Harmony Care At Floresville has received an F grade based on CMS data, with a score of 18/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Floresville facility should carefully review its inspection history and quality metrics.
With 3.18 total nurse hours per resident per day, Harmony Care At Floresville falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 49 deficiencies at Harmony Care At Floresville, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.18 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.28 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.82 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.08 | 2.4 | Below Average |
| Weekend Total Nursing | 2.87 | 3.8 | Below Average |
| Weekend RN Hours | 0.10 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0802 Severity DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Sep 11, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Mar 20, 2025 · Infection Control Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andMar 20, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Mar 20, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0655 Severity DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMar 20, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.4% | 4.5% | Better |
| Falls with major injury | 3.2% | 3.0% | Average |
| On antipsychotic medication | 18.2% | 14.5% | Worse |
| Urinary tract infections | 1.0% | 2.5% | Better |
| ADL decline (daily activities) | 21.2% | 14.0% | Worse |
| Excessive weight loss | 1.5% | 7.5% | Better |
| New/worsened incontinence | 29.1% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $87,066
How This Grade Was Calculated
This facility's grade of F is based on a score of 18 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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