F

Harmony Care at Giddings

1181 N Williamson, Giddings, TX 78942
Score: 19 / 100
⚠️ SFF Candidate

Harmony Care At Giddings has received an F grade based on CMS data, with a score of 19/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Giddings facility should carefully review its inspection history and quality metrics.

Staffing at Harmony Care At Giddings is near the national average, with 3.50 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 45 deficiencies at Harmony Care At Giddings, including 7 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.50 3.8 Average
Registered Nurses (RN) 0.23 0.7 Below Average
Licensed Practical Nurses (LPN) 0.69 0.7 Average
Certified Nursing Assistants (CNA) 2.58 2.4 Average
Weekend Total Nursing 3.39 3.8 Below Average
Weekend RN Hours 0.25 0.7 Below Average

🔍 Inspection & Deficiency History

45
Total Deficiencies
Jan 6, 2026
Most Recent Inspection
🟠 38 Moderate 🔴 7 Serious
View recent deficiencies (5 shown)
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jan 6, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity E
    Respond appropriately to all alleged violations.
    Jan 6, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jan 6, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0607 Severity J
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    Dec 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0627 Severity J
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    Dec 16, 2025 · Resident Rights 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 5.9% 4.5% Worse
Falls with major injury 1.5% 3.0% Better
On antipsychotic medication 19.0% 14.5% Worse
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 16.1% 14.0% Worse
Excessive weight loss 5.7% 7.5% Better
New/worsened incontinence 29.8% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $223,671

How This Grade Was Calculated

This facility's grade of F is based on a score of 19 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -10 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Partnership
Certified Beds
84
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 16, 2025
Deficiencies (Cycle 1)
19