Nursing homeActive
Avalon Place Kirbyville
700 N Herndon Ave, Kirbyville, TX 759564094236111114 certified beds · 49 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
17
● 1● 15● 1
Penalties · 3 yrs
$9,113
1 fine
Last survey
2025-12-03
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-03 | Standard | 130 | CMS-2567 (Care Compare) | — |
| 2025-09-10 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-09-11 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-08-23 | Standard | 080 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 675220-20251203-F695
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 675220-20251203-F813
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-04Record 675220-20251203-F880
F732Post nurse staffing information every day.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2025-12-04Record 675220-20251203-F732
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-09-05Record 675220-20250910-F689
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-11Record 675220-20250910-F600
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 675220-20240911-F661
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 675220-20240911-F801
F908Keep all essential equipment working safely.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-08Record 675220-20240911-F908
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 675220-20230823-F578
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 675220-20230823-F645
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 675220-20230823-F661
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 675220-20230823-F695
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 675220-20230823-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 675220-20230823-F760
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 675220-20230823-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-01Record 675220-20230823-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-09-10 | Civil money penalty | $9,113 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.43
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.42
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.97
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover98%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover100%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.2% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.8% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.5% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.8% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.4% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 28.1% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Liberty County Hospital District No 1 Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Blake, Gary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blake, Malisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kirbyville I Enterprises, L.L.C. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blake, Gary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Blake, Malisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Burkhalter, Sheila Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Eamiguel, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fregia, Milton Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gardner, Shannon Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Gardzina, Margaret Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Henry, Paul Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Huggins, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kirbyville I Enterprises, L.L.C. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kirbyville I Realty, L.L.C. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stratton, Charles Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Stratton, Charles Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Willig, Zachary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Xintavelonis, Elena Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Creative Solutions In Healthcare — 149 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Jasper.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Shady Acres Health & Rehabilitation Newton | 15.5 mi | 2026-04-29 | 0197 |
| Rayburn Health Care & Rehabilitation Jasper | 17.0 mi | 2026-02-11 | 0160 |
| Timberidge Nursing And Rehabilitation Center Jasper | 17.6 mi | 2025-08-06 | 040 |
| Paradigm at The Pines Silsbee | 26.3 mi | 2025-12-10 | 0311 |
| Silsbee Oaks Health Care LLP Silsbee | 27.4 mi | 2026-01-28 | 081 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |