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Complaint Investigation

Harmony Care At Floresville

September 12, 2025 · Floresville, TX · 1811 Sixth St
Citations 1
CMS Rating 2/5
Beds 144
Provider ID 675469
Healthcare Facility
Harmony Care At Floresville
Floresville, TX  ·  View full profile →
Inspection Summary

HARMONY CARE AT FLORESVILLE in FLORESVILLE, TX — inspection on September 12, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0802
Nutrition and Dietary Deficiencies
Potential for More Than Minimal Harm

During an interview on 9/12/25 at 1:51 pm, a resident said that the food was sometimes cold, and it arrived late pretty often.

During an interview on 9/12/25 at 1:59 pm, RN B said she did not know how often meals were served late but knew that breakfast was scheduled for 7:00 am and lunch started at 11:00 am. RN B further stated that staff started preparing trays until 11:00 am for lunch. RN B said she had helped with tray preparation by adding condiments to the meal trays because the facility was short-staffed.

During an interview on 9/12/25 at 2:21 pm, [NAME] B said breakfast was scheduled at 7:00 am, lunch at 11:00 am, and dinner at 5:00 pm. [NAME] B said he considered 10-20 minutes beyond the scheduled meal time late service. [NAME] B further stated residents may be affected by late meal service because they may get upset or frustrated because they were hungry. [NAME] B said he did not know why lunch was served late on 9/11/25. [NAME] B further stated he thought he was on time because he could not look at his phone when in the kitchen. [NAME] B said there was a clock in the kitchen that was 2 minutes behind.

During an interview on 9/12/25 at 3:18 pm, the DM said meals were scheduled for 7:00 am, 11:00 am, and 5:00 pm.

The DM said he currently helped the kitchen staff with meals to ensure they were served on time.

The DM said he had received grievances in the past about the food being cold.

The DM further stated he considered late service 5 minutes after the posted meal service time.

The DM said late meal service may affect residents, especially those that took medications with meals.

The DM said meals were served late every time [NAME] A was working but did not know why.

The DM further stated he did not know why dinner was served late on 9/10/25 and lunch service was late on 9/11/25 due to the meatloaf not being the correct temperature.

During an interview on 9/12/25 at 3:50 pm, the Administrator said the facility had one hour to serve meals and they were typically not late. the Administrator further stated that on 9/11/25 the meatloaf was not fully cooked at service time.

The Administrator said late meal service may affect the residents by having to wait for the meal, they might be really hungry.

Record review of facility's policy titled, The Dining Experience: Staff Responsibilities dated 2023, revealed: Policy: The dining experience will enhance each individual's quality of life through person-centered dining.3.

The director of food and nutrition services will perform meal rounds routinely to determine if the meals are timely.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FLORESVILLE, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HARMONY CARE AT FLORESVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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