Harmony Care at Giddings
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 20 Google reviews

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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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”
“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.”
“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”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
5
measures
7
measures
5
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
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, 2026Complaint3
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Jul 17, 2025Routine20
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
May 20, 2025Complaint3
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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, 2025Complaint1
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
Frio Hospital District
for profit
GIDDINGS OPERATING BH, LLC
KELLY NORMAN
Chain Affiliation
Harmony Care Group
6 facilities nationwide
Chain avg rating: 1.8/5 · Rank 2 of 5
Ownership & Management
Owners
Frio Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
20 reviews from families & visitors
Official Website
Visit harmonycaregroup.com
Medicare data downloads
Original nursing home datasets
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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.