Texas › Madison County › Madisonville
Avir At Madisonville
600 Bacon Street, Madisonville, TX 77864
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.
Certified for 90 beds, Avir At Madisonville serves Madisonville in Madison County, Texas and has taken Medicare and Medicaid residents since 2019.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 5.
Inspectors recorded 49 health deficiencies across the three most recent survey cycles (17, 8, 24 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 54.4 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 56.1%.
Compared with county, state and nation
| Measure | This facility | Madison Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 49 | 49 | 25 | 28.7 |
| Citations per 100 beds | 54.4 | 54.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 56.1% | 56.1% | 52.1% | 45.8% |
| Fines listed | $8,827 | $18,852 | $16,801 | — |
County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Apr 2025, 29 Feb 2024.
Severity mix: J ×1 K ×2 D ×25 E ×20 F ×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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Apr 2026 |
| 27 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 30 Jan 2026 |
| 27 Jan 2026 | F0761 | 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. | D | Complaint investigation | 30 Jan 2026 |
| 20 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 21 May 2025 |
| 20 May 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 21 May 2025 |
| 10 Apr 2025 | F0584 | 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 | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0761 | 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 | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0688 | 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. | D | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 11 Apr 2025 |
| 10 Apr 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 11 Apr 2025 |
| 3 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 Aug 2024 |
| 10 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 7 Jun 2024 |
| 25 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 9 May 2024 |
| 29 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Mar 2024 |
| 29 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 18 Mar 2024 |
| 29 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 18 Mar 2024 |
| 29 Feb 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 18 Mar 2024 |
| 29 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 18 Mar 2024 |
| 14 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 11 Dec 2023 |
| 14 Nov 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Dec 2023 |
| 14 Nov 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 11 Dec 2023 |
| 14 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Dec 2023 |
| 25 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 17 Nov 2023 |
| 14 Sep 2023 | F0584 | 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 | Complaint investigation | 8 Oct 2023 |
| 14 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 8 Oct 2023 |
| 14 Sep 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 8 Oct 2023 |
| 14 Sep 2023 | F0836 | 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. | E | Complaint investigation | 8 Oct 2023 |
| 2 Jan 2023 | F0584 | 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. | K | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | E | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 5 Feb 2023 |
| 2 Jan 2023 | F0758 | 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. | D | Standard survey | 5 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Oct 2024 | Fine | $8,827 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 56.1%, RNs 66.7%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.7% | 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: for-profit, partnership. Legal business name: West Wharton County Hospital District. Chain: Gulf Coast Ltc Partners (20 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 600 Bacon St Opco, LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
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 Madison County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Madisonville Care Center | Madisonville | 106 | 2 | 3 | 1 | 13 | 12.3 | $19K | 19 Mar 2026 |
All 2 facilities in Madison County
Questions and answers
How many deficiencies has Avir At Madisonville been cited for?
49 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Madisonville been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Avir At Madisonville compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Madisonville?
It is part of the Gulf Coast Ltc Partners chain. Ownership type is for-profit, partnership. Organisations in the CMS ownership record include 600 Bacon St Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Madisonville last inspected?
The most recent survey or investigation in the CMS record is dated 15 Apr 2026; the most recent standard health survey was 10 Apr 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.