Harmony Care At Floresville
1811 6TH ST, Floresville, TX, 78114
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Harmony Care Group
- Certified beds
- 144 · avg 88 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $87,066 total
State licensing & capacity
- License number
- 312259
- Service type
- Medicare/medicaid
- Licensed capacity
- 144 beds
- Bed type breakdown
- 14 Medicare-only · 130 Medicaid/Medicare
- Current license effective
- December 25, 2024
- Current license expires
- December 25, 2027
- Initial license date
- February 26, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Floresville Operating Bh Llc
- Administrator
- Elizabeth J Ruehle
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Harmony Care Group chain — 6 facilities. Chain-wide average overall rating 1.8 / 5.
Disclosed owners (11 on record)
- Chaim Weiss
Adp of The Snf · since 2025
- Elite hc Holdings Llc
Operational/managerial Control · since 2025
- Hershel Bodansky
Operational/managerial Control · since 2025
- Elite hc Investors Llc
Adp of The Snf · since 2025
- Floresville Operating Bh, Llc
Adp of The Snf · since 2025
- Floresville Holdings, Llc
Adp of The Snf · since 2025
+ 5 additional owners on the federal record.
Recent change of ownership
December 2024 (1 year ago) · acquired from Harmony Care at Floresville
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 49)
- D0802·Sep 12, 2025Complaint
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- B0921·Mar 21, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0880·Mar 21, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Mar 21, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Mar 21, 2025
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.
- D0695·Mar 21, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0656·Mar 21, 2025
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.
- D0655·Mar 21, 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Federal penalties
By year
- 20252 fines · $79K
- 20241 fine · $8,429
Most recent events
- Mar 21, 2025Fine · $60K
- Jan 31, 2025Fine · $18K
- May 15, 2024Fine · $8,429
Largest single fine on record: $60K.
Fire-safety citations
17 Life-Safety-Code citations on file, including 2 at severity J–L. Most recent: Mar 21, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Harmony Care at Floresville is a 144-bed nursing home in Floresville, Wilson County, licensed under Frio Hospital District and operated by Floresville Operating BH LLC. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. Three fines totaling $87,066 have been issued under CMS review. The facility is running at roughly 61% of licensed capacity, with 88 residents per day on average.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 191 minutes of total nursing care per day, roughly 50 minutes less than at a 4-star-staffing facility in Texas. Of that, only about 17 minutes comes from a registered nurse, compared to 37 minutes at the 4-star threshold. Residents who need more complex clinical attention will feel that gap most directly.
CMS has issued 3 fines totaling $87,066 against this facility. The state median for fines among facilities that receive any is about $20,699; this facility's total runs more than four times that figure. Roughly 30% of Texas nursing homes have received no fines at all.
The facility is operating at about 61% of its 144 licensed beds — 88 residents on a typical day. Low occupancy at a facility with a 2-star overall rating and a 1-star staffing rating is a data point families may want to ask management about directly.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
Weekend nursing hours average 2.87 per resident per day here — lower than the already-below-peer weekday figure; ask how staffing is scheduled Saturday and Sunday.
What the three fines covered
CMS issued 3 fines totaling $87,066; ask management what deficiencies triggered each fine and what specific changes were made afterward.
Why occupancy is at 61%
With 88 residents in a 144-bed facility, ask leadership why the building is running at roughly 61% capacity and whether that affects staffing or service levels.
Registered nurse hours per resident
Reported RN time is about 17 minutes per resident per day; ask how many RNs are on duty each shift and how clinical concerns are escalated when an RN isn't present.
Relationship between licensee and operator
The license is held by Frio Hospital District while day-to-day operations run under Floresville Operating BH LLC; ask who is accountable for staffing decisions and complaint resolution.
Resident Council activity
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets, who attends from management, and how concerns raised there get resolved.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.