Harmony Care at Giddings

Nursing Home · Giddings, TX

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Partnership

CMS certification number675564
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

1181 N Williamson St
Giddings, TX 78942
Lee County
Phone
(979) 542-3611
ZIP code
78942 – all care providers

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Facility details

Certified beds
84
Residents per day
37.5 (45% occupied)
Ownership
For profit - Partnership
Legal name
Frio Hospital District
Chain
Harmony Care Group (6 facilities, avg 1.6★)
Medicare certified since
March 1, 1996
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.99 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.33 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.74 (state 0.95 · U.S. 0.86)
Nurse aides
2.91 (state 2.00 · U.S. 2.32)
Weekend total
3.68 (state 2.98 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
July 17, 2025
Health deficiencies (last cycle)
23.0 (state 9.3 · U.S. 9.3)
From complaints
15
Citations on record (3 years)
50 health · 20 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-24 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 2026-07-20
2026-06-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-20
2026-05-22 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-22 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
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-22 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 2026-05-29
2026-05-22 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
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-29
2026-05-22 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 2026-05-29
2026-02-26 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
Past Non-Compliance
2026-01-07 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Corrected 2026-02-06
2026-01-07 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-06
2026-01-07 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 2026-02-06
2025-12-17 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-12-18
2025-12-17 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-12-18
2025-12-17 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-12-18
2025-12-17 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-12-18
2025-07-17 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
F0557 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-07-17 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-07-18
2025-05-20 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
K
Immediate jeopardy to resident health or safety
Corrected 2025-06-24
2025-05-20 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-07-17
2025-05-20 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-24
2025-03-28 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 2025-04-30
2025-02-10 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-11
2025-02-10 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-11
2025-02-10 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-11
2025-02-10 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 2025-02-11
2025-02-10 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 2025-02-11
2024-09-12 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-10-15
2024-09-12 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 2024-10-15
2024-05-31 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
J
Immediate jeopardy to resident health or safety
Corrected 2024-06-01
2024-05-31 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-05-31
2024-05-31 Honor 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-03
2024-05-31 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-05
2024-05-31 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
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-05
2024-05-31 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-06-04
2024-05-31 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-01
2024-05-31 Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
F0635 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-05
2024-05-31 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 2024-06-05
2024-01-17 Honor 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.
F0584 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-01-19
2024-01-03 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-08
2023-10-14 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
E
No actual harm, potential for more than minimal harm
Corrected 2023-10-30
2023-09-29 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-11-02
2023-03-30 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
F
No actual harm, potential for more than minimal harm
Corrected 2023-05-15
2023-03-30 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-15
2023-03-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-05-15

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

6 penalties in the last three years, including $193,468 in fines.

DateTypeAmount
2026-02-26Fine$12,428
2026-01-07Fine$23,238
2025-12-17Fine$58,380
2025-05-20Payment Denial27 days payment denial
2025-05-20Fine$91,250
2024-05-31Fine$8,172

Ownership & management

NameRoleSince
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
Giddings Holdings BH LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Weiss, Chaim (individual)5%+ Mortgage Interest · NOT APPLICABLE
Bodansky, Hershel (individual)Administrator · NOT APPLICABLE
Elite HC Investors LLC (organization)Administrator · NOT APPLICABLE
Giddings Holdings BH LLC (organization)Administrator · NOT APPLICABLE
House, Janelle (individual)Administrator · NOT APPLICABLE
Norman, Kelly (individual)Administrator · NOT APPLICABLE
Weiss, Chaim (individual)Administrator · NOT APPLICABLE
Ruff, Michael (individual)Corporate Officer · NOT APPLICABLE
Elite HC Holdings LLC (organization)Operational/managerial Control · NOT APPLICABLE
Giddings Operating BH, LLC (organization)Operational/managerial Control · NOT APPLICABLE
House, Janelle (individual)Operational/managerial Control · NOT APPLICABLE
Norman, Kelly (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Harmony Care at Giddings?

Harmony Care at Giddings has a 1-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 Giddings have?

It has 84 certified beds and cares for about 38 residents per day.

Has Harmony Care at Giddings been fined?

Yes. CMS lists 6 penalties totaling $193,468 in the last three years.

Who owns Harmony Care at Giddings?

It is part of Harmony Care Group and is classified as for profit - partnership. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Harmony Care at Giddings?

(979) 542-3611. The facility is located at 1181 N Williamson St, Giddings, TX 78942.

Other nursing homes in Giddings

Compare all nursing homes in Giddings, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.