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Harmony Care At Giddings

1181 N Williamson St, Giddings, TX 789429795423611Ownership: For profit - PartnershipCertified beds: 84Avg. daily residents: 38Chain: Harmony Care Group (6 facilities)County: Lee
Special Focus Facility candidate — CMS has identified this facility as one of the most poorly performing in the state and it is eligible for the Special Focus program, which brings inspections twice as often as normal.
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Harmony Care At Giddings, a Medicare & Medicaid–certified nursing home in Giddings, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Harmony Care At Giddings holds a 1-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $193,468 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.99 total nurse staff hours per resident per day
above the state average (3.39)
0.33 RN hours per resident per day
below the state average (0.43)
3.68 weekend nurse staff hours per resident per day
Not reported total nursing staff turnover
Not reported RN turnover

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

July 17, 2025 most recent standard health inspection
23 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
24 health deficiencies in the two prior cycles combined
$193,468 in federal fines across 5 penalties (last 3 years)
above the state average ($45,542)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

50 citations on record across recent inspections, 9 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 24, 20260842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted… ComplaintE · Potential for more than minimal harm
June 24, 20260677Provide care and assistance to perform activities of daily living for any resident who is unable. ComplaintD · Potential for more than minimal harm
May 22, 20260835Administer the facility in a manner that enables it to use its resources effectively and efficiently. ComplaintF · Potential for more than minimal harm
May 22, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintE · Potential for more than minimal harm
May 22, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with… ComplaintE · Potential for more than minimal harm
May 22, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
May 22, 20260802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. ComplaintD · Potential for more than minimal harm
February 26, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintJ · Immediate jeopardy
January 7, 20260600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintG · Actual harm
January 7, 20260610Respond appropriately to all alleged violations. ComplaintE · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.