ElderGrade
C

58/100

Average

Avalon Place Kirbyville

700 N Herndon, Kirbyville, TX 75956

CMS 4/5 stars #3 of 3 in Jasper County (409) 423-6111
Certified beds
114
Occupancy
43%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $9,113 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 98%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

20/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.82 total nurse hours per resident per day (national median 3.77)
  • 0.43 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 98% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $9,113 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.42 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.43 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.97 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 97.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 17 citations

Last standard health inspection: December 3, 2025 (8 months ago).

D Dec 3, 2025 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Dec 3, 2025 F0813

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

No actual harm, potential for more than minimal harm

D Dec 3, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

B Dec 3, 2025 F0732

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

No actual harm, minimal potential

J Sep 10, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Immediate jeopardy to resident health or safety

D Sep 10, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

F Sep 11, 2024 F0801

Nutrition and Dietary Deficiencies

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.

No actual harm, potential for more than minimal harm

F Sep 11, 2024 F0908

Environmental Deficiencies

Keep all essential equipment working safely.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
FREGIA, MILTON Individual MANAGING CONTROL - GOVERNING BODY
GARDNER, SHANNON Individual MANAGING CONTROL - GOVERNING BODY
GARDZINA, MARGARET Individual MANAGING CONTROL - GOVERNING BODY
HENRY, PAUL Individual MANAGING CONTROL - GOVERNING BODY
STRATTON, CHARLES Individual MANAGING CONTROL - GOVERNING BODY
HUGGINS, LINDA Individual CORPORATE DIRECTOR
WILLIG, ZACHARY Individual CORPORATE DIRECTOR
STRATTON, CHARLES Individual CORPORATE OFFICER
KIRBYVILLE I ENTERPRISES, L.L.C. Organization OPERATIONAL/MANAGERIAL CONTROL
BLAKE, GARY Individual OPERATIONAL/MANAGERIAL CONTROL
BLAKE, MALISA Individual OPERATIONAL/MANAGERIAL CONTROL
KIRBYVILLE I ENTERPRISES, L.L.C. Organization ADP OF THE SNF

What families say

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Common questions about Avalon Place Kirbyville

What is the ElderGrade for Avalon Place Kirbyville? +

Avalon Place Kirbyville holds an ElderGrade of C (58 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avalon Place Kirbyville? +

Residents receive an average of 3.42 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avalon Place Kirbyville been cited for harming residents? +

Yes. 1 of the 17 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Avalon Place Kirbyville accept Medicaid? +

Yes, Avalon Place Kirbyville is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.