Harmony Care at Giddings
1181 N Williamson · Giddings, TX · 78942 · 9795423611
84 certified beds For profit - Partnership Chain: Harmony Care Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (5 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $235,935 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$235,935 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.11 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 5 · $244,107 |
Inspection citations (44 in the current record)
-
Immediate jeopardy · J February 26, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
-
Actual harm · G January 7, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 7, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E January 7, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 6, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J December 17, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J December 17, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected December 18, 2025 · Resident Rights
-
Immediate jeopardy · J December 17, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected December 18, 2025 · Resident Rights
-
Immediate jeopardy · J December 17, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected December 18, 2025 · Administration
-
Potential for harm · D July 17, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected July 18, 2025 · Resident Rights
-
Potential for harm · D July 17, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 18, 2025 · Quality of Life and Care
-
Potential for harm · D July 17, 2025
Provide activities to meet all resident's needs.
Corrected July 18, 2025 · Quality of Life and Care
-
Potential for harm · E July 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 18, 2025 · Nutrition and Dietary
-
Potential for harm · D July 17, 2025
Dispose of garbage and refuse properly.
Corrected July 18, 2025 · Nutrition and Dietary
-
Potential for harm · F July 17, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 18, 2025 · Administration
-
Potential for harm · E July 17, 2025
Provide and implement an infection prevention and control program.
Corrected July 18, 2025 · Infection Control
-
Potential for harm · D July 17, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 18, 2025 · Environmental
-
Immediate jeopardy · K May 20, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 24, 2025 · Quality of Life and Care
-
Immediate jeopardy · K May 20, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 17, 2025 · Pharmacy Service
-
Potential for harm · E May 20, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 24, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 28, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 30, 2025 · Infection Control
-
Potential for harm · D February 10, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 11, 2025 · Resident Rights
-
Potential for harm · D February 10, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 11, 2025 · Resident Rights
-
Potential for harm · D February 10, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 10, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 10, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 11, 2025 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 26, 2026 | Fine | $19,120 |
| January 7, 2026 | Fine | $35,750 |
| December 17, 2025 | Fine | $89,815 |
| May 20, 2025 | Fine | $91,250 |
| May 20, 2025 | Payment Denial | 27 days |
| May 31, 2024 | Fine | $8,172 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675564 · certified since March 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.