Nursing home in Giddings, Texas
Giddings Nursing and Rehabilitation
Medicare and Medicaid
1181 N Williamson St, Giddings, TX 78942
(979) 542-3611
- CMS shows its abuse icon for this nursing home: it was cited for abuse or neglect at the harm level or above on the most recent inspection cycle, or at the potential-harm level on both of the last two cycles.
- CMS lists this nursing home as a candidate for the Special Focus Facility program.
CMS star ratings
CMS gives this nursing home an overall star rating of 1 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home1
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home1
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home2
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home4
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Jul 17, 2025. CMS counts 23 health deficiencies in rating cycle 1.
- This nursing home23
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 46 health deficiencies on 14 inspection dates since Sep 30, 2023. By level of harm: 8 immediate jeopardy, 1 actual harm, 37 potential for harm.
- 8 Immediate jeopardy to resident health or safety
- 1 Actual harm
- 37 No actual harm, potential for more than minimal harm
- 0 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jun 24, 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jul 20, 2026 |
| Jun 24, 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jul 20, 2026 |
| May 22, 2026 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently.Administration Deficiencies | F Potential for harm, widespread | Complaint | Deficient, Provider has date of correction May 29, 2026 |
| May 22, 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction May 29, 2026 |
| May 22, 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction May 29, 2026 |
| May 22, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 29, 2026 |
| May 22, 2026 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 29, 2026 |
| Feb 26, 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Past Non-Compliance |
| Jan 7, 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies | G Actual harm, isolated | Complaint | Deficient, Provider has date of correction Feb 6, 2026 |
| Jan 7, 2026 | F0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Feb 6, 2026 |
Show the other 36 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Jan 7, 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 6, 2026 |
| Dec 17, 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Dec 18, 2025 |
| Dec 17, 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Resident Rights Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Dec 18, 2025 |
| Dec 17, 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Resident Rights Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Dec 18, 2025 |
| Dec 17, 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently.Administration Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Dec 18, 2025 |
| Jul 17, 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Administration Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Jul 18, 2025 |
| Jul 17, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 18, 2025 |
| Jul 17, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jul 18, 2025 |
| Jul 17, 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Resident Rights Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jul 18, 2025 |
| Jul 17, 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jul 18, 2025 |
| Jul 17, 2025 | F0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jul 18, 2025 |
| Jul 17, 2025 | F0814 | Dispose of garbage and refuse properly.Nutrition and Dietary Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jul 18, 2025 |
| Jul 17, 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jul 18, 2025 |
| May 20, 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Jun 24, 2025 |
| May 20, 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies | K Immediate jeopardy, pattern | Complaint | Deficient, Provider has date of correction Jul 17, 2025 |
| May 20, 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jun 24, 2025 |
| Mar 28, 2025 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Apr 30, 2025 |
| Feb 10, 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 11, 2025 |
| Feb 10, 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 11, 2025 |
| Feb 10, 2025 | F0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 11, 2025 |
| Feb 10, 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 11, 2025 |
| Feb 10, 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Feb 11, 2025 |
| Sep 12, 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 15, 2024 |
| Sep 12, 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Oct 15, 2024 |
| May 31, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Standard | Deficient, Provider has date of correction Jun 1, 2024 |
| May 31, 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Administration Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction May 31, 2024 |
| May 31, 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jun 3, 2024 |
| May 31, 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jun 5, 2024 |
| May 31, 2024 | F0761 | 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.Pharmacy Service Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jun 5, 2024 |
| May 31, 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies | E Potential for harm, pattern | Standard, Complaint | Deficient, Provider has date of correction Jun 4, 2024 |
| May 31, 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 1, 2024 |
| May 31, 2024 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 5, 2024 |
| May 31, 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jun 5, 2024 |
| Jan 17, 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident Rights Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Jan 19, 2024 |
| Jan 3, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jan 8, 2024 |
| Oct 14, 2023 | F0761 | 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.Pharmacy Service Deficiencies | E Potential for harm, pattern | Complaint | Deficient, Provider has date of correction Oct 30, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home3.99 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.33 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.[26]
- This nursing homeNot available
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 6 penalties for this nursing home: 5 fines totaling $195,390, and 1 payment denial. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 84 |
|---|---|
| Average residents per day | 37.5 |
| Ownership | For profit - Partnership |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Harmony Care Group (6 facilities) |
| Legal business name | FRIO HOSPITAL DISTRICT |
| First approved for Medicare and Medicaid | Mar 1, 1996 |
| County | Lee |
| CMS certification number | 675564 |
Also in Giddings
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Avir at Giddings | 102 | For profit - Limited Liability company |
CMS footnotes on this page
- [26]
- This facility did not submit staffing data or submitted staffing data that is considered to be invalid for the purpose of calculating turnover. This measure will receive the minimum points for calculating the overall staffing score and rating.