Harmony Care at Golfcrest
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 89 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.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (16 vs median 8.0)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in HARMONY CARE GROUP chain · $26,987 in fines
What this means for your family
This facility is a strong candidate for families seeking high-quality nursing care and a clean environment, especially following their recent management changes. However, you should specifically ask about current staffing levels and food service protocols to ensure the concerns raised by a few recent reviewers are not ongoing issues.
Google Reviews
Google Reviews
89 reviews on Google“Families can expect a highly compassionate nursing and therapy team that many reviewers describe as treating residents like family. While the facility is frequently praised for its cleanliness and professional leadership under new management, there are serious, isolated allegations regarding understaffing and food quality that should be investigated personally.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Professional and involved administration
- Clean and well-maintained environment
- Effective physical and occupational therapy
Concerns
- Allegations of understaffing and inadequate food portions (mentioned by 2 reviewers)
- Difficulty reaching the facility by phone
Rating Trends
Tap a year to see what changed
Distribution · 94 analyzed
How They Respond to Reviews
The owner provides highly personalized responses to reviews containing text, specifically referencing staff members and specific care details. For star-only ratings, the owner relies on a variety of repetitive, polite templates.
Questions for Your Tour
- 1It is wonderful to see how much the administration engages with feedback from families; how do you currently use resident and family input to improve daily operations?
- 2We want to ensure our loved one is well-nourished; could you tell us more about the meal portions and how the dining experience is managed?
- 3With the recent inspections, what specific steps has the facility taken to increase staffing levels and ensure consistent care during every shift?
- 4How does the nursing team coordinate medical care and handle unexpected health emergencies after hours?
- 5We are interested in the physical and occupational therapy services here; how do the therapists work with residents to maintain their mobility?
- 6What kind of daily activities or social outings are available to help residents stay engaged with the community?
Personalized based on this facility's data
Key Review Excerpts
“The care my father receives is far beyond anything we could have imagined. He was previously in another facility where the experience was terrible—he was neglected and not properly cared for. Seeing how the staff at Harmony treats him brings us so much peace and happiness”
“The nursing staff took good care of my mom. Also the physical therapy and occupational therapy that they gave her there was beyond my and my expectations, because the therapy gym is so small, but that didn’t stop them from being able to get my mom to a point where she could stand”
“The facility is currently under new management with a very dedicated Administrator known as Dr. "V." His philosophy is to provide quality care to residents by dedicated staff, and some staff have worked at the facility for 15+ years.”
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
6
measures
7
measures
4
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering 14 deficiencies, with concerning issues in medication management, environmental safety, and infection control appearing repeatedly across surveys. Most problematic are recent uncorrected deficiencies from late 2025 and early 2026 involving resident safety, daily care assistance, pest control, and care planning that lack correction plans. While many older issues have been addressed, the pattern of ongoing complaints and unresolved safety concerns warrants careful consideration.
Jan 20, 2026Complaint3
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Dec 18, 2025Complaint2
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 10, 2025Complaint2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Jul 27, 2025Routine13
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 27, 2025Complaint3
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
May 16, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal Penalties
Fine
Dec 18, 2025
$44,485
Fine
Jul 27, 2025
$18,105
Fine
Mar 20, 2024
$8,882
Ownership & Operations
Who Operates This Facility
Frio Hospital District
for profit
GOLFCREST OPERATING, LLC
MAURICE L GAINES
Chain Affiliation
Harmony Care Group
6 facilities nationwide
Chain avg rating: 1.8/5 · Rank 4 of 5 (Worst)
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
89 reviews from families & visitors
Official Website
Visit harmonycaregroup.com
Medicare data downloads
Original nursing home datasets
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