Elder Care Record

Texas › Jasper County › Kirbyville

Avalon Place Kirbyville

700 N Herndon Ave, Kirbyville, TX 75956

CCN 675220 · Government, hospital district · 114 certified beds · chain Creative Solutions In Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Avalon Place Kirbyville is a Government, hospital district nursing home in Kirbyville, Texas, certified for 114 beds and caring for about 49 residents a day.

CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.

Inspectors recorded 17 health deficiencies across the three most recent survey cycles (6, 3, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 14.9 per 100 beds, fewer than the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $9K.

Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 97.8%.

17health deficiencies, 3 survey cycles1 at actual harm or worse
$9Kfines listed by CMS1 penalty in period
3.4nurse hours per resident per daystate median 3.3
43%occupancy (residents ÷ beds)49 residents a day

Compared with county, state and nation

MeasureThis facilityJasper Co. medianTexas medianUS average
Overall star rating4433.0
Health citations, 3 cycles17172528.7
Citations per 100 beds14.914.922.526.8
Total nurse hours per resident day3.43.43.33.9
RN hours per resident day0.40.30.40.7
Nursing staff turnover97.8%46.3%52.1%45.8%
Fines listed$9,113$0$16,801—

County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 23
Cycle 38

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Dec 2025, 11 Sep 2024.

Severity mix: J ×1 D ×10 E ×3 F ×2 B ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
3 Dec 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey4 Dec 2025
3 Dec 2025F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey4 Dec 2025
3 Dec 2025F0880Provide and implement an infection prevention and control program.DStandard survey4 Dec 2025
3 Dec 2025F0732Post nurse staffing information every day.BStandard survey4 Dec 2025
10 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation5 Sep 2025
10 Sep 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation11 Sep 2025
11 Sep 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey12 Sep 2024
11 Sep 2024F0908Keep all essential equipment working safely.FStandard survey8 Oct 2024
11 Sep 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey12 Sep 2024
23 Aug 2023F0759Ensure medication error rates are not 5 percent or greater.EStandard survey1 Sep 2023
23 Aug 2023F0761Ensure 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.EStandard survey1 Sep 2023
23 Aug 2023F0880Provide and implement an infection prevention and control program.EStandard survey1 Sep 2023
23 Aug 2023F0578Honor 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.DStandard survey1 Sep 2023
23 Aug 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey1 Sep 2023
23 Aug 2023F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey1 Sep 2023
23 Aug 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey1 Sep 2023
23 Aug 2023F0760Ensure that residents are free from significant medication errors.DStandard survey1 Sep 2023

Penalties

DateTypeAmountDetail
10 Sep 2025Fine$9,113

Staffing

Total nursing3.42 h
Nurse aides1.94 h
LPN1.05 h
RN0.43 h
Weekend total2.97 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 97.8%, RNs 100.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.5%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.0%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay11.8%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, hospital district. Legal business name: Liberty County Hospital District No 1. Chain: Creative Solutions In Healthcare (149 facilities).

OrganisationRole in the CMS recordInterestSince
Liberty County Hospital District No 15% or greater direct ownership interest100%04/01/2017
Kirbyville I Enterprises, L.L.C.Operational/managerial controlNOT APPLICABLE07/09/2024
Kirbyville I Enterprises, L.L.C.Adp of the snfNOT APPLICABLE04/12/2025
Kirbyville I Realty, L.L.C.Adp of the snfNOT APPLICABLE07/09/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Jasper County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Timberidge Nursing and Rehabilitation CenterJasper114553108.8—6 Aug 2025
Rayburn Health Care & RehabilitationJasper1073332422.4—11 Feb 2026

All 3 facilities in Jasper County

Questions and answers

How many deficiencies has Avalon Place Kirbyville been cited for?

17 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avalon Place Kirbyville been fined?

Yes. CMS lists fines totalling $9K in the period covered.

How does staffing at Avalon Place Kirbyville compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avalon Place Kirbyville?

It is part of the Creative Solutions In Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Liberty County Hospital District No 1 and Kirbyville I Enterprises, L.L.C.. Individual owners and managers are not listed on this site.

When was Avalon Place Kirbyville last inspected?

The most recent survey or investigation in the CMS record is dated 3 Dec 2025; the most recent standard health survey was 3 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.