$$\left\lfloor\cfrac{x+\frac12}x\right\rfloor=\left\lfloor1+\frac1{2x}\right\rfloor=1+\left\lfloor\frac1{2x}\right\rfloor.$$
Note that $n=\left\lfloor\frac1{2x}\right\rfloor$ if and only if $n\le\frac1{2x}<n+1.$ Hence, $0\leq \frac1{2x}<1$ if and only if $1<2x$ if and only if $x>\frac12$, in which case $$\left\lfloor\cfrac{x+\frac12}x\right\rfloor=1+0=1.$$ Also, $-1\le\frac1{2x}<0$ if and only if $2x\le -1$ if and only if $x\le-\frac12$, in which case $$\left\lfloor\cfrac{x+\frac12}x\right\rfloor=1+-1=0,$$ so the end behavior is easy to calculate. If you want more detail, then for integers $n\neq0,-1$, we have $$n\leq\frac1{2x}<n+1$$ if and only if $$\frac1{n+1}<2x\le\frac1n$$ if and only if $$x\in\left(\frac1{2(n+1)},\frac1{2n}\right].$$ Hence, $$\left\lfloor\cfrac{x+\frac12}x\right\rfloor=\begin{cases}1 & x\in\left(\frac12,\infty\right),\\0 & x\in\left(-\infty,-\frac12\right],\\1+n & n\in\Bbb Z\smallsetminus\{-1,0\},x\in\left(\frac1{2(n+1)},\frac1{2n}\right].\end{cases}$$