ElderGrade
B

74.5/100

Above average

Harmonee House

1400 Main St, Amherst, TX 79312

CMS 2/5 stars #1 of 3 in Lamb County (806) 246-3505
Certified beds
35
Occupancy
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are.

  • No staffing hours reported — scored neutral

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • No turnover figure reported — scored neutral

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day Not reported
Registered nurse (RN) hours Not reported

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours Not reported

The shift most families visit, and the one thinned first.

Nursing staff turnover Not reported

The share of nursing staff who left over the last year.

Recent inspection findings

All 20 citations

Last standard health inspection: September 11, 2024 (1 year ago).

F Dec 1, 2025 F0846 From a complaint

Administration Deficiencies

Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.

No actual harm, potential for more than minimal harm

F Sep 11, 2024 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

E Sep 11, 2024 F0679

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

No actual harm, potential for more than minimal harm

D Sep 11, 2024 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

D Sep 11, 2024 F0580

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Sep 11, 2024 F0657

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Sep 11, 2024 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

F Aug 8, 2023 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

What families say

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Common questions about Harmonee House

What is the ElderGrade for Harmonee House? +

Harmonee House holds an ElderGrade of B (74.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Harmonee House? +

This facility has not reported staffing hours to CMS in the current data release.

Has Harmonee House been cited for harming residents? +

No. None of the 20 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Harmonee House accept Medicaid? +

Yes, Harmonee House is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.