Harmony Care At Giddings
1181 N WILLIAMSON ST, Giddings, TX, 78942
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership · Chain: Harmony Care Group
- Certified beds
- 84 · avg 41 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $223,671 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 312292
- Service type
- Medicare/medicaid
- Licensed capacity
- 84 beds
- Bed type breakdown
- 26 Medicare-only · 58 Medicaid/Medicare
- Current license effective
- November 1, 2024
- Current license expires
- November 1, 2027
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Giddings Operating Bh, Llc
- Administrator
- Kelly Norman
Texas HHS licensing registry · as of April 16, 2026
About this community
Harmony Care at Giddings is an 84-bed nursing home in Giddings, Texas, licensed since 1971 and currently operated by Harmony Care Group. CMS rates it 2 stars overall, with a 1-star health inspection rating. CMS has flagged it as a Special Focus Candidate and substantiated findings of resident abuse or neglect within the past 36 months. Four fines totaling $223,671 have been assessed. About 48% of licensed beds are occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 210 minutes of nursing care per day — roughly 31 minutes less than at a 4-star-staffing facility in Texas. Of those 210 minutes, only 14 are with a registered nurse; the Texas threshold for a 4-star staffing rating is 37 RN minutes per day. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
CMS has designated this as a Special Focus Candidate — a step below outright Special Focus Facility designation, signaling a pattern of serious deficiencies. Facilities at this level are under heightened regulatory scrutiny.
CMS has substantiated findings of resident abuse or neglect here within the past 36 months.
Four CMS fines totaling $223,671 have been assessed. The state median fine total across Texas nursing homes that receive any fines is $20,699; this facility's total is more than ten times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 48% of its licensed beds — about 40 residents in an 84-bed building. Low occupancy paired with the safety flags and fine history above is a pattern that warrants direct questions about current staffing levels and how care is being maintained.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse findings and current safeguards
CMS has substantiated abuse or neglect findings here in the past 36 months — ask what specifically occurred, what corrective steps were taken, and how staff are monitored today.
Special Focus Candidate status
CMS has flagged this facility as a Special Focus Candidate due to a pattern of serious deficiencies — ask what the specific deficiencies were and what the improvement plan looks like.
Four fines totaling $223,671
Ask what each of the four CMS fines was issued for and whether the cited conditions have been fully resolved.
Staffing levels at current occupancy
With only about 40 residents in an 84-bed building, ask how many nursing staff are scheduled per shift and whether staffing levels adjust as census changes.
Registered nurse coverage each day
CMS data shows roughly 14 RN minutes per resident per day here — ask how many hours a registered nurse is on-site daily and whether an RN is present overnight.
Management company's role on-site
The facility is licensed to Frio Hospital District but managed by Giddings Operating BH, LLC — ask which entity directs day-to-day staffing and care decisions.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.