Government - Hospital district · 114 certified beds · CMS number 675220
Avalon Place Kirbyville, Kirbyville, TX
CMS records 17 health deficiencies at Avalon Place Kirbyville in Kirbyville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 3, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $9,113 in the last three years.
- 17deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $9,113fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avalon Place Kirbyville as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avalon Place Kirbyville may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Dec 3, 2025. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Dec 3, 2025 · Standard inspection
4 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2025
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2025
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Dec 4, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2025
Sep 10, 2025 · Complaint inspection
2 deficiencies, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 5, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 11, 2025
Previous cycle: 3 deficiencies (standard inspection Sep 11, 2024)
Standard inspection Sep 11, 2024. CMS counts 3 health deficiencies and 2 fire safety deficiencies in this cycle.
Sep 11, 2024 · Standard inspection
3 deficiencies, highest F
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Oct 8, 2024
F801 · Qualified dietitian and food staff
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 12, 2024
F661 · Discharge summary
Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 12, 2024
Earlier cycle: 8 deficiencies (standard inspection Aug 23, 2023)
Standard inspection Aug 23, 2023. CMS counts 8 health deficiencies and 3 fire safety deficiencies in this cycle.
Aug 23, 2023 · Standard inspection
8 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 1, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 1, 2023
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 1, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 1, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 1, 2023
F661 · Discharge summary
Requirement cited (CMS): Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 1, 2023
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 1, 2023
F578 · Refusing treatment and advance directives
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 1, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Avalon Place Kirbyville; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F661 Discharge summary | 2 | Sep 11, 2024; Aug 23, 2023 |
| F695 Respiratory and oxygen care | 2 | Dec 3, 2025; Aug 23, 2023 |
| F880 Infection prevention and control program | 2 | Dec 3, 2025; Aug 23, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Sep 10, 2025 | Fine | $9,113 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.42 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.43 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.97 h
- Nursing staff turnover
- 97.8% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Avalon Place Kirbyville, copied as published; Texas medians are ours.
Facility details
- Address
- 700 N Herndon Ave, Kirbyville, TX 75956
- Phone
- (409) 423-6111
- County
- Jasper
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 114
- Average residents per day
- 48.9
- In Medicare/Medicaid since
- Sep 28, 1993
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- Is a written discharge summary and medication list provided when a resident goes home? (F661, cited 2 times)
- How are oxygen equipment and breathing treatments managed and checked? (F695, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- How does the home record and follow a resident's advance directive? (F578, cited 1 time)
Other nursing homes in Kirbyville and the same chain
- Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.