Nursing home
Harmony Care at Giddings
1181 N Williamson, Giddings, TX 78942 · Map
For profit - Partnership · Part of Harmony Care Group (6 facilities) · 84 certified beds
Harmony Care at Giddings is a Medicare-certified nursing home in Giddings, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.50 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Jul 17, 2025 cited 19 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 4 fines totaling $223,671In CMS records: 5 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Harmony Care at Giddings 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) | 3.50 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.23 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.58 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 19.0 | 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: 4 fines totaling $223,671, 5 total penalties, 1 Medicare payment denial.
What inspectors found at Harmony Care at Giddings
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- 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 · Feb 26, 2026 · Full report (PDF) - Actual harm
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 · Jan 7, 2026 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 7, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 7, 2026 · Full report (PDF) - Immediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Dec 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Dec 17, 2025 · Full report (PDF) - Immediate jeopardy
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Dec 17, 2025 · Full report (PDF) - Immediate jeopardy
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 17, 2025 · Full report (PDF) - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 17, 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 · Jul 17, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jul 17, 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
- 1181 N Williamson
Giddings, TX 78942 - CMS certification #
- 675564
- Ownership
- For profit - Partnership
- Certified beds
- 84
- Avg residents/day
- 40.5
- Provider type
- Medicare and Medicaid
- First certified
- 1996-03-01
- Chain
- Harmony Care Group (6 facilities)
- Setting
- Rural
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 Giddings using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2020, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 13, 2020: referral inspection, partial (health). Case closed Aug 20, 2020. No violations cited. OSHA record. OSHA recorded the employer as Giddings Residence and Rehabilitation Center.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Ascension Seton Smithville, Smithville. 17.7 miles away, straight line.
- Nearest Medicare nursing home
- Avir at Giddings, Giddings. 0.1 miles away, straight line.
- Nearest home health agency office
- Jol Healthcare, Bastrop. 21.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire Brothers 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 78942 as rural (rural area).
- Hospice
- 18 Medicare hospices tell CMS they serve ZIP code 78942.
Serenity Hospice, office in Bastrop, 22.3 miles away, straight line - Nearest geriatric medicine practice
- Scott And White Clinic, Manor. 38.8 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: relatively high. By hazard: hurricane relatively moderate, inland flooding relatively moderate, 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 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| 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 Giddings a good nursing home?
CMS gives Harmony Care at Giddings an overall rating of 2 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Harmony Care at Giddings staffed?
Harmony Care at Giddings reports 3.50 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Harmony Care at Giddings had inspection problems?
Its most recent CMS inspection cited 19 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Harmony Care at Giddings have?
Harmony Care at Giddings is certified for 84 beds.