Facility profile · CCN 675469
Harmony Care At Floresville
49 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $87,066.
Record summary
Federal record · Q1 202649
Total citations
33
Last 3 years
2
Actual harm+
3
Federal penalties
$87,066
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
49 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 12, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Complaint |
| Mar 21, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | B | Standard |
| Mar 21, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 21, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Mar 21, 2025 | F761 | 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. | D | Standard |
| Mar 21, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Mar 21, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Mar 21, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Mar 21, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 21, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Jan 31, 2025 | F727 | Have 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. | E | Complaint |
| Jan 31, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Jan 31, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jan 31, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Jan 31, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Aug 8, 2024 | F761 | 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. | D | Complaint |
| Aug 8, 2024 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | Complaint |
| Aug 8, 2024 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| May 15, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| May 15, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 16, 2024 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| Feb 16, 2024 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Complaint |
| Feb 16, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Feb 16, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint |
| Feb 16, 2024 | F761 | 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. | D | Complaint |
| Feb 16, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint |
| Feb 16, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Feb 16, 2024 | F680 | Ensure the activities program is directed by a qualified professional. | D | Complaint |
| Feb 16, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Feb 16, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Feb 16, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Complaint |
| Feb 16, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Dec 7, 2023 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint |
| Jan 18, 2023 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Standard |
| Jan 18, 2023 | F946 | Provide training in compliance and ethics. | F | Standard |
| Jan 18, 2023 | F945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Standard |
| Jan 18, 2023 | F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard |
| Jan 18, 2023 | F942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Standard |
| Jan 18, 2023 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Standard |
| Jan 18, 2023 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | Standard |
| Jan 18, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jan 18, 2023 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard |
| Jan 18, 2023 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Jan 18, 2023 | F761 | 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. | D | Standard |
| Jan 18, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 18, 2023 | F680 | Ensure the activities program is directed by a qualified professional. | E | Standard |
| Jan 18, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Jan 18, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jan 18, 2023 | F583 | Keep residents' personal and medical records private and confidential. | E | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $87,066 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 21, 2025 | Fine | $60,452 | — |
| Jan 31, 2025 | Fine | $18,185 | — |
| May 15, 2024 | Fine | $8,429 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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