Nursing home
Harmony Care at Floresville
1811 Sixth St, Floresville, TX 78114 · Map
For profit - Corporation · Part of Harmony Care Group (6 facilities) · 144 certified beds
Harmony Care at Floresville is a Medicare-certified nursing home in Floresville, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.18 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Mar 21, 2025 cited 10 deficiencies.
- 3 fines totaling $87,066In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Harmony Care at Floresville compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.18 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.28 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.08 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 10.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $87,066, 3 total penalties.
What inspectors found at Harmony Care at Floresville
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Sep 12, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
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 · Mar 21, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 21, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Mar 21, 2025 · Full report (PDF) - Potential for harm
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 · Mar 21, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
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 · Mar 21, 2025 · Full report (PDF) - Minimal
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Mar 21, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 31, 2025 · Full report (PDF) - Potential for harm
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 · Jan 31, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1811 Sixth St
Floresville, TX 78114 - CMS certification #
- 675469
- Ownership
- For profit - Corporation
- Certified beds
- 144
- Avg residents/day
- 88.0
- Provider type
- Medicare and Medicaid
- First certified
- 1995-04-01
- Chain
- Harmony Care Group (6 facilities)
- Setting
- Urban
Part of Harmony Care Group
Harmony Care Group operates 6 nursing facilities across the United States. View all Harmony Care Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Harmony Care at Floresville using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Connally Memorial Medical Center, Floresville. 2.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Frank M Tejeda Texas State Veterans Home, Floresville. 0.5 miles away, straight line.
- Nearest home health agency office
- Connally Memorial Home Health, Floresville. 0.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78114 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Carmen Floresville, Floresville, 0.8 miles away, straight line (CMS rating 4 of 5 stars)
Davita Floresville Dialysis, Floresville, 2.9 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 71 Medicare hospices tell CMS they serve ZIP code 78114.
- Nearest geriatric medicine practice
- Curana Health Medical Group LLC, San Antonio. 27.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively low, tornado very high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Harmony Care at Floresville a good nursing home?
CMS gives Harmony Care at Floresville an overall rating of 2 out of 5 stars, including 1/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Harmony Care at Floresville staffed?
Harmony Care at Floresville reports 3.18 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Harmony Care at Floresville had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Harmony Care at Floresville have?
Harmony Care at Floresville is certified for 144 beds.