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Nursing HomeMedicaid Investigative

Harmony Care at Giddings

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

1181 N Williamson St, Giddings, TX 7894284 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 20 Google reviews

5
4
3
2
1
Harmony Care at Giddings Nursing Home in Giddings, TX — Street View
Street View

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9/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (19 vs median 8.0)

Below average in Texas · Critically understaffed (RN) · Above average staffing · $223,671 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

The facility excels in rehabilitation and has a highly regarded administrative team that is responsive to questions. However, due to a specific report of theft by night staff, families should maintain close communication with the daytime managers and consider frequent visits to monitor personal belongings.

Google Reviews

Google Reviews

20 reviews analyzed
Families can expect a facility with a highly praised management team and friendly daytime staff, with several reviewers noting a clean and welcoming environment. However, there is a serious allegation regarding theft by night staff that should be investigated, and some visitors suggest monitoring residents via cameras.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Responsive and professional administration
  • Friendly and compassionate daytime staff
  • Clean and fresh-smelling environment
  • High-quality rehabilitation therapy

Concerns

  • Allegations of theft by night staff
  • Need for increased monitoring/surveillance of residents

Rating Trends

Tap a year to see what changed

2345.02013(1)5.02016(3)2.32022(3)5.02023(1)4.52024(2)5.02025(11)3.32026(3)

Distribution

5
16
4
2
3
0
2
0
1
2
11 reviews posted between Dec 9, 2025Dec 12, 2025 · 11 were 5-star

How They Respond to Reviews

60%response rate
Good

The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific details from the text. They maintain a professional and appreciative tone across both positive and negative feedback.

Questions for Your Tour

  • 1It is wonderful to see how responsive the administration is to feedback; how does the leadership team work with families to address any concerns that arise during a resident's stay?
  • 2We've heard great things about the cleanliness and the fresh atmosphere here, but what specific protocols are in place to ensure the facility remains well-maintained 24/7?
  • 3Since we've heard such positive things about the rehabilitation therapy, could you tell us more about how the therapy team coordinates with the nursing staff for daily care?
  • 4What specific measures or monitoring systems are in place during the overnight hours to ensure all residents are safe and their belongings are secure?
  • 5How does the facility manage medical emergencies or sudden changes in health during the night shift when there are fewer daytime staff members present?
  • 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

Great admin—Demetria and kind day staff but the night staff has stolen 90 percent of everything I bought in one week. Special place for them No answers. Demetria is trying to help. Lovely employees. They try the best they can

Family member · 2026★★★★

Our family had the privilege of working with Deanna, Director of Rehab, while our mother was in rehab at another facility. We were impressed by her compassion and professionalism.

Rehab patient's family · 2025★★★★★

This Nursing Home also does not have the typical nursing home smell, when you walk in the door it smells very clean and fresh, l

Visitor · 2022★★★★★
Source: 20 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.26hrs
34%
Registered nurses for medical care
Total Nursing
3.34hrs
82%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

5

measures

Worse Than Avg

7

measures

Mixed Results

5

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.2%
Worse than Avg
Here
27.2%
US
19.4%
TX
14.2%
Lee
16.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.1%
Worse than Avg
Here
26.1%
US
14.4%
TX
16.1%
Lee
15.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
15.3%
TX
14.9%
Lee
15.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.4%
Mixed vs Avgs
Here
3.4%
US
12.1%
TX
2.5%
Lee
3.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.9%
Mixed vs Avgs
Here
16.9%
US
15.4%
TX
9.4%
Lee
17.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility92.9%
Worse than Avg
Here
92.9%
US
95.5%
TX
98.0%
Lee
96.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility78.1%
Worse than Avg
Here
78.1%
US
79.7%
TX
88.0%
Lee
89.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility81.0%
Worse than Avg
Here
81.0%
US
81.8%
TX
89.2%
Lee
88.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Lee
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
6penalties
Well above state avg (9.1)
26 complaint-triggered
$223,671 in fines

Harmony Care at Giddings has faced significant complaint activity with families filing reports about serious concerns including abuse protection, care planning, and medication management. The facility shows recurring problems with safety standards, infection control, and building maintenance across multiple surveys. While all deficiencies report correction dates, the persistent pattern of complaints and repeated violations in core care areas suggests ongoing quality challenges that families should carefully investigate before considering placement.

Feb 26, 2026Complaint
1
0689Severe

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 7, 2026Complaint
3
0600ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0610ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Dec 17, 2025Complaint
4
0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0627SevereCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0628SevereCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0835SevereCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Jul 17, 2025Routine
20
0851ModerateCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0916ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211ModerateCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0344ModerateCorrected

Smoke Deficiencies

Have an alternate power supply for its alarm system.

0557MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0679MinorCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0814MinorCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0925MinorCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0355MinorCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

May 20, 2025Complaint
3
0690SevereCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0755SevereCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Mar 28, 2025Complaint
1
0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Feb 26, 2026

$19,120

Fine

Jan 7, 2026

$35,750

Fine

Dec 17, 2025

$89,815

Fine

May 20, 2025

$91,250

Payment Denial

May 20, 2025

27-day denial

Fine

May 31, 2024

$8,172

Ownership & Operations

Who Operates This Facility

Owner / Operator

Frio Hospital District

Organization Type

for profit

Management Company

GIDDINGS OPERATING BH, LLC

Administrator

KELLY NORMAN

Chain Affiliation

Chain Name

Harmony Care Group

Chain Size

6 facilities nationwide

Chain avg rating: 1.8/5 · Rank 2 of 5

Ownership & Management

Owners

Frio Hospital District

Owner · Organization

100%

Key personnel

Elite Hc Investors LLC5% or Greater Mortgage InterestGiddings Holdings Bh LLC5% or Greater Mortgage InterestBodansky, Hershel5% or Greater Mortgage InterestWeiss, Chaim5% or Greater Mortgage InterestRuff, MichaelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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