Federal inspection record · CMS data as of October 1, 2026
Giddings Nursing and Rehabilitation
1181 N Williamson St, Giddings, TX · (979) 542-3611
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 84
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- Harmony Care Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1996
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Texas homes
Giddings Nursing and Rehabilitation carries 390.75 inspection points. That is fewer than 1% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
49 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (9)
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
J
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
-
J
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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J
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
-
K
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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K
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care7E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning6E
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Rights6E
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- E
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.
Freedom from Abuse, Neglect, and Exploitation5E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- E
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Dispose of garbage and refuse properly.
Administration3F
- F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Environmental3E
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Pharmacy Service2E
- E
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.
- E
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.
Nursing and Physician Services1F
- F
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.
Inspection history
2025-07-17
23 health deficiencies · 12 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
2024-05-31
18 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2023-03-30
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
3 h 59 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$196,621 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-26 | Fine | $12,618 |
| 2026-01-07 | Fine | $23,578 |
| 2025-12-17 | Fine | $59,271 |
| 2025-05-20 | Fine | $92,982 |
| 2025-05-20 | Payment Denial · 27 day denial | $0 |
| 2024-05-31 | Fine | $8,172 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.8 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better | 98.7% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.7 pts better | 97.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse | 4.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.7 pts worse | 4.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts better | 2.7% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.5 pts worse | 24.3% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.3 pts worse | 19.1% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened14.8 pts worse | 27.7% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased23.1 pts worse | 38.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts worse | 16.1% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 2.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better | 96.3% | 88.7% | 82.3% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Frio Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Bechthold, Sam | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Giddings Opco, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| House, Janelle | Operational/Managerial Control · Individual | 0% | 6 facilities |
| House, Janelle | Adp Of The SNF · Individual | 0% | 6 facilities |
| Ruff, Michael | Corporate Officer · Individual | 0% | 23 facilities |
| Thompson, Frank | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thompson, Frank | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Have an alternate power supply for its alarm system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems5F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Services4E
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness2F
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
Egress1E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Avir at Giddings
Giddings, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 9 min
- Fines
- $39,701
-
Towers Nursing Home
Smithville, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 33 min
- Fines
- $15,239
-
Avir at La Grange
La Grange, TX
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 5 min
- Fines
- $0