Ellery Care
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Harmony Care At Floresville

1811 6th St, Floresville, TX 78114 · Wilson County

For-profit · 144 certified beds · 64% occupancy · (830) 393-2561

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Harmony Care At Floresville reviews: what the government record shows

The U.S. government (CMS) rates Harmony Care At Floresville 2 out of 5 stars overall, below average. Its nurse staffing is 11% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
2 of 5 stars
Nurse staffing
2.90 hrs/resident/day (-11% vs TX median)
Antipsychotic drug use
17.4% of long-stay residents (TX median 8.3%)
Falls with major injury
3.4% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$87,066
Inspection findings
40 cited, 2 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Concerns

  • !CMS rates it just 2 of 5 stars overall.
  • !Nurse staffing of 2.90 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 2 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $87,066 in federal fines in roughly the last three years.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·Can we see the most recent inspection report and the plan of correction?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Harmony Care At Floresville

Is Harmony Care At Floresville a good nursing home?

Harmony Care At Floresville in Floresville, Texas holds a 2 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Harmony Care At Floresville staffed?

Harmony Care At Floresville reports 2.90 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Harmony Care At Floresville been fined or flagged for abuse?

Harmony Care At Floresville has paid approximately $87,066 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

2.90 nurse hours per resident per day. 11% below the Texas median of 3.27.

Total nurse
2.90 hrs
RN
0.30 hrs
LPN
0.65 hrs
Aide
1.94 hrs

Nursing staff turnover: 50.8% · RN turnover: 71.4%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

40
total findings
2
immediate jeopardy
0
caused actual harm
30
from complaints
  • Potential for harmTag F0812 · May 8, 2026ComplaintCorrected Jun 5, 2026

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0640 · Jun 12, 2026ComplaintCorrected Jul 5, 2026

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0583 · May 8, 2026ComplaintCorrected Jun 5, 2026

    Keep residents' personal and medical records private and confidential.

    Resident Rights Deficiencies

  • Potential for harmTag F0695 · May 8, 2026ComplaintCorrected Jun 5, 2026

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0813 · May 8, 2026ComplaintCorrected Jun 5, 2026

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0880 · May 8, 2026ComplaintCorrected Jun 5, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0802 · Sep 12, 2025ComplaintCorrected Sep 27, 2025

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

    Nutrition and Dietary Deficiencies

  • Minimal harmTag F0912 · May 8, 2026

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

    Environmental Deficiencies

  • Immediate jeopardyTag F0689 · Jan 31, 2025ComplaintCorrected Jan 13, 2025

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0880 · Mar 21, 2025Corrected Apr 12, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

Showing the 10 most recent and serious of 40 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

17.4%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is above the national median. Ask how the home decides to start these medications and how often it reviews them.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
3.4%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
3.1%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$87,066
Number of fines
3
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - corporation). It is part of the Harmony Care Group chain, which operates 6 facilities, with a chain-average CMS rating of 1.6 stars.