facebook tracking Harmony Care at Giddings, Giddings TX: CMS Ratings
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Harmony Care at Giddings

All states › Texas › Giddings › Harmony Care at Giddings

1181 N Williamson St Giddings, TX 78942 · Lee County

(979) 542-3611

All 2 nursing homes in Giddings, TX (2 take Medicaid)

Cited for abuseSFF candidate Accepts Medicare Accepts Medicaid 84 certified beds For profit

CMS certification number 675564 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.
Special Focus Facility candidate CMS lists this nursing home as a candidate for its Special Focus Facility program, which means it qualifies to be selected for the program based on its inspection record. Shown as of October 2026. About the program (CMS).

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Harmony Care at Giddings a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Harmony Care at Giddings as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 49 citations in the last three years. CMS imposed 6 penalties, including $196,621 in fines, in that time. CMS currently shows its abuse icon for this home (see above). CMS lists it as a Special Focus Facility candidate.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.98 hours per resident per day at Harmony Care at Giddings, above the Texas median of 3.30 (US median: 3.72). About 0.24 of those hours are from registered nurses. Weekend staffing is close to its all-week average.

Nursing care per resident per day 3.98 hours
Above the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.24 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.84 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover — Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds84
Residents per day 37 About 44% of beds filled, on average
OwnershipFor profit - Partnership
Payment acceptedMedicare and Medicaid
Certified sinceMarch 1996
Part of a chainHarmony Care Group
Legal business nameFRIO HOSPITAL DISTRICT

Paying for care at Harmony Care at Giddings: Medicare and Medicaid

Harmony Care at Giddings is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 17, 2025 and found 8 deficiencies, plus 15 from complaint inspections in the same period. In total, inspectors issued 49 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 49 citations at Harmony Care at Giddings across 15 inspection dates, 30 of them from complaint investigations. 8 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 26, 2026 (complaint inspection). The most common areas cited were quality of life and care (10) and resident rights (8). The most serious was cited under the CMS rule to "provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections" (tag F0690, level K, May 20, 2025). 7 citations were under CMS's abuse, neglect and exploitation rules.

June 24, 2026 · 2 citations · includes complaint inspection

ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Jul 20, 2026)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Jul 20, 2026)

May 22, 2026 · 5 citations · includes complaint inspection

FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Potential for more than minimal harm · Administration Deficiencies · Tag F0835 · Complaint inspection · Deficient, Provider has date of correction (May 29, 2026)

ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (May 29, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (May 29, 2026)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (May 29, 2026)

DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0802 · Complaint inspection · Deficient, Provider has date of correction (May 29, 2026)

February 26, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance

January 7, 2026 · 3 citations, includes actual harm · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

ERespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Feb 6, 2026)

December 17, 2025 · 4 citations, includes immediate jeopardy · includes complaint inspection

JDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2025)

JEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Immediate jeopardy · Resident Rights Deficiencies · Tag F0627 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2025)

JProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Immediate jeopardy · Resident Rights Deficiencies · Tag F0628 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2025)

JAdminister the facility in a manner that enables it to use its resources effectively and efficiently.

Immediate jeopardy · Administration Deficiencies · Tag F0835 · Complaint inspection · Deficient, Provider has date of correction (Dec 18, 2025)

July 17, 2025 · 8 citations

FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Potential for more than minimal harm · Administration Deficiencies · Tag F0851 · Deficient, Provider has date of correction (Jul 18, 2025)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 18, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 18, 2025)

DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0557 · Deficient, Provider has date of correction (Jul 18, 2025)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jul 18, 2025)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jul 18, 2025)

DDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Jul 18, 2025)

DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Deficient, Provider has date of correction (Jul 18, 2025)

May 20, 2025 · 3 citations, includes immediate jeopardy · includes complaint inspection

KProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Jun 24, 2025)

KProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Jul 17, 2025)

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jun 24, 2025)

March 28, 2025 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Apr 30, 2025)

February 10, 2025 · 5 citations · includes complaint inspection

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Feb 11, 2025)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Feb 11, 2025)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Feb 11, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Feb 11, 2025)

DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Complaint inspection · Deficient, Provider has date of correction (Feb 11, 2025)

September 12, 2024 · 2 citations · includes complaint inspection

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Oct 15, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Oct 15, 2024)

May 31, 2024 · 9 citations, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 1, 2024)

FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Potential for more than minimal harm · Administration Deficiencies · Tag F0851 · Deficient, Provider has date of correction (May 31, 2024)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jun 3, 2024)

EProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jun 5, 2024)

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 5, 2024)

EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Complaint inspection · Deficient, Provider has date of correction (Jun 4, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Jun 1, 2024)

DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0635 · Deficient, Provider has date of correction (Jun 5, 2024)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Deficient, Provider has date of correction (Jun 5, 2024)

January 17, 2024 · 1 citation · includes complaint inspection

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Jan 19, 2024)

January 3, 2024 · 1 citation · includes complaint inspection

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 8, 2024)

October 14, 2023 · 1 citation · includes complaint inspection

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2023)

March 30, 2023 · 3 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (May 15, 2023)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (May 15, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 15, 2023)

Questions to ask on a tour of Harmony Care at Giddings

  1. Inspectors cited the home at the immediate-jeopardy level on May 20, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 22, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. The home averages about 44% of its beds filled. Are any units closed?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

6 penalties in the last three years, including $196,621 in fines.

DateTypeAmount or length
Feb 26, 2026 Fine $12,618
Jan 7, 2026 Fine $23,578
Dec 17, 2025 Fine $59,271
May 20, 2025 Fine $92,982
May 20, 2025 Payment Denial 27 days of payments denied
May 31, 2024 Fine $8,172

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 2/5 2/5
August 2026 1/5 1/5 2/5 4/5
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Location

Hospitals near Harmony Care at Giddings

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Avir at Giddings Giddings · 0.1 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 102 beds · Medicaid
Towers Nursing Home Smithville · 17.7 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 120 beds · Medicaid
Avir at La Grange La Grange · 20.0 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 98 beds · Medicaid
Monument Rehabilitation and Nursing Center La Grange · 21.5 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 104 beds · Medicaid
Windsor Nursing and Rehabilitation Center of Bastr Bastrop · 24.1 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 96 beds · Medicaid

More nursing homes near Harmony Care at Giddings ›   All nursing homes in Giddings ›

Compare Harmony Care at Giddings with the 3 closest homes side by side ›

Other Harmony Care Group nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Harmony Care Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/giddings/harmony-care-at-giddings/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.