Harmony Care At Giddings
1181 N Williamson St, Giddings, TX 78942 · Lee County
For-profit · 84 certified beds · 45% occupancy · (979) 542-3611
Harmony Care At Giddings reviews: what the government record shows
The U.S. government (CMS) rates Harmony Care At Giddings 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 8 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
- 1 of 5 stars
- Nurse staffing
- 3.99 hrs/resident/day (+22% vs TX median)
- Antipsychotic drug use
- 20.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.2% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $193,468
- Inspection findings
- 50 cited, 8 immediate-jeopardy
- Federal abuse-warning flag
- Yes
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.
Strengths
- ✓Nurse staffing of 3.99 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Currently carries the federal abuse-warning icon on CMS Care Compare.
- !Cited for 8 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $193,468 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·What was the abuse-warning finding, and what has changed since?
- ·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 Giddings
Is Harmony Care At Giddings a good nursing home?
Harmony Care At Giddings in Giddings, Texas holds a 1 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 Giddings staffed?
Harmony Care At Giddings reports 3.99 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Harmony Care At Giddings been fined or flagged for abuse?
Harmony Care At Giddings has paid approximately $193,468 in federal fines in roughly the last three years, and currently carries the federal abuse-warning icon on CMS Care Compare.
CMS quality ratings
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.
3.99 nurse hours per resident per day. 22% above the Texas median of 3.27.
Safety & compliance flags
- Federal abuse warning icon
- Special Focus Facility candidate
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.
- Immediate jeopardyTag F0689 · Feb 26, 2026Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0607 · Dec 17, 2025ComplaintCorrected Dec 18, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Immediate jeopardyTag F0627 · Dec 17, 2025ComplaintCorrected Dec 18, 2025
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
- Immediate jeopardyTag F0628 · Dec 17, 2025ComplaintCorrected Dec 18, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
- Immediate jeopardyTag F0835 · Dec 17, 2025ComplaintCorrected Dec 18, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
- Actual harmTag F0600 · Jan 7, 2026ComplaintCorrected Feb 6, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0835 · May 22, 2026ComplaintCorrected May 29, 2026
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
- Potential for harmTag F0851 · Jul 17, 2025Corrected Jul 18, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies
- Potential for harmTag F0842 · Jun 24, 2026ComplaintCorrected Jul 20, 2026
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
- Potential for harmTag F0609 · May 22, 2026ComplaintCorrected May 29, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 50 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.
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.
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.
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 - partnership). It is part of the Harmony Care Group chain, which operates 6 facilities, with a chain-average CMS rating of 1.6 stars.