Harmony Care at Floresville

1811 6th St, Floresville, TX 78114

Phone: 8303932561

CMS ratings and facility information

Harmony Care at Floresville is a Medicare-certified nursing facility in Floresville, Wilson County, Texas. CMS data for this profile was updated October 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating3 of 5
Staffing rating1 of 5
Quality measures rating3 of 5
Certified beds144
OwnershipFor profit - Corporation
CMS certification number675469

Staffing

Total nurse hours per resident day3.21
RN hours per resident day0.3
Nurse aide hours per resident day2.11
Total nursing staff turnover percent58
RN turnover percent71.4

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.7events_per_1000_resident_days20250401-20260331
Emergency-department visits3.05events_per_1000_resident_days20250401-20260331
Falls with major injury3.12percent2025Q3-2026Q2
Pressure ulcers3.7percent2025Q3-2026Q2
Urinary tract infections1.31percent2025Q3-2026Q2
Antipsychotic medication use15.38percent2025Q3-2026Q2

Health inspection citations

Survey dateTagCitationSeverity
2026-05-080812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-05-080583Keep residents' personal and medical records private and confidential.D
2026-05-080695Provide safe and appropriate respiratory care for a resident when needed.D
2026-05-080813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D
2026-05-080880Provide and implement an infection prevention and control program.D
2026-05-080912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2025-03-210880Provide and implement an infection prevention and control program.E
2025-03-210578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D
2025-03-210641Ensure each resident receives an accurate assessment.D
2025-03-210655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2025-03-210656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-03-210695Provide safe and appropriate respiratory care for a resident when needed.D
2025-03-210761Ensure 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.D
2025-03-210812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2025-03-210921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.B
2024-02-160842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-02-160644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
2024-02-160645PASARR screening for Mental disorders or Intellectual DisabilitiesD
2024-02-160655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2024-02-160656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-02-160680Ensure the activities program is directed by a qualified professional.D
2024-02-160690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-02-160757Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2024-02-160761Ensure 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.D
2024-02-160812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2024-02-160912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.D
2024-02-160921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D

Penalties

DateTypeAmount
2025-03-21Fine,452
2025-01-31Fine,185
2024-05-15Fine,429

Ownership records

NameTypeRole
FRIO HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
RUFF, MICHAELIndividualCORPORATE OFFICER
BECHTHOLD, SAMIndividualOPERATIONAL/MANAGERIAL CONTROL
CURRIER, DARYLIndividualOPERATIONAL/MANAGERIAL CONTROL
RUEHLE, ELIZABETHIndividualOPERATIONAL/MANAGERIAL CONTROL
CURRIER, DARYLIndividualADP OF THE SNF
RUEHLE, ELIZABETHIndividualADP OF THE SNF

Compare nursing homes in Wilson County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: October 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.