Harmony Care at Floresville
Nursing Home · Floresville, TX
CMS certification number675469
Contact & location
1811 6th StFloresville, TX 78114
Wilson County
- Phone
- (830) 393-2561
- ZIP code
- 78114 – all care providers
Facility details
- Certified beds
- 144
- Residents per day
- 92.3 (64% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Frio Hospital District
- Chain
- Harmony Care Group (6 facilities, avg 1.6★)
- Medicare certified since
- April 1, 1995
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.90 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.30 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.65 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.94 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.54 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 50.8 (state 55.3 · U.S. 45.8)%
- RN turnover
- 71.4 (state 54.6 · U.S. 42.9)%
Inspections
- Last standard inspection
- May 8, 2026
- Health deficiencies (last cycle)
- 8.0 (state 9.3 · U.S. 9.3)
- From complaints
- 7
- Citations on record (3 years)
- 40 health · 23 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-12 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-05 |
| 2026-05-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-08 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-08 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-08 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-05 |
| 2026-05-08 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies |
B No actual harm, potential for minimal harm |
No revisit needed |
| 2025-09-12 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-03-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-12 |
| 2025-03-21 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-01 |
| 2025-03-21 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-12 |
| 2025-03-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-12 |
| 2025-03-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-12 |
| 2025-03-21 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-12 |
| 2025-03-21 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-12 |
| 2025-03-21 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-12 |
| 2025-03-21 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-04-12 |
| 2025-01-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-01-13 |
| 2025-01-31 | 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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-31 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-31 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2024-08-08 | 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. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-06 |
| 2024-08-08 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-06 |
| 2024-08-08 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-06 |
| 2024-05-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-07 |
| 2024-05-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-02-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | Ensure the activities program is directed by a qualified professional. F0680 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2024-02-16 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-18 |
| 2023-12-07 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-01-03 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $87,066 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-21 | Fine | $60,452 |
| 2025-01-31 | Fine | $18,185 |
| 2024-05-15 | Fine | $8,429 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Frio Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| Bodansky, Hershel (individual) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Elite HC Investors LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Floresville Holdings, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Weiss, Chaim (individual) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Bodansky, Hershel (individual) | Administrator · NOT APPLICABLE | |
| Currier, Daryl (individual) | Administrator · NOT APPLICABLE | |
| Elite HC Investors LLC (organization) | Administrator · NOT APPLICABLE | |
| Floresville Holdings, LLC (organization) | Administrator · NOT APPLICABLE | |
| Floresville Operating BH, LLC (organization) | Administrator · NOT APPLICABLE | |
| Ruehle, Elizabeth (individual) | Administrator · NOT APPLICABLE | |
| Weiss, Chaim (individual) | Administrator · NOT APPLICABLE | |
| Ruff, Michael (individual) | Corporate Officer · NOT APPLICABLE | |
| Bodansky, Hershel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Currier, Daryl (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Elite HC Holdings LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Floresville Operating BH, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Heller, Yeshaya (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ruehle, Elizabeth (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Weiss, Chaim (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Harmony Care at Floresville?
Harmony Care at Floresville has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Harmony Care at Floresville have?
It has 144 certified beds and cares for about 92 residents per day.
Has Harmony Care at Floresville been fined?
Yes. CMS lists 3 penalties totaling $87,066 in the last three years.
Who owns Harmony Care at Floresville?
It is part of Harmony Care Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Harmony Care at Floresville?
(830) 393-2561. The facility is located at 1811 6th St, Floresville, TX 78114.
Other nursing homes in Floresville
-
Frank M. Tejeda Texas State Veterans Home
Nursing Home · Floresville, TX · 160 beds
★★★ -
Prairie Meadows Rehabilitation and Healthcare Cent
Nursing Home · Floresville, TX · 120 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.