Harmony Care at Giddings

1181 N Williamson, Giddings, TX 78942 · CCN 675564 · 84 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2026-02-26 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-01-07 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-12-17 IMMEDIATE JEOPARDY (tag F0607, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2025-12-17 IMMEDIATE JEOPARDY (tag F0835, severity J)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2025-12-17 IMMEDIATE JEOPARDY (tag F0628, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
2025-12-17 IMMEDIATE JEOPARDY (tag F0627, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
2025-05-20 IMMEDIATE JEOPARDY (tag F0755, severity K)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2025-05-20 IMMEDIATE JEOPARDY (tag F0690, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Staffing, from payroll records

Nursing hours / resident / day

3.18

state median 2.67

Weekend staffing gap

+2%

more nursing hours on weekends · state median −7%

RN hours / resident / day

0.05

registered nurses only

Contract (agency) staff

25%

share of all nursing hours

Days with zero RN hours reported

71

with residents present

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

6 enforcement action(s), totaling $237,415 in fines.

DateTypeAmount
2026-02-26Fine$12,428
2026-01-07Fine$35,750
2025-12-17Fine$89,815
2025-05-20Fine$91,250
2025-05-20Payment Denialpayment denial
2024-05-31Fine$8,172

Ownership

Ownership type: For profit - Partnership. Part of the HARMONY CARE GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 39 · Immediate jeopardy: 8

Survey dateTagCategorySeverityCorrected
2026-05-22F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2026-05-22F0689Quality of Life and Care DeficienciesDnot recorded
2026-05-22F0802Nutrition and Dietary DeficienciesDnot recorded
2026-05-22F0812Nutrition and Dietary DeficienciesEnot recorded
2026-05-22F0835Administration DeficienciesFnot recorded
2026-02-26F0689Quality of Life and Care DeficienciesJnot recorded
2026-01-07F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2026-01-07F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-01-07F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2025-12-17F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-12-17F0627Resident Rights DeficienciesJnot recorded
2025-12-17F0628Resident Rights DeficienciesJnot recorded
2025-12-17F0835Administration DeficienciesJnot recorded
2025-07-17F0557Resident Rights DeficienciesDnot recorded
2025-07-17F0677Quality of Life and Care DeficienciesDnot recorded
2025-07-17F0679Quality of Life and Care DeficienciesDnot recorded
2025-07-17F0812Nutrition and Dietary DeficienciesEnot recorded
2025-07-17F0814Nutrition and Dietary DeficienciesDnot recorded
2025-07-17F0851Administration DeficienciesFnot recorded
2025-07-17F0880Infection Control DeficienciesEnot recorded
2025-07-17F0925Environmental DeficienciesDnot recorded
2025-05-20F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-05-20F0690Quality of Life and Care DeficienciesKnot recorded
2025-05-20F0755Pharmacy Service DeficienciesKnot recorded
2025-03-28F0880Infection Control DeficienciesDnot recorded
2025-02-10F0550Resident Rights DeficienciesDnot recorded
2025-02-10F0580Resident Rights DeficienciesDnot recorded
2025-02-10F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-10F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-10F0921Environmental DeficienciesDnot recorded
2024-09-12F0550Resident Rights DeficienciesDnot recorded
2024-09-12F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-31F0584Resident Rights DeficienciesEnot recorded
2024-05-31F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-05-31F0635Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-31F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-31F0689Quality of Life and Care DeficienciesJnot recorded
2024-05-31F0695Quality of Life and Care DeficienciesEnot recorded
2024-05-31F0761Pharmacy Service DeficienciesEnot recorded
2024-05-31F0851Administration DeficienciesFnot recorded
2024-05-31F0925Environmental DeficienciesEnot recorded
2024-01-17F0584Resident Rights DeficienciesEnot recorded
2024-01-03F0689Quality of Life and Care DeficienciesDnot recorded
2023-10-14F0761Pharmacy Service DeficienciesEnot recorded
2023-09-29F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2023-03-30F0684Quality of Life and Care DeficienciesDnot recorded
2023-03-30F0727Nursing and Physician Services DeficienciesFnot recorded
2023-03-30F0880Infection Control DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Harmony Care at Giddings, Giddings” at medicare.gov/care-compare.