Harmony Care at Giddings: Staffing, Turnover, and Inspection Record
Harmony Care at Giddings is a 84-bed for-profit nursing home in Giddings, Texas, part of Harmony Care Group. In the CMS August 2026 release it reported 2.91 nurse aide hours per resident per day, 46% above the Texas average of 2.00.
Harmony Care at Giddings
1181 N Williamson StGiddings, TX 78942
Lee County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Harmony Care at Giddings, nurse aides logged 2.91 hours per resident per day, 46% above the Texas average. With about 38 residents a day, that works out to roughly 109 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.91 | 2.00 | 2.32 |
| Licensed practical nurses | 0.74 | 0.95 | 0.86 |
| Registered nurses | 0.33 | 0.43 | 0.69 |
| All nursing staff | 3.99 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.68 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Harmony Care at Giddings in this release.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 23 health deficiencies (Texas average 9.3). CMS lists 5 fines totaling $193,468 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 26, 2026 | Fine | $12,428 |
| Jan 7, 2026 | Fine | $23,238 |
| Dec 17, 2025 | Fine | $58,380 |
| May 20, 2025 | Fine | $91,250 |
| May 20, 2025 | Payment Denial | 27 days from Jun 21, 2025 |
| May 31, 2024 | Fine | $8,172 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Harmony Care at Giddings holds 1 of 5 overall; the Texas average is 2.6.
About Harmony Care at Giddings
- Ownership: For profit - Partnership
- Chain: Harmony Care Group, 6 homes
- Legal name: Frio Hospital District
- Medicare and Medicaid certified since: Mar 1, 1996
- Councils: resident council
- Area: rural
Nursing homes near Harmony Care at Giddings
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Giddings Giddings · many days without an RN | 0.1 | 102 | 1.96 | 3.00 | 30.3% | 1 | $39,701 |
| Towers Nursing Home Smithville | 17.7 | 120 | 1.55 | 2.59 | 58.8% | 4 | $15,239 |
| Avir at La Grange La Grange · many days without an RN | 20.0 | 98 | 1.78 | 3.23 | 70.0% | 3 | None |
| Monument Rehabilitation and Nursing Center La Grange | 21.5 | 104 | 1.35 | 2.57 | 54.5% | 4 | $8,281 |
| Windsor Nursing and Rehabilitation Center of Bastr Bastrop | 24.1 | 96 | 1.51 | 2.88 | 45.0% | 2 | $15,920 |
| Bastrop Lost Pines Nursing and Rehabilitation Cent Bastrop · abuse citation | 24.2 | 120 | 2.01 | 3.10 | 46.8% | 1 | $92,460 |
| Silver Pines Nursing and Rehabilitation Center Bastrop | 24.3 | 114 | 2.03 | 3.05 | 44.3% | 4 | None |
| Copperas Hollow Nursing & Rehabilitation Center Caldwell | 27.6 | 90 | 1.97 | 3.30 | — | 3 | $49,901 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.