AVALON PLACE KIRBYVILLE
Grade C — 80/100 composite score
CMS Star Ratings
Certified Beds
114
Ownership
Government - Hospital district
Total Fines
$14,020
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
100%
KIRBYVILLE I ENTERPRISES, L.L.C.
BLAKE, GARY
BLAKE, MALISA
HUGGINS, LINDA
WILLIG, ZACHARY
STRATTON, CHARLES
Penalties & Fines (1)
| Date | Type | Description | Amount |
|---|---|---|---|
| Sep 10, 2025 | Fine | — | $14,020 |
Health Inspection Deficiencies (17)
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
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.
Resident Rights Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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 drugs.
Pharmacy Service Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for AVALON PLACE KIRBYVILLE?
AVALON PLACE KIRBYVILLE in KIRBYVILLE, Texas has a CareGrader grade of C (Average), with a composite score of 79.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for AVALON PLACE KIRBYVILLE?
AVALON PLACE KIRBYVILLE has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does AVALON PLACE KIRBYVILLE have?
AVALON PLACE KIRBYVILLE has 17 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
Has AVALON PLACE KIRBYVILLE been fined?
Yes. AVALON PLACE KIRBYVILLE has $14,020 in total fines from CMS enforcement actions across 1 penalty.
How many beds does AVALON PLACE KIRBYVILLE have?
AVALON PLACE KIRBYVILLE has 114 certified beds with approximately 51 current residents (45% occupancy). The facility is located at 700 N HERNDON, KIRBYVILLE, Texas 75956. It is a government - hospital district facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.