Avalon Place Kirbyville
700 N Herndon · Kirbyville, TX · 75956 · 4094236111
114 certified beds Government - Hospital district Chain: Creative Solutions in Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
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Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.49 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $14,020 |
Inspection citations (17 in the current record)
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Potential for harm · D December 3, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 4, 2025 · Quality of Life and Care
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Potential for harm · D December 3, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected December 4, 2025 · Nutrition and Dietary
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Potential for harm · D December 3, 2025
Provide and implement an infection prevention and control program.
Corrected December 4, 2025 · Infection Control
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No harm found · B December 3, 2025
Post nurse staffing information every day.
Corrected December 4, 2025 · Nursing and Physician Services
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Immediate jeopardy · J September 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 5, 2025 · Quality of Life and Care
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Potential for harm · D September 10, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 11, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected September 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · F September 11, 2024
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.
Corrected September 12, 2024 · Nutrition and Dietary
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Potential for harm · F September 11, 2024
Keep all essential equipment working safely.
Corrected October 8, 2024 · Environmental
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Potential for harm · D August 23, 2023
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.
Corrected September 1, 2023 · Resident Rights
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Potential for harm · D August 23, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 1, 2023 · Quality of Life and Care
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Potential for harm · E August 23, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected September 1, 2023 · Pharmacy Service
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Potential for harm · D August 23, 2023
Ensure that residents are free from significant medication errors.
Corrected September 1, 2023 · Pharmacy Service
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Potential for harm · E August 23, 2023
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.
Corrected September 1, 2023 · Pharmacy Service
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Potential for harm · E August 23, 2023
Provide and implement an infection prevention and control program.
Corrected September 1, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 10, 2025 | Fine | $14,020 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675220 · certified since September 28, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.