Floresville Nursing And Rehabilitation
Nursing home · 1811 6TH ST, Floresville, TX 78114 · Wilson County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 144
- State license
- 004552
- Medicare CCN
- 675469
- Licensed entity
- FRIO HOSPITAL DISTRICT
- Chain
- HARMONY CARE GROUP
- Ownership
- For profit - Corporation
- Phone
- (830) 393-2561
- Nurse staffing
- 2.90 hours per resident per day; 50.8% nursing staff turnover
- Medicare ratings
- Inspections 3★ · Staffing 1★ · Quality 3★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Mar 21, 2025 — Fine ($60,452)
- Jan 31, 2025 — Fine ($18,185)
- May 15, 2024 — Fine ($8,429)
Inspection findings
-
Jun 12, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0640 Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected Jul 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 8, 2026 Health · 17 findings
-
Not serious
Scope/severity D
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0813 Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 5, 2026 · CMS health inspection
-
Not serious
Scope/severity B
F0912 Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS health inspection
-
Not serious
Scope/severity F
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Jun 5, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0281 Egress Deficiencies
Install proper backup exit lighting.
Corrected Jun 20, 2026 · CMS fire safety
-
Not serious
Scope/severity D
K0293 Egress Deficiencies
Have properly located and lighted "Exit" signs.
Corrected Jun 5, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Jun 5, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Jun 20, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Jun 20, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0372 Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected Jun 5, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Jun 5, 2026 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jun 5, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0923 Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Corrected Jun 5, 2026 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
-
Sep 12, 2025 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0802 Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected Sep 27, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 21, 2025 Fire Safety · 15 findings
-
Serious
Scope/severity K
E0015 Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Corrected Mar 25, 2025 · CMS fire safety
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Apr 1, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Apr 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0655 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
Corrected Apr 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0656 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.
Corrected Apr 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Apr 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0761 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.
Corrected Apr 12, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 12, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 12, 2025 · CMS health inspection
-
Not serious
Scope/severity B
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Apr 12, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 11, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Mar 25, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Mar 25, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Apr 11, 2025 · CMS fire safety
-
Serious
Scope/severity L
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Mar 25, 2025 · CMS fire safety
-
Serious
Scope/severity K
-
Jan 31, 2025 Health · 5 findings
-
Not serious
Scope/severity D
Complaint
F0558 Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Corrected Feb 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Feb 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0656 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.
Corrected Feb 28, 2025 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jan 13, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0727 Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected Feb 28, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Aug 8, 2024 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Sep 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0693 Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected Sep 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0761 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.
Corrected Sep 6, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 15, 2024 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Jun 7, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 7, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 16, 2024 Health · 18 findings
-
Not serious
Scope/severity D
Complaint
F0644 Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0645 Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0655 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
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0656 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.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0680 Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0757 Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0761 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.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0912 Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Mar 18, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Mar 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0345 Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected Mar 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Mar 18, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Mar 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Mar 18, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0920 Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Corrected Mar 18, 2024 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
-
Dec 7, 2023 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Jan 3, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
Owners and managers (as published by CMS)
- BODANSKY, HERSHEL — 5% or greater mortgage interest, NOT APPLICABLE, since 12/25/2024
- BODANSKY, HERSHEL — adp of the snf, NOT APPLICABLE, since 01/08/2025
- BODANSKY, HERSHEL — operational/managerial control, NOT APPLICABLE, since 01/08/2025
- CURRIER, DARYL — adp of the snf, NOT APPLICABLE, since 12/25/2024
- CURRIER, DARYL — operational/managerial control, NOT APPLICABLE, since 12/25/2024
- HELLER, YESHAYA — operational/managerial control, NOT APPLICABLE, since 01/06/2025
- RUEHLE, ELIZABETH — adp of the snf, NOT APPLICABLE, since 12/25/2024
- RUEHLE, ELIZABETH — operational/managerial control, NOT APPLICABLE, since 12/25/2024
- RUFF, MICHAEL — corporate officer, NOT APPLICABLE, since 12/25/2024
- WEISS, CHAIM — adp of the snf, NOT APPLICABLE, since 01/08/2025
- WEISS, CHAIM — operational/managerial control, NOT APPLICABLE, since 01/06/2025
- WEISS, CHAIM — 5% or greater mortgage interest, NOT APPLICABLE, since 12/25/2024
- ELITE HC HOLDINGS LLC — operational/managerial control, NOT APPLICABLE, since 01/08/2025
- ELITE HC INVESTORS LLC — adp of the snf, NOT APPLICABLE, since 01/07/2025
- ELITE HC INVESTORS LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 12/25/2024
- FLORESVILLE HOLDINGS, LLC — adp of the snf, NOT APPLICABLE, since 01/06/2025
- FLORESVILLE HOLDINGS, LLC — 5% or greater mortgage interest, NOT APPLICABLE, since 12/25/2024
- FLORESVILLE OPERATING BH, LLC — operational/managerial control, NOT APPLICABLE, since 01/06/2025
- FLORESVILLE OPERATING BH, LLC — adp of the snf, NOT APPLICABLE, since 01/07/2025
- FRIO HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 12/25/2024
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.