024-06-04 |
| Date | Type | Amount |
|---|---|---|
| 2026-02-26 | Fine | $12,428 |
| 2026-01-07 | Fine | $23,238 |
| 2025-12-17 | Fine | $58,380 |
| 2025-05-20 | Fine | $91,250 |
| 2025-05-20 | Payment Denial | 27 days payment denial |
| 2024-05-31 | Fine | $8,172 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FRIO HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/01/2024 |
| RUFF, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2024 |
| ELITE HC HOLDINGS LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/15/2024 |
| GIDDINGS OPERATING BH, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2024 |
| HOUSE, JANELLE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2024 |
| NORMAN, KELLY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2024 |
How to cite this page: CareRecords, “Harmony Care at Giddings — compliance, penalty and ownership record” (CCN 675564), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/harmony-care-at-giddings-giddings-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675564. Corrections: data@carerecords.org.