F55

HARMONY CARE AT FLORESVILLE

Grade F 55/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
1/5
Health Insp.
2/5
Quality
2/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

144

Ownership

For profit - Corporation

Total Fines

$102,492

Last Survey

N/A

1811 SIXTH ST, FLORESVILLE, TX 78114
8303932561

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.32h
LPN
0.96h
CNA
2.43h
Total
3.70h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

FRIO HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2024

100%

ELITE HC HOLDINGS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

FLORESVILLE OPERATING BH, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

BODANSKY, HERSHEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

CURRIER, DARYL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2024

HELLER, YESHAYA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

RUEHLE, ELIZABETH

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2024

WEISS, CHAIM

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

RUFF, MICHAEL

IndividualCORPORATE OFFICERSince Dec 2024

ELITE HC INVESTORS LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Dec 2024

FLORESVILLE HOLDINGS, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Dec 2024

BODANSKY, HERSHEL

Individual5% OR GREATER MORTGAGE INTERESTSince Dec 2024

WEISS, CHAIM

Individual5% OR GREATER MORTGAGE INTERESTSince Dec 2024

Penalties & Fines (4)

$102,492total fines
DateTypeDescriptionAmount
Mar 21, 2025Fine$59,599
Jan 31, 2025Fine$18,185
May 15, 2024Fine$8,429
Jan 18, 2023Fine$16,279

Health Inspection Deficiencies (49)

September 12, 2025Health1 deficiency
0802DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Sep 27, 2025
March 21, 2025Health9 deficiencies
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Apr 1, 2025
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 12, 2025
0655DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 12, 2025
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 12, 2025
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 12, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Apr 12, 2025
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Apr 12, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 12, 2025
0921BNo harm, Pattern

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

Environmental Deficiencies

Corrected Apr 12, 2025
January 31, 2025Health5 deficiencies1 severe
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Feb 28, 2025
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Feb 28, 2025
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Feb 28, 2025
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 13, 2025
0727EMinimal harm, Pattern

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.

Nursing and Physician Services Deficiencies

Corrected Feb 28, 2025
August 8, 2024Health3 deficiencies
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Sep 6, 2024
0693EMinimal harm, Pattern

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.

Quality of Life and Care Deficiencies

Corrected Sep 6, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Sep 6, 2024
May 15, 2024Health2 deficiencies1 severe
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 7, 2024
0689JImmediate jeopardy, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 7, 2024
February 16, 2024Health12 deficiencies
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 18, 2024
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Mar 18, 2024
0655DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 18, 2024
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 18, 2024
0680DMinimal harm, Isolated

Ensure the activities program is directed by a qualified professional.

Quality of Life and Care Deficiencies

Corrected Mar 18, 2024
0690DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 18, 2024
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Mar 18, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Mar 18, 2024
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Mar 18, 2024
0842EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Mar 18, 2024
0912DMinimal harm, Isolated

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies

Corrected Mar 18, 2024
0921DMinimal harm, Isolated

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

Environmental Deficiencies

Corrected Mar 18, 2024
December 7, 2023Health1 deficiency
0921EMinimal harm, Pattern

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

Environmental Deficiencies

Corrected Jan 3, 2024
January 18, 2023Health16 deficiencies
0583EMinimal harm, Pattern

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Feb 28, 2023
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 28, 2023
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 28, 2023
0680EMinimal harm, Pattern

Ensure the activities program is directed by a qualified professional.

Quality of Life and Care Deficiencies

Corrected Feb 28, 2023
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 28, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Feb 28, 2023
0802EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Feb 28, 2023
0851CNo harm, Widespread

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

Administration Deficiencies

Corrected Feb 28, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 28, 2023
0912EMinimal harm, Pattern

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Environmental Deficiencies

Corrected Feb 28, 2023
0941FMinimal harm, Widespread

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Administration Deficiencies

Corrected Feb 28, 2023
0942EMinimal harm, Pattern

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Resident Rights Deficiencies

Corrected Feb 28, 2023
0944FMinimal harm, Widespread

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Administration Deficiencies

Corrected Feb 28, 2023
0945EMinimal harm, Pattern

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Infection Control Deficiencies

Corrected Feb 28, 2023
0946FMinimal harm, Widespread

Provide training in compliance and ethics.

Administration Deficiencies

Corrected Feb 28, 2023
0949FMinimal harm, Widespread

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Administration Deficiencies

Corrected Feb 28, 2023

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Frequently Asked Questions

What is the CareGrader rating for HARMONY CARE AT FLORESVILLE?

HARMONY CARE AT FLORESVILLE in FLORESVILLE, Texas has a CareGrader grade of F (Poor), with a composite score of 55 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for HARMONY CARE AT FLORESVILLE?

HARMONY CARE AT FLORESVILLE has an overall CMS star rating of 1 out of 5, a health inspection rating of 2/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does HARMONY CARE AT FLORESVILLE have?

HARMONY CARE AT FLORESVILLE has 49 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has HARMONY CARE AT FLORESVILLE been fined?

Yes. HARMONY CARE AT FLORESVILLE has $102,492 in total fines from CMS enforcement actions across 4 penalties.

How many beds does HARMONY CARE AT FLORESVILLE have?

HARMONY CARE AT FLORESVILLE has 144 certified beds with approximately 88 current residents (61% occupancy). The facility is located at 1811 SIXTH ST, FLORESVILLE, Texas 78114. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.