D

HARMONEE HOUSE

1400 MAIN ST, AMHERST, TX 79312
Score: 42 / 100

Harmonee House faces challenges in its CMS ratings, earning a D grade with a score of 42/100. The facility ranks in the 46th percentile among Texas nursing homes, suggesting significant room for improvement.

Recent CMS inspections identified 21 deficiencies at Harmonee House, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staffing hours data not available for this facility.

🔍 Inspection & Deficiency History

21
Total Deficiencies
Nov 30, 2025
Most Recent Inspection
🟠 20 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0846 Severity F
    Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
    Nov 30, 2025 · Administration Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Sep 10, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0679 Severity E
    Provide activities to meet all resident's needs.
    Sep 10, 2024 · Quality of Life and Care Deficiencies
  • Tag 0565 Severity D
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    Sep 10, 2024 · Resident Rights Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    Sep 10, 2024 · 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 4.6% 4.5% Average
Falls with major injury 10.5% 3.0% Worse
On antipsychotic medication 0.0% 14.5% Better
Urinary tract infections 1.2% 2.5% Better
ADL decline (daily activities) 14.3% 14.0% Average
Excessive weight loss 6.8% 7.5% Average
New/worsened incontinence 21.9% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $7,446

How This Grade Was Calculated

This facility's grade of D is based on a score of 42 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: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -0 pts

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
35
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 10, 2024
Deficiencies (Cycle 1)
7