Harmony Care at Floresville

In the surveyor’s words

From the most serious findings on record at Harmony Care at Floresville, in the surveyor’s own words.

• Immediate jeopardy, patternF880Feb 3, 2021

  Based on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections including COVID-19 for 6 of 8 residents (Residents #1, #2, #3, #4, #5, and #6) reviewed for infection control, in that: The facility placed COVID-19 negative residents in the same rooms as COVID-19 positive residents. These failures resulted in an identification of an Immediate Jeopardy (IJ) on 01/28/2021. […]

• Immediate jeopardy, isolatedF689Jan 31, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 of 2 residents (Resident #1) reviewed for accidents hazards and supervision, in that: On 01/10/2025 Resident #1 was transferred by CNA A using standing pivot transfer x 1 staff instead of a mechanical lift. During transfer Resident #1 was injured resulting in left tibia /fibula fracture. The non-compliance was identified as past non-compliance. The IJ began on 1/10/25 and ended on 1/13/25. […]

• Immediate jeopardy, isolatedF689May 15, 2024

  Based on interviews and record reviews, the facility failed to ensure residents received adequate supervision to prevent elopements for 2 of 5 residents (Residents #1 and #2) reviewed for accidents and supervision, in that: 1. The facility failed to provide adequate supervision to Resident #1. As a result, Resident #1, who had dementia, eloped from the facility on 5/7/2024 and was unaccounted for after approximately 5:45 pm. Resident #1 was discovered to be walking approximately 4 blocks from the facility near a busy street at approximately 6:10 PM. The weather for that day at around that time was in the upper 80s F and Resident #1 was purported to say she was thirsty and lost and was seen to be visibly perspiring. 2. The facility failed to provide adequate supervision to Resident #2. […]

• No harm, potential for more than minimal, widespreadF941Jan 18, 2023

  Based on interview and record review, the facility failed to provide effective communications mandatory training for 21 of 21 employees (Administrator, DON, AD, FSS, PT, OT, ST, ADON K, ADON L, SW M, CNA N, CNA O, CNA P, CNA Q, CNA R, CNA S, CNA T, LVN U, LVN V, RN W and LVN X) reviewed for training, in that: The facility failed to ensure effective communication training was provided to the Administrator, DON, AD, FSS, PT, OT, ST, ADON K, ADON L, SW M, CNA N, CNA O, CNA P, CNA Q, CNA R, CNA S, CNA T, LVN U, LVN V, RN W and LVN X. This failure could place residents at risk of miscommunication and social isolation due to lack of staff training. […]

• No harm, potential for more than minimal, widespreadF944Jan 18, 2023

  Based on interviews and record reviews, the facility failed to ensure Quality Assurance and Performance Improvement (QAPI) training that outlines and informs staff of the elements and goals of the facility's QAPI program for 21 of 21 employees (the Administrator, DON, AD, FSS, PT, OT, ST, ADON K, ADON L, SW M, CNA N, CNA O, CNA P, CNA Q, CNA R, CNA S, CNA T, LVN U, LVN V, RN W and LVN X) reviewed for training, in that: The facility failed to ensure that quality assurance and performance improvement training was provided to the Administrator, DON, AD, FSS, PT, OT, ST, ADON K, ADON L, SW M, CNA N, CNA O, CNA P, CNA Q, CNA R, CNA S, CNA T, LVN U, LVN V, RN W and LVN X. This failure could place residents at risk for injury or improper care due to a lack of training. […]