AVALON PLACE KIRBYVILLE
700 N HERNDON, KIRBYVILLE, TX 75956 · CCN 675220
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 114
- Avg residents/day
- 51.7
- Phone
- 4094236111
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-03 | 6 | 9.1 | 9.5 | -3.1 better |
| 2 | 2024-09-11 | 3 | 9.4 | 9.8 | -6.4 better |
| 3 | 2023-08-23 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.35 | 38.1% |
| RN staffing (reported) | 0.40 | 42.9% |
| Total nurse staffing (adjusted) | 3.93 | — |
Fines & penalties
- Total fines
- $14,020
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (17)1 immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-03 · Health · corrected 2025-12-04
Potential for more than minimal harm
- BF0732Post nurse staffing information every day.2025-12-03 · Health · corrected 2025-12-04
Potential for minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-12-03 · Health · corrected 2025-12-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-12-03 · Health · corrected 2025-12-04
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-10 · Health · corrected 2025-09-11
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-10 · Health · corrected 2025-09-05
Immediate jeopardy
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-09-11 · Health · corrected 2024-09-12
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-09-11 · Health · corrected 2024-09-12
Potential for more than minimal harm
- FF0908Keep all essential equipment working safely.2024-09-11 · Health · corrected 2024-10-08
Potential for more than minimal harm
- DF0578Honor 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.2023-08-23 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-08-23 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-08-23 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-23 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2023-08-23 · Health · corrected 2023-09-01
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-08-23 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0761Ensure 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.2023-08-23 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-08-23 · Health · corrected 2023-09-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-04-01 |
| KIRBYVILLE I ENTERPRISES, L.L.C. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-09 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-09 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-09 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2024-07-09 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| STRATTON, CHARLES | Individual | CORPORATE OFFICER | — | 2005-05-01 |
Other facilities in KIRBYVILLE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.