Avir at Madisonville

600 Bacon Street · Madisonville, TX · 77864 · 9363489097

90 certified beds For profit - Partnership Chain: Gulf Coast Ltc Partners

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Total nurse staffing below 3.0 hours per resident-day

2.99 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 82
Staffing 20% 47
Federal penalties 15% 77
Trend 10% 70
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.993.48 min · 4.1 strong
RN hours / resident-day0.320.55–0.75
Weekend hours / resident-day2.67≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)1 · $8,827

Inspection citations (49 in the current record)

  • Potential for harm · D April 15, 2026 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 16, 2026 · Resident Rights

  • Potential for harm · D January 27, 2026 · found via complaint

    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 January 30, 2026 · Pharmacy Service

  • Potential for harm · E January 27, 2026 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 30, 2026 · Nutrition and Dietary

  • Potential for harm · E May 20, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 21, 2025 · Resident Rights

  • Potential for harm · D May 20, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected May 21, 2025 · Resident Rights

  • Potential for harm · D April 10, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected April 11, 2025 · Resident Rights

  • Potential for harm · E April 10, 2025

    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.

    Corrected April 11, 2025 · Resident Rights

  • Potential for harm · D April 10, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 10, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 11, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 11, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

    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.

    Corrected April 11, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected April 11, 2025 · Quality of Life and Care

  • Potential for harm · D April 10, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 11, 2025 · Pharmacy Service

  • Potential for harm · E April 10, 2025

    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 April 11, 2025 · Pharmacy Service

  • Potential for harm · E April 10, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected April 11, 2025 · Nutrition and Dietary

  • Potential for harm · E April 10, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 11, 2025 · Nutrition and Dietary

  • Potential for harm · D April 10, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 11, 2025 · Infection Control

  • Potential for harm · D April 10, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected April 11, 2025 · Infection Control

  • Potential for harm · D April 10, 2025

    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.

    Corrected April 11, 2025 · Infection Control

  • Immediate jeopardy · J October 3, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 24, 2024 · Quality of Life and Care

  • Potential for harm · E May 10, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected June 7, 2024 · Pharmacy Service

  • Potential for harm · E April 25, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 9, 2024 · Quality of Life and Care

  • Potential for harm · D February 29, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 18, 2024 · Quality of Life and Care

  • Potential for harm · D February 29, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected March 18, 2024 · Nutrition and Dietary

  • Potential for harm · D February 29, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 18, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 3, 2024Fine$8,827

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676475 · certified since November 1, 2019. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.