Harmonee House

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · F2025-12-01 · tag F0846 — widespread
  Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to submit to the residents of the facility and their legal representatives of such residents or other responsible parties, written notification of an impending closure at least 60 days prior to the date of closure for 16 of 16 resident reviewed for discharge notice. The facility failed provide residents and their representatives a written notice of closure at least 60-days before closure. This failure could place residents at risk of an improper discharge and not having notice to provide them with time to place for a safe discharge. Findings included: Record review of facility closure letter dated September 25, 2025 revealed that the letter indicated that the DON and ADON would be assisting families with a listing of homes in the surrounding area to help make informed decisions and families and residents could meet with the governing board on September 29, 2025. Record review of form 2191, the Nursing Facility Closure Master Resident List, dated 10/20/2025, revealed all 16 residents had been discharged to other…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-09-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure freezer items were properly stored, labeled, and dated. 2. The facility failed to ensure pantry foods were properly stored, labeled, and dated. 3. The facility failed to ensure refrigerated foods were properly stored, labeled, and dated. These failures could place residents who ate food served by the kitchen at risk of food-borne illness. Findings included: Observation of the refrigerator on 09/09/24 at 11:12 AM revealed the following: 1. (1) bottle of ketchup, no date. 2. (2) trays of cups, filled with various liquids, covered by a tray, no labels, or dates. Observation of walk-in pantry on 09/09/24 at 11:15 AM revealed the following: 1. (1) box of potatoes, open to the air, no label or date. 2. (1) package of hot dog buns, 2 buns left, no label or date. 3. (5) individual applesauce cups, no dates. 4. (1) loaf of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-11 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for 5 of 8 anonymous residents observed for 3 of 3 (September 9, 10, and 11 of 2024) days and reviewed for quality of life. The facility failed to ensure scheduled activities were taking place. The facility failed to ensure activities met resident's needs/desires. These failures could place residents at risk of boredom and/or a decline in their quality of life. Findings Included: Record review of facility activities calendar dated September 2024 revealed at least 5 activities scheduled each weekday and two…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-11 · tag F0565 — failed to support the resident council — isolated
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to consider the views of a resident group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility for 3 of 8 anonymous residents. The facility failed to address a grievance put forth by the resident council regarding a resident who sang disruptively loud and spit on the floor and on other residents during meals. This failure could lead to residents feeling unheard and unvalued in their place of residence. Findings Included: During a resident council meeting on 09/10/24 at 10:20 AM 3 of 8 attendees complained about a certain resident who sang at the top of her lungs during meals and spit loogies on the floor and occasionally on other residents during meals. The anonymous residents said the singing made it hard to hold conversations during mealtimes and the loogies made them lose their appetites. The residents stated that during lunch yesterday, when state was observing meal pass, the singing, spitting resident was not brought to the dining room to eat.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-11 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to immediately inform the resident; consult with the resident's physician; and notify consistent with his or her authority, the resident representative(s) when there is a significant change in the resident's physical, mental, or psychosocial status and notify the resident and the resident representative, if any, when there is a change in room for 1 (Resident #6) of 12 residents reviewed for notification of change of condition. The facility failed to inform Resident #6's family of his positive COVID test and subsequent change of rooms to an isolation room. This failure could place residents at risk of not having their change in condition communicated to their physician or representative. Findings Included: Record review of Resident #6's admission record dated 09/10/24 revealed an [AGE] year-old male admitted to the facility on [DATE] with diagnoses that included, but were not limited to, acute bronchitis (lining of tube that carries air to and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-11 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure the care plan is prepared by an interdisciplinary team, that includes to the extent practicable, the participation of the resident and the resident's representative(s) and if the participation of the resident or their resident representative is determined not practicable for the development of the resident care plan include an explanation in the resident's medical record for 1 (Resident #6) of 12 residents reviewed for care plan timing and revision. The facility failed to invite Resident #6's family members to his care plan meeting. This failure could lead to a lack of cohesiveness in resident care and/or residents not receiving necessary care. Findings Included: Record review of Resident #6's admission record dated 09/10/24 revealed an [AGE] year-old male admitted to the facility on [DATE] with diagnoses that included, but were not limited to, acute bronchitis (lining of tube that carries air to and from the lungs is inflamed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-11 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review; it was determined the facility failed to ensure medications were stored and labeled in accordance with currently accepted professional principles on 1 of 1 medication carts, in that:. 3 medications were left loose in the medication cart and 2 residents' insulin vials and box packaging were not marked correctly with date of opening. 1 insulin medication vial in the medication cart drawer one was marked with an open date of 7-16-24 and the box packaging was dated 8-1-24. Insulin was still in use after 55 days from documented vial opening date. 1 insulin medication vial in the medication cart drawer one was open without an opening date marked on the vial or box packaging. The facility's failure to ensure medications were labeled in accordance with currently accepted professional principles could place residents at risk for exposure to medication that is expired or ineffective; resulting in exacerbation of the disease being treated, exposure to contaminated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-08-08 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure refrigerated and freezer items were properly stored, labeled, and dated. 2. The facility failed to ensure dented cans were not in circulation. 3. The facility failed to ensure pantry foods were properly stored, labeled and dated. These failures placed residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings included: In an observation of the walk-in pantry on 08/06/2023 at 09:45 AM the following was observed: 1-14.05 oz can of cut green beans dated 4/13 dented and stored with cans in circulation. 2-48 oz cans of Chicken of the Sea Tuna dated 4/13 dented and stored with cans in circulation. 1 open bag of brown gravy in its original packaging open to air with no seal-in a plastic clear container with a blue lid; the blue lid was not sealed. In an observation of the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-08 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure all residents had the right to formulate an advance directive for 1 (Resident #2) of 12 residents reviewed for DNR orders. Resident #2 had an Out-of-Hospital DNR order that was not completed as the physician did not date it. This failure could place residents with DNR orders at risk for receiving, or not receiving, life-saving measures that align with their medical preferences. Findings included: Record review of Resident #2's face sheet, dated 08/06/2023 revealed an [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included major depressive disorder(a mental disorder characterized by persistent low mood, low self-esteem, and loss of interest or pleasure in normally enjoyable activities), unspecified Dementia (loss of cognitive functioning-thinking, remembering and reasoning), and Pulmonary hypertension (high blood pressure that affects the arteries in the lungs and the right side of the heart). Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-08 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure the assessment accurately reflected the resident's status for 1 (Resident #12) of 12 residents reviewed for accuracy of assessments. Resident #12 received oxygen therapy but her MDS did not have oxygen therapy checked as a service received. This failure could place residents at risk of receiving inappropriate care due to inaccurate assessments. Findings Included: Record review of Resident #12's face sheet, dated 08/06/23, revealed a [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included, but were not limited to, pulmonary embolism (blood clot that blocks blood flow in a lung artery), high blood pressure, and shortness of breath. Record review of Resident #12's Quarterly MDS, with a completion date of 06/16/23, revealed a BIMS of 12, which indicated moderately impaired cognition. Section G of the MDS noted Resident #12 needed limited assistance from one staff member across all ADLs except eating and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in TX