Federal inspection record · CMS data as of October 1, 2026

Harmony Care at Beaumont

2660 Brickyard Rd, Beaumont, TX · (409) 892-1533

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

Not rated
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Certified beds
98
Residents per day
43
Ownership
Government
Chain
Harmony Care Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 14, 1996

3

What inspectors found

79 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 9 50 pts
K 4 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 3 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 36 4 pts
E 21 8 pts
F 6 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (16)

  1. J

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    August 19, 2026 · Complaint inspection · Resident Rights · F627 · Corrected August 21, 2026

  2. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 25, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Not yet marked corrected

  3. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    December 3, 2025 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected November 30, 2025

  4. K

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    September 29, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected September 30, 2025

  5. K

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    September 29, 2025 · Complaint inspection · Resident Assessment and Care Planning · F656 · Corrected September 30, 2025

  6. J

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 29, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected September 30, 2025

  7. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 25, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected October 7, 2024

  8. K

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    October 6, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected October 7, 2024

  9. K

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    October 6, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected October 7, 2024

  10. J

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    April 23, 2024 · Complaint inspection · Resident Rights · F580 · Corrected April 24, 2024

  11. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    April 23, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected May 1, 2024

  12. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 23, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected May 15, 2024

  13. J

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    April 18, 2024 · Complaint inspection · Quality of Life and Care · F678 · Corrected May 15, 2024

  14. H

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    March 27, 2024 · Complaint inspection · Resident Rights · F580 · Corrected March 29, 2024

  15. H

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 27, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected March 29, 2024

  16. H

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    March 27, 2024 · Complaint inspection · Administration · F770 · Corrected March 29, 2024

Everything else, by area of care

Resident Assessment and Care Planning14E
  1. D

    Ensure each resident receives an accurate assessment.

    August 19, 2026 · Complaint · F641 · Corrected August 21, 2026

  2. D

    Ensure each resident receives an accurate assessment.

    April 15, 2026 · Standard · F641 · Corrected May 8, 2026

  3. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    April 15, 2026 · Standard · F655 · Corrected May 8, 2026

  4. D

    Ensure each resident receives an accurate assessment.

    December 3, 2025 · Standard · F641 · Corrected December 8, 2025

  5. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    December 3, 2025 · Standard · F655 · Corrected December 4, 2025

  6. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    December 3, 2025 · Standard · F656 · Corrected December 4, 2025

  7. E

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 29, 2025 · Complaint · F657 · Corrected September 1, 2025

  8. D

    Ensure each resident receives an accurate assessment.

    August 29, 2025 · Complaint · F641 · Corrected September 1, 2025

  9. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    October 25, 2024 · Complaint · F644 · Corrected October 29, 2024

  10. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    July 2, 2024 · Complaint · F655 · Corrected July 30, 2024

  11. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    July 2, 2024 · Complaint · F657 · Corrected July 30, 2024

  12. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    May 23, 2024 · Complaint · F656 · Corrected June 6, 2024

  13. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    May 23, 2024 · Complaint · F658 · Corrected June 6, 2024

  14. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 23, 2024 · Complaint · F657 · Corrected May 15, 2024

Resident Rights11E
  1. D

    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.

    July 24, 2026 · Complaint · F584 · Corrected September 18, 2026

  2. D

    Reasonably accommodate the needs and preferences of each resident.

    April 15, 2026 · Standard · F558 · Corrected May 8, 2026

  3. 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.

    December 3, 2025 · Standard · F584 · Corrected December 19, 2025

  4. D

    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.

    December 3, 2025 · Standard · F578 · Corrected December 4, 2025

  5. 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.

    September 29, 2025 · Complaint · F584 · Corrected September 30, 2025

  6. 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.

    July 8, 2025 · Complaint · F584 · Corrected July 9, 2025

  7. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    March 31, 2025 · Complaint · F585 · Corrected April 1, 2025

  8. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    June 8, 2024 · Complaint · F622 · Corrected June 11, 2024

  9. D

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    June 8, 2024 · Complaint · F626 · Corrected June 11, 2024

  10. D

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    May 23, 2024 · Complaint · F585 · Corrected June 7, 2024

  11. D

    Keep residents' personal and medical records private and confidential.

    October 12, 2023 · Complaint · F583 · Corrected October 30, 2023

Environmental9F
  1. E

    Have policies on smoking.

    April 15, 2026 · Standard · F926 · Corrected May 8, 2026

  2. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    April 15, 2026 · Standard · F925 · Corrected May 8, 2026

  3. E

    Keep all essential equipment working safely.

    December 3, 2025 · Standard · F908 · Corrected December 8, 2025

  4. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    December 3, 2025 · Standard · F921 · Corrected December 8, 2025

  5. D

    Have policies on smoking.

    December 3, 2025 · Standard · F926 · Corrected December 8, 2025

  6. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    July 8, 2025 · Complaint · F925 · Corrected July 9, 2025

  7. F

    Keep all essential equipment working safely.

    November 20, 2024 · Standard · F908 · Corrected December 20, 2024

  8. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    November 20, 2024 · Standard · F921 · Corrected December 20, 2024

  9. D

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    October 12, 2023 · Complaint · F914 · Corrected October 30, 2023

Freedom from Abuse, Neglect, and Exploitation6E
  1. E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    December 3, 2025 · Standard · F607 · Corrected December 4, 2025

  2. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    December 3, 2025 · Standard · F605 · Corrected December 4, 2025

  3. E

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 25, 2024 · Complaint · F609 · Corrected October 29, 2024

  4. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 6, 2024 · Complaint · F609 · Corrected October 7, 2024

  5. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    October 23, 2023 · Complaint · F607 · Corrected October 24, 2023

  6. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    October 23, 2023 · Complaint · F609 · Corrected October 24, 2023

Quality of Life and Care5E
  1. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 15, 2026 · Standard · F689 · Corrected May 8, 2026

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 15, 2026 · Standard · F677 · Corrected May 8, 2026

  3. E

    Provide enough food/fluids to maintain a resident's health.

    July 2, 2024 · Complaint · F692 · Corrected July 30, 2024

  4. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    July 2, 2024 · Complaint · F688 · Corrected July 30, 2024

  5. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    May 23, 2024 · Complaint · F677 · Corrected June 6, 2024

Nursing and Physician Services4F
  1. E

    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.

    April 15, 2026 · Standard · F727 · Corrected May 6, 2026

  2. 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.

    December 3, 2025 · Standard · F727 · Corrected December 4, 2025

  3. 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.

    November 20, 2024 · Standard · F727 · Corrected November 21, 2024

  4. 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.

    October 6, 2024 · Complaint · F727 · Corrected November 4, 2024

Pharmacy Service4E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 27, 2026 · Complaint · F755 · Corrected March 6, 2026

  2. D

    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.

    December 3, 2025 · Standard · F761 · Corrected December 4, 2025

  3. D

    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.

    November 20, 2024 · Standard · F761 · Corrected December 20, 2024

  4. E

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    October 6, 2024 · Complaint · F758 · Corrected October 7, 2024

Infection Control4E
  1. D

    Provide and implement an infection prevention and control program.

    December 3, 2025 · Standard · F880 · Corrected December 5, 2025

  2. D

    Provide and implement an infection prevention and control program.

    September 29, 2025 · Complaint · F880 · Corrected September 30, 2025

  3. D

    Provide and implement an infection prevention and control program.

    August 29, 2025 · Complaint · F880 · Corrected September 1, 2025

  4. E

    Provide and implement an infection prevention and control program.

    July 2, 2024 · Complaint · F880 · Corrected July 30, 2024

Nutrition and Dietary3E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 15, 2026 · Standard · F812 · Corrected May 8, 2026

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 3, 2025 · Standard · F812 · Corrected December 4, 2025

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 20, 2024 · Standard · F812 · Corrected December 20, 2024

Administration3F
  1. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    December 3, 2025 · Standard · F851 · Corrected December 17, 2025

  2. E

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    December 3, 2025 · Standard · F836 · Corrected December 4, 2025

  3. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    November 20, 2024 · Standard · F851 · Corrected December 20, 2024

Inspection history

  1. 2026-04-15

    14 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

  2. 2025-12-03

    36 health deficiencies · 4 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (10 deficiencies)

  3. 2024-11-20

    29 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 44 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

4 h 44 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

$429,504 in federal fines on record over the past three years.

DatePenaltyAmount
2026-07-24Fine$55,635
2026-03-25Fine$17,345
2025-12-03Fine$17,599
2025-09-29Fine$17,648
2025-09-29Fine$17,648
2025-09-29Fine$17,648
2025-09-29Fine$17,648
2025-09-29Fine$54,267
2024-10-06Fine$17,068
2024-10-06Fine$47,259
2024-03-27Fine$149,739
2024-03-27Payment Denial · 19 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts better1.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better1.62.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts worse94.9%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better98.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better0.0%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.3 pts worse2.6%2.3%13.5%
Percentage of long-stay residents who lose too much weight1.6 pts better1.3%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8.4 pts worse26.2%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication17.9 pts worse27.7%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.5 pts worse19.4%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts worse16.3%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts worse1.7%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts better0.0%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.9 pts worse17.4%12.5%18.3%
Percentage of long-stay residents with pressure ulcers3.7 pts better0.0%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.9 pts worse73.8%88.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.7 pts worse60.7%85.4%80.1%

·

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
NameRoleShareHomes
Frio Hospital District5% Or Greater Direct Ownership Interest · Organization100%22 facilities
Beaumont Opco, LLCOperational/Managerial Control · Organization0%1 facilities
Bechthold, SamOperational/Managerial Control · Individual0%6 facilities
Blount, DarleneOperational/Managerial Control · Individual0%2 facilities
Blount, DarleneAdp Of The SNF · Individual0%2 facilities
Jian, PeterOperational/Managerial Control · Individual0%11 facilities
Jian, PeterAdp Of The SNF · Individual0%11 facilities
Ruff, MichaelCorporate Officer · Individual0%23 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Services4D
  1. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    April 15, 2026 · K521 · Not yet marked corrected

  2. D

    Have properly installed electrical wiring and gas equipment.

    December 3, 2025 · K511 · Corrected December 8, 2025

  3. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    December 3, 2025 · K521 · Not yet marked corrected

  4. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    November 20, 2024 · K521 · Not yet marked corrected

Smoke4E
  1. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    December 3, 2025 · K372 · Corrected January 9, 2026

  2. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    November 20, 2024 · K321 · Corrected January 3, 2025

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    November 20, 2024 · K353 · Corrected January 3, 2025

  4. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    November 20, 2024 · K372 · Corrected January 3, 2025

Egress3C
  1. C

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    April 15, 2026 · K211 · Not yet marked corrected

  2. C

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    December 3, 2025 · K211 · Corrected December 5, 2025

  3. C

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    November 20, 2024 · K211 · Not yet marked corrected

·

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